How Far Does a Reinsurer’s Right to Inspect Records Go?

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Most reinsurance contracts have a provision that allows the reinsurer to inspect or audit the books and records of the cedent or the cedent’s agent. The reasons behind this provision are obvious. The reinsurer needs to know if premiums or losses are being booked and handled correctly given that the reinsurer is indemnifying the cedent for losses under the insurance policies ceded to the reinsurance contract. Where an agents like MGAs or TPAs are involved, audits are even more important because of the third-party nature of the arrangement and because of commission and profit sharing provisions.

The scope of the right to inspection, however, differs by clause. Some inspection clauses are very detailed and some are cursory statements of an audit right. Some restrict rights and some are expansive. As in most cases, the parties only get the rights that they bargained for and included in the reinsurance contract.

In a recent Texas case, a reinsurer brought suit over its right of inspection of the cedent’s managing general agent’s files.

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Cedent Denied Second Bite at the Apple in Dispute Over Reinsurance Coverage

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Some reinsurance disputes repeat. Either they involve different reinsurers on the same contract or different reinsurers on the same claim or different reinsurers on similar contracts on the same basic issue. Where a cedent loses an arbitration on an issue that repeats in a subsequent reinsurance dispute, should the cedent be estopped from seeking a reinsurance recovery from the other reinsurer? A Michigan federal court recently addressed this issue.

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Arbitration Award Confirmed In the Face of Recapture and Request to Seal Is Denied

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Parties to reinsurance arbitrations often file in court to confirm (or vacate) arbitral awards. Some file even though the adverse party has complied with the arbitration award. When doing so, they invariably invoke the confidentiality agreement in the proceeding to seal the award and other related documents used in the petition to confirm. Must the court confirm and must the court seal the documents? We have seen this movie before.

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When Seeking a Default Judgment Proof of Damages Must Be Clear

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Chasing down reinsurance proceeds from non-US reinsurers is never easy. Multiple US cedents have had to bring proceedings to collect from a wide variety of non-US reinsurers from around the globe. Many of these reinsurers were or are arms of foreign governments and many have gone insolvent or have been privatized. Not surprisingly, some never appear in US proceedings and then seek to resist default judgments. In a recent case, a cedent obtained a default but was temporarily denied a default judgment because of issues with evidence of damages.

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Missing or Lost Reinsurance Contracts

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Ever wonder about missing or lost reinsurance contracts? Well today is your lucky day. By chance my latest Expert Commentary-Reinsurance for IRMI.com has been published and it discusses missing or lost reinsurance contracts and the circumstances that may lead to the contract having gone missing. You can read the Commentary here (you may have to register).

New York’s Highest Court Rules Direct Physical Loss or Damage Requires Material Alteration or Complete and Persistent Dispossession

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The New York Court of Appeals (New York’s highest court for those expecting it to be the supreme court) has finally weighed in on the COVID-19 question of what direct physical loss or damage means in a property policy providing business interruption coverage. Not surprisingly, New York joins the vast majority of state and federal courts and affirmed the order below dismissing the complaint.

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Retrocessionaire Given the Green Light to Pursue Equitable Subrogation Claim Against Law Firm

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A retrocessionaire is two steps away from the policy issuing company and the insured so it is a pretty rare day when a retrocessionaire is allowed to pursue a recovery against a law firm that defended an underlying personal injury claim that went south.

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Second Circuit Rejects Attempted End-Around Arbitration Confidentiality Provision

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Reinsurance arbitrations are typically cloaked in confidentiality, often through a written confidentiality agreement or order. Some arbitration agreements include confidentiality provisions as well. In recent years, parties have gone to court to confirm reinsurance arbitration awards, sometimes as an end-around the confidentiality agreement. In 2023, the Second Circuit, in a non-reinsurance case, rejected an attempt to do an end-around an arbitration confidentiality provision.

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Securities Fraud Claims Against Reinsurer Based on Loss Reserve Analysis Dismissed

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Public reinsurance companies periodically find themselves defending securities fraud claims based on a drop in stock price or losses that affect the company’s bottom line. In a recent case, a fraud claim was based on the failure to disclose historical loss ratios when reporting the reinsurer’s performance.

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