Delaware | 75-3241967 | |||
(State of Incorporation) | (IRS Employer Identification Number) |
Large accelerated filer | £ | Accelerated filer | £ | |
Non-accelerated filer | £ | Smaller reporting company | þ |
Forward-Looking Statements | ||
Item 1. Business | ||
Item 1A. Risk Factors | ||
Item 1B. Unresolved Staff Comments | ||
Item 2. Properties | ||
Item 3. Legal Proceedings | ||
Item 4. Mine Safety Disclosures | ||
Part II. | ||
Item 5. Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities | ||
Item 6. Selected Financial Information | ||
Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations | ||
Item 7A. Quantitative and Qualitative Disclosures about Market Risk | ||
Item 8. Financial Statements | ||
Auditor's Report | ||
Consolidated Balance Sheets | ||
Consolidated Statements of Income | ||
Consolidated Statements of Stockholders' Equity | ||
Consolidated Statements of Cash Flows | ||
Notes to Consolidated Financial Statements | ||
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure | ||
Item 9A. Controls and Procedures | ||
Item 9B. Other Information | ||
Part III. | ||
Item 10. Directors, Executive Officers and Corporate Governance | ||
Item 11. Executive Compensation | ||
Item 12. Security Ownership of Certain Beneficial Owners and Management | ||
Item 13. Certain Relationships and Related Transactions, and Director Independence | ||
Item 14. Principal Accountant Fees and Services | ||
Part IV. | ||
Item 15. Exhibits and Financial Statement Schedules | ||
Exhibit Index | ||
Signatures |
Average Rate Increase | |||||
FL | SC | ||||
Homeowners Policies | |||||
Dec. 2011 | — | % | 6.0 | % | |
Nov. 2011 | 7.5 | % | — | % | |
May 2011 | 15.9 | % | — | % | |
Mar. 2010 | 14.0 | % | — | % | |
Sep. 2009 | 12.7 | % | — | % | |
Dwelling Policies | |||||
Nov. 2011 | 15.0 | % | — | % | |
Apr. 2010 | 14.7 | % | — | % | |
Oct. 2009 | 15.0 | % | — | % |
2011 | 2010 | 2009 | |||||||||
Balance at January 1 | $ | 47,414 | $ | 44,112 | $ | 40,098 | |||||
Less: reinsurance recoverable on unpaid losses | 23,814 | 23,447 | 20,906 | ||||||||
Net balance at January 1 | $ | 23,600 | $ | 20,665 | $ | 19,192 | |||||
Incurred related to: | |||||||||||
Current year | 43,019 | 41,527 | 43,731 | ||||||||
Prior years | (4,158 | ) | 1,006 | (2,976 | ) | ||||||
Total incurred | $ | 38,861 | $ | 42,533 | $ | 40,755 | |||||
Paid related to: | |||||||||||
Current year | 28,857 | 27,065 | 30,637 | ||||||||
Prior years | 3,322 | 12,533 | 8,645 | ||||||||
Total paid | $ | 32,179 | $ | 39,598 | $ | 39,282 | |||||
Net balance at December 31 | $ | 30,282 | $ | 23,600 | $ | 20,665 | |||||
Plus: reinsurance recoverable on unpaid losses | 3,318 | 23,814 | 23,447 | ||||||||
Balance at December 31 | $ | 33,600 | $ | 47,414 | $ | 44,112 | |||||
Composition of reserve for unpaid losses and LAE: | |||||||||||
Case reserves | 18,315 | 22,445 | 18,612 | ||||||||
IBNR reserves | 15,285 | 24,969 | 25,500 | ||||||||
Balance at December 31 | $ | 33,600 | $ | 47,414 | $ | 44,112 |
2011 | 2010 | 2009 | 2008 | 2007 | 2006 | 2005 | 2004 | 2003 | 2002 | 2001 | |||||||||||||||||||||||||||||||||
Original net liability | $ | 30,282 | $ | 23,600 | $ | 20,665 | $ | 19,192 | $ | 21,559 | $ | 23,735 | $ | 20,447 | $ | 8,449 | $ | 3,590 | $ | 4,513 | $ | 2,078 | |||||||||||||||||||||
Net cumulative paid as of: | |||||||||||||||||||||||||||||||||||||||||||
One year later | 3,918 | 13,028 | 8,984 | 9,707 | 9,047 | 12,872 | 10,962 | 4,549 | 4,530 | 1,707 | |||||||||||||||||||||||||||||||||
Two years later | 7,902 | 13,148 | 12,127 | 13,083 | 14,363 | 13,871 | 6,097 | 6,065 | 2,065 | ||||||||||||||||||||||||||||||||||
Three years later | 6,030 | 14,310 | 14,115 | 15,582 | 14,868 | 6,594 | 6,779 | 2,258 | |||||||||||||||||||||||||||||||||||
Four years later | 6,113 | 15,395 | 16,312 | 15,021 | 6,382 | 7,185 | 2,260 | ||||||||||||||||||||||||||||||||||||
Five years later | 7,032 | 17,356 | 15,214 | 6,368 | 6,967 | 2,250 | |||||||||||||||||||||||||||||||||||||
Six years later | 8,722 | 15,291 | 6,463 | 6,929 | 2,067 | ||||||||||||||||||||||||||||||||||||||
Seven years later | 15,322 | 6,664 | 6,927 | 2,067 | |||||||||||||||||||||||||||||||||||||||
Eight years later | 6,668 | 6,930 | 2,067 | ||||||||||||||||||||||||||||||||||||||||
Nine years later | 6,934 | 2,067 | |||||||||||||||||||||||||||||||||||||||||
Ten years later | 2,067 | ||||||||||||||||||||||||||||||||||||||||||
Net liability re-estimated as of: | |||||||||||||||||||||||||||||||||||||||||||
End of year | $ | 30,282 | $ | 23,600 | $ | 20,665 | $ | 19,192 | $ | 21,559 | $ | 23,735 | $ | 20,447 | $ | 8,449 | $ | 3,590 | $ | 4,513 | $ | 2,078 | |||||||||||||||||||||
One year later | 20,040 | 22,169 | 16,556 | 16,864 | 17,652 | 18,802 | 12,989 | 6,061 | 5,252 | 2,315 | |||||||||||||||||||||||||||||||||
Two years later | 18,677 | 17,472 | 15,759 | 16,707 | 17,675 | 15,260 | 6,358 | 6,523 | 2,279 | ||||||||||||||||||||||||||||||||||
Three years later | 14,400 | 16,505 | 16,337 | 17,355 | 15,586 | 7,051 | 6,981 | 2,378 | |||||||||||||||||||||||||||||||||||
Four years later | 13,688 | 16,781 | 17,814 | 15,582 | 6,561 | 7,438 | 2,260 | ||||||||||||||||||||||||||||||||||||
Five years later | 14,140 | 18,052 | 15,672 | 6,730 | 7,066 | 2,259 | |||||||||||||||||||||||||||||||||||||
Six years later | 15,604 | 15,409 | 6,794 | 6,932 | 2,068 | ||||||||||||||||||||||||||||||||||||||
Seven years later | 15,376 | 6,680 | 6,928 | 2,067 | |||||||||||||||||||||||||||||||||||||||
Eight years later | 6,668 | 6,931 | 2,067 | ||||||||||||||||||||||||||||||||||||||||
Nine years later | 6,934 | 2,067 | |||||||||||||||||||||||||||||||||||||||||
Ten years later | 2,067 | ||||||||||||||||||||||||||||||||||||||||||
Cumulative redundancy (deficiency) at December 31, 2011 | $ | 3,560 | $ | 1,988 | $ | 4,792 | $ | 7,871 | $ | 9,595 | $ | 4,843 | $ | (6,927 | ) | $ | (3,078 | ) | $ | (2,421 | ) | $ | 11 | ||||||||||||||||||||
Cumulative redundancy (deficiency) as a % of reserves originally established | 15.1 | % | 9.6 | % | 25.0 | % | 36.5 | % | 40.4 | % | 23.7 | % | (82.0 | )% | (85.7 | )% | (53.6 | )% | 0.5 | % | |||||||||||||||||||||||
Net reserves | $ | 30,282 | $ | 23,600 | $ | 20,665 | $ | 19,192 | $ | 21,559 | $ | 23,735 | $ | 20,447 | $ | 8,449 | $ | 3,590 | $ | 4,513 | $ | 2,078 | |||||||||||||||||||||
Ceded reserves | 3,318 | 23,814 | 23,447 | 20,907 | 14,445 | 33,440 | 153,768 | 4,100 | — | — | — | ||||||||||||||||||||||||||||||||
Gross reserves | $ | 33,600 | $ | 47,414 | $ | 44,112 | $ | 40,099 | $ | 36,004 | $ | 57,175 | $ | 174,215 | $ | 12,549 | $ | 3,590 | $ | 4,513 | $ | 2,078 | |||||||||||||||||||||
Net re-estimated | $ | 20,040 | $ | 18,677 | $ | 14,400 | $ | 13,688 | $ | 14,140 | $ | 15,604 | $ | 15,376 | $ | 6,668 | $ | 6,934 | $ | 2,067 | |||||||||||||||||||||||
Ceded re-estimated | 20,222 | 21,190 | 15,687 | 9,171 | 19,922 | 117,347 | 7,461 | — | — | — | |||||||||||||||||||||||||||||||||
Gross re-estimated | $ | 40,262 | $ | 39,867 | $ | 30,087 | $ | 22,859 | $ | 34,062 | $ | 132,951 | $ | 22,837 | $ | 6,668 | $ | 6,934 | $ | 2,067 |
AM Best Rating | Total Recoverable | Ceded Balances Payable | Net Recoverable | Letters of Credit | Net Unsecured Recoverable | ||||||||||||||||
ACE Tempest Reinsurance Ltd | A+ | $ | 309 | $ | — | $ | 309 | $ | 246 | $ | 63 | ||||||||||
Alea London Ltd | NR | 133 | — | 133 | — | 133 | |||||||||||||||
Alterra Re Bermuda | A | 346 | 279 | 67 | 13 | 54 | |||||||||||||||
American Southern Insurance Company | A | 9 | 2 | 7 | — | 7 | |||||||||||||||
Amlin Bermuda Ltd | — | 420 | 338 | 82 | 82 | — | |||||||||||||||
Arch Re Bermuda | A+ | 836 | 673 | 163 | 32 | 131 | |||||||||||||||
Argo Re | A | 147 | 119 | 28 | 29 | — | |||||||||||||||
Axis Reinsurance Company | A | 90 | 109 | — | — | — | |||||||||||||||
Catlin Insurance Company Ltd | A | 30 | — | 30 | 19 | 11 | |||||||||||||||
DaVinci Reinsurance Ltd | A | 4,012 | 2,647 | 1,365 | — | 1,365 | |||||||||||||||
Everest Re | A+ | 2,516 | 2,028 | 488 | — | 488 | |||||||||||||||
Flagstone Reassurance Suisse SA | A- | 751 | 606 | 145 | 146 | — | |||||||||||||||
Florida Hurricane Catastrophe Fund | — | 13,924 | 529 | 13,395 | — | 13,395 | |||||||||||||||
Hanover Ruckversicherungs Ag | A | 90 | 109 | — | — | — | |||||||||||||||
Harco National Insurance Group | A- | 849 | 32 | 817 | — | 817 | |||||||||||||||
Hartford Steam Boiler Inpection & Ins Co | A++ | 291 | 43 | 248 | — | 248 | |||||||||||||||
Hiscox Insurance Co Ltd | A | 199 | 145 | 54 | 11 | 43 | |||||||||||||||
Identity Theft Fraud Solutions | — | 21 | 5 | 16 | — | 16 | |||||||||||||||
Lloyd’s Syndicates | A s | 6,742 | 3,531 | 3,211 | — | 3,211 | |||||||||||||||
Markel International | A | 97 | 72 | 25 | — | 25 | |||||||||||||||
Montpelier Reinsurance Ltd | A- | 241 | — | 241 | 37 | 204 | |||||||||||||||
Munich Reinsurance America Inc | A+ | 214 | 172 | 42 | — | 42 | |||||||||||||||
National Flood Insurance Program | — | 5,508 | — | 5,508 | — | 5,508 | |||||||||||||||
Odyssey America Reinsurance | A | 421 | 271 | 150 | — | 150 | |||||||||||||||
Partner Re Bermuda | A+ | 105 | 84 | 21 | — | 21 | |||||||||||||||
Platinum Underwriters Reinsurance Inc | A | 123 | — | 123 | — | 123 | |||||||||||||||
Renaissance Reinsurance Ltd | A+ | 6,019 | 3,971 | 2,048 | — | 2,048 | |||||||||||||||
Scor Reinsurance Company | A | 180 | 218 | — | — | — | |||||||||||||||
Tokio Millennium Re Ltd | A++ | 336 | 271 | 65 | 13 | 52 | |||||||||||||||
Torus Insurance (Bermuda) Ltd | A- | — | — | — | — | — | |||||||||||||||
Transatlantic | A | 393 | 317 | 76 | — | 76 | |||||||||||||||
WR Berkley Europe Ltd | A | 8 | — | 8 | 5 | 3 | |||||||||||||||
Wurttembergische Versicherung Ag | NR | 66 | — | 66 | 59 | 7 | |||||||||||||||
$ | 45,426 | $ | 16,571 | $ | 28,931 | $ | 692 | $ | 28,241 |
Note: | If our ceded balance payable to a reinsurer exceeds our total recoverable from that reinsurer, we reflect the net recoverable from that reinsurer as “—” in this schedule as we do not have a right of offset with the other reinsurance carriers. |
1. | the lesser of: |
a. | ten percent of UPC’s capital surplus, or |
b. | net income, not including realized capital gains, plus a two-year carryforward |
2. | ten percent of capital surplus with dividends payable constrained to unassigned funds minus 25% of unrealized capital gains, or |
3. | the lesser of: |
a. | ten percent of capital surplus, or |
b. | net investment income plus a three-year carryforward with dividends payable constrained to unassigned funds minus 25% of unrealized capital gains. |
1. | the dividend is equal to or less than the greater of: |
a. | ten percent of the insurer’s surplus as to policyholders derived from realized net operating profits on its business and net realized capital gains, or |
b. | the insurer’s entire net operating profits and realized net capital gains derived during the immediately preceding calendar year, and: |
2. | the insurer will have surplus as to policyholders equal to or exceeding 115% of the minimum required statutory surplus as to policyholders after the dividend or distribution is made, and |
3. | the insurer files a notice of the dividend or distribution with the insurance regulatory authority at least ten business days prior to the dividend payment or distribution, and |
4. | the notice includes a certification by an officer of the insurer attesting that, after the payment of the dividend or distribution, the insurer will have at least 115% of required statutory surplus as to policyholders. |
December 31, 2011 | December 31, 2010 | ||||||||||||
Estimated Fair Value | Percent of Total | Estimated Fair Value | Percent of Total | ||||||||||
U.S. government and agency securities | $ | 48,119 | 38.7 | % | $ | 32,895 | 60.3 | % | |||||
States, municipalities and political subdivisions | 18,366 | 14.8 | % | 12,979 | 23.8 | % | |||||||
Corporate securities | 53,356 | 43.0 | % | 4,047 | 7.4 | % | |||||||
Redeemable preferred stocks | 537 | 0.4 | % | 762 | 1.4 | % | |||||||
Total fixed maturities | 120,378 | 96.9 | % | 50,683 | 92.9 | % | |||||||
Common stocks | 3,123 | 2.5 | % | 3,048 | 5.6 | % | |||||||
Nonredeemable preferred stocks | 458 | 0.4 | % | 567 | 1.0 | % | |||||||
Total equity securities | 3,581 | 2.9 | % | 3,615 | 6.6 | % | |||||||
Other long-term investments | 300 | 0.2 | % | 300 | 0.5 | % | |||||||
Total investments | $ | 124,259 | 100.0 | % | $ | 54,598 | 100.0 | % |
1) | catastrophe losses that we experienced in prior years; |
2) | catastrophe losses that, using third-party catastrophe modeling software, we projected could be incurred; |
3) | catastrophe losses that we used to develop prices for our products; or |
4) | our current reinsurance coverage (which would cause us to have to pay such excess losses). |
• | adverse changes in loss cost trends, including inflationary pressures in home repair costs; |
• | judicial expansion of policy coverage and the impact of new theories of liability; and |
• | plaintiffs targeting property and casualty insurers in purported class-action litigation relating to claims-handling and other practices. |
• | the nomination, election and removal of our Board of Directors; |
• | the adoption of amendments to our charter documents; |
• | management and policies; and |
• | the outcome of any corporate transaction or other matter submitted to our stockholders for approval, including mergers, consolidations and the sale of all or substantially all of our assets. |
Bid Quotation | |||||||
High | Low | ||||||
2011 | |||||||
Fourth Quarter | $ | 4.43 | $ | 4.00 | |||
Third Quarter | 4.25 | 4.25 | |||||
Second Quarter | 4.50 | 2.00 | |||||
First Quarter | 3.60 | 2.95 | |||||
2010 | |||||||
Fourth Quarter | 4.15 | 2.05 | |||||
Third Quarter | 2.95 | 1.85 | |||||
Second Quarter | 3.60 | 2.95 | |||||
First Quarter | 4.75 | 3.10 |
Average Rate Increase | |||||
FL | SC | ||||
Homeowners Policies | |||||
Dec. 2011 | — | % | 6.0 | % | |
Nov. 2011 | 7.5 | % | — | % | |
May 2011 | 15.9 | % | — | % | |
Mar. 2010 | 14.0 | % | — | % | |
Sep. 2009 | 12.7 | % | — | % | |
Dwelling Policies | |||||
Nov. 2011 | 15.0 | % | — | % | |
Apr. 2010 | 14.7 | % | — | % | |
Oct. 2009 | 15.0 | % | — | % |
• | Case reserves – When a claim is reported, we establish an automatic minimum case reserve for that claim type that represents our initial estimate of the losses that will ultimately be paid on the reported claim. Our initial estimate for each claim is based upon averages of loss payments for our prior closed claims made for that claim type. Then, our claims personnel perform an evaluation of the type of claim involved, the circumstances surrounding each claim and the policy provisions relating to the loss and adjust the reserve as necessary. As claims mature, we increase or decrease the reserve estimates as deemed necessary by our claims department based upon additional information we receive regarding the loss, the results of on-site reviews and any other information we gather while reviewing the claims. |
• | Reserves for loss incurred but not reported (IBNR reserves) – Our IBNR reserves include true IBNR reserves plus "bulk" reserves. Bulk reserves represent additional amounts that cannot be allocated to particular claims, but which are necessary to estimate ultimate losses on known claims. We estimate our IBNR reserves by projecting the ultimate losses using the methods discussed below and then deducting actual loss payments and case reserves from the projected ultimate losses. We review and adjust our IBNR reserves on a quarterly basis based on information available to us at the balance sheet date. |
• | Loss Development – This model estimates ultimate losses based on the historical development patterns of losses by accident year. Data known as loss development factors drive the loss-development-based models. We calculate loss development factors by age period (i.e., 12-24 months, 24-36 months, etc.) by taking the total incurred or paid losses |
• | Actual versus Expected Loss Development – This model estimates ultimate losses by adjusting the ultimate losses as projected in the prior period's analysis for the actual experience during the most recent period. For example, if the 2010 actuarial analysis projected that we would pay losses of $1,000 for the 2010 accident year during 2011 for a particular segment, but we actually paid losses of $800 during 2011 for the 2010 accident year for that segment, then we lower estimated ultimate losses for that segment by $200. |
• | Bornhuetter-Ferguson Pure Premium – This model estimates ultimate losses based on earned exposures, expected pure premium and the historical development patterns of losses. We use earned exposures as a proxy for the number of risks insured, and we calculate pure premium as the amount of incurred losses divided by earned exposures. Whereas the Actual versus Expected Loss Development model uses a fixed amount (ultimate losses as calculated in the prior year's analysis) as its starting point, this Bornhuetter-Ferguson model uses data from the prior year's analysis to recalculate a starting expectation of ultimate losses based on pure premium. From then on, this model functions like the Actual versus Expected Loss Development model in that we adjust the starting expectation of ultimate losses for the actual experience during the most recent period. |
Type of Security Deposited | Cost/Amortized Cost | Fair Value | |||||||
Florida | Certificate of Deposit | $ | 300 | $ | 300 | ||||
Amount reflected in other long-term investments | 300 | 300 | |||||||
South Carolina | U.S. Treasury Note | 1,001 | 1,003 | ||||||
Massachusetts | Municipal Bond | 104 | 111 | ||||||
Amount reflected in fixed maturities | 1,105 | 1,114 | |||||||
Securities deposited with insurance regulatory authorities | $ | 1,405 | $ | 1,414 |
• | Property Catastrophe Excess of Loss Reinsurance Agreement (Private Agreement) between United Property & Casualty Insurance Company and Various Reinsurance Companies, |
• | Florida Hurricane Catastrophe Fund Reimbursement Contract (FHCF Agreement) between United Property & Casualty Insurance Company and the State Board of Administration of Florida, |
• | Reinstatement Premium Protection Reinsurance Agreement (RPP Agreement) between United Property & Casualty Insurance Company and Various Reinsurance Companies, and |
• | Multi-Line Per Risk Excess of Loss Reinsurance Agreement (Per Risk Agreement) between United Property & Casualty Insurance Company and Various Reinsurance Companies. |
• | we paid $8,942 less to our reinsurers than during 2010 because of a change in the reinsurance premium payment schedule in 2010, |
• | we recovered $4,831 more from our reinsurers due to the commutation of the 2005 FHCF contract, |
• | we paid $5,243 more commission to agents as a result of our increased writings, and |
• | we paid $4,360 of income tax deposits during 2011 after making no income tax payments in 2010. |
/s/ McGladrey & Pullen, LLP |
Kansas City, MO |
March 14, 2012 |
December 31, | ||||||||
2011 | 2010 | |||||||
ASSETS | ||||||||
Investments available for sale, at fair value: | ||||||||
Fixed maturities (amortized cost of $116,863 and $50,984, respectively) | $ | 120,378 | $ | 50,683 | ||||
Equity securities (adjusted cost of $3,284 and $3,666, respectively) | 3,581 | 3,615 | ||||||
Other long-term investments | 300 | 300 | ||||||
Total investments | 124,259 | 54,598 | ||||||
Cash and cash equivalents | 41,639 | 71,644 | ||||||
Accrued investment income | 986 | 414 | ||||||
Premiums receivable, net | 11,205 | 7,825 | ||||||
Reinsurance recoverable on paid and unpaid losses | 4,458 | 27,304 | ||||||
Prepaid reinsurance premiums | 40,968 | 38,307 | ||||||
Deferred policy acquisition costs | 12,324 | 9,342 | ||||||
Other assets | 4,376 | 4,187 | ||||||
Total Assets | $ | 240,215 | $ | 213,621 | ||||
LIABILITIES AND STOCKHOLDERS' EQUITY | ||||||||
Liabilities: | ||||||||
Unpaid losses and loss adjustment expenses | $ | 33,600 | $ | 47,414 | ||||
Unearned premiums | 100,130 | 77,161 | ||||||
Reinsurance payable | 16,571 | 14,982 | ||||||
Other liabilities | 17,866 | 10,536 | ||||||
Notes payable | 17,059 | 18,235 | ||||||
Total Liabilities | 185,226 | 168,328 | ||||||
Commitments and contingencies (Note 11) | ||||||||
Stockholders' Equity: | ||||||||
Preferred stock, $0.0001 par value; 1,000,000 shares authorized; none issued or outstanding | — | — | ||||||
Common stock, $0.0001 par value; 50,000,000 shares authorized; 10,573,932 issued; 10,361,849 and 10,573,932 outstanding, respectively | 1 | 1 | ||||||
Additional paid-in capital | 75 | 75 | ||||||
Treasury shares, at cost; 212,083 and zero shares, respectively | (431 | ) | — | |||||
Accumulated other comprehensive income | 2,341 | (216 | ) | |||||
Retained earnings | 53,003 | 45,433 | ||||||
Total Stockholders' Equity | 54,989 | 45,293 | ||||||
Total Liabilities and Stockholders' Equity | $ | 240,215 | $ | 213,621 |
Year Ended December 31, | ||||||||||||
2011 | 2010 | 2009 | ||||||||||
REVENUE: | ||||||||||||
Gross premiums written | $ | 203,806 | $ | 158,637 | $ | 155,840 | ||||||
Decrease (increase) in gross unearned premiums | (22,969 | ) | (3,330 | ) | 553 | |||||||
Gross premiums earned | 180,837 | 155,307 | 156,393 | |||||||||
Ceded premiums earned | (90,757 | ) | (88,452 | ) | (78,212 | ) | ||||||
Net premiums earned | 90,080 | 66,855 | 78,181 | |||||||||
Net investment income | 2,823 | 3,879 | 4,831 | |||||||||
Net realized gains | 158 | 4,346 | 1,837 | |||||||||
Other-than-temporary impairments | (31 | ) | (97 | ) | (1,878 | ) | ||||||
Other revenue | 3,388 | 5,008 | 5,498 | |||||||||
Total revenue | 96,418 | 79,991 | 88,469 | |||||||||
EXPENSES: | ||||||||||||
Losses and loss adjustment expenses | 38,861 | 42,533 | 40,755 | |||||||||
Policy acquisition costs | 29,054 | 24,899 | 25,960 | |||||||||
Operating expenses | 5,090 | 3,968 | 5,218 | |||||||||
General and administrative expenses | 9,674 | 7,506 | 7,032 | |||||||||
Interest expense | 548 | 1,767 | 3,177 | |||||||||
Total expenses | 83,227 | 80,673 | 82,142 | |||||||||
Income (loss) before other expenses | 13,191 | (682 | ) | 6,327 | ||||||||
Other expenses | 175 | 726 | — | |||||||||
Income (loss) before income taxes | 13,016 | (1,408 | ) | 6,327 | ||||||||
Provision for (benefit from) income taxes | 4,928 | (483 | ) | 2,270 | ||||||||
Net income (loss) | $ | 8,088 | $ | (925 | ) | $ | 4,057 | |||||
OTHER COMPREHENSIVE INCOME (LOSS): | ||||||||||||
Change in net unrealized gain on investments | 4,291 | 2,093 | 4,152 | |||||||||
Reclassification adjustment for net realized investment gains | (158 | ) | (4,346 | ) | (1,837 | ) | ||||||
Reclassification adjustment for other-than-temporary impairments | 31 | 97 | 1,878 | |||||||||
Income tax expense related to items of other comprehensive income | (1,607 | ) | 832 | (1,595 | ) | |||||||
Total comprehensive income (loss) | $ | 10,645 | $ | (2,249 | ) | $ | 6,655 | |||||
Weighted average shares outstanding | ||||||||||||
Basic and Diluted | 10,442,034 | 10,573,932 | 10,568,247 | |||||||||
Earnings (loss) per share | ||||||||||||
Basic and Diluted | $ | 0.77 | $ | (0.09 | ) | $ | 0.38 | |||||
Dividends declared per share | $ | 0.05 | $ | 0.05 | $ | 0.15 |
Additional Paid-in Capital | Treasury Stock | Accumulated Other Comprehensive Income (loss) | Retained Earnings | Total Stockholders' Equity | |||||||||||||||||
Common Stock | |||||||||||||||||||||
Shares | Amount | ||||||||||||||||||||
December 31, 2008 | 10,548,932 | 1 | — | — | (1,490 | ) | 44,416 | 42,927 | |||||||||||||
Net income | — | — | — | — | — | 4,057 | 4,057 | ||||||||||||||
Net unrealized change in investments, net of tax | — | — | — | — | 2,598 | — | 2,598 | ||||||||||||||
Issuance of common stock to officers | 25,000 | — | 75 | — | — | — | 75 | ||||||||||||||
Cash dividends on common stock | — | — | — | — | — | (1,586 | ) | (1,586 | ) | ||||||||||||
December 31, 2009 | 10,573,932 | 1 | 75 | — | 1,108 | 46,887 | 48,071 | ||||||||||||||
Net loss | — | — | — | — | — | (925 | ) | (925 | ) | ||||||||||||
Net unrealized change in investments, net of tax | — | — | — | — | (1,324 | ) | — | (1,324 | ) | ||||||||||||
Cash dividends on common stock | — | — | — | — | — | (529 | ) | (529 | ) | ||||||||||||
December 31, 2010 | 10,573,932 | 1 | 75 | — | (216 | ) | 45,433 | 45,293 | |||||||||||||
Net income | — | — | — | — | — | 8,088 | 8,088 | ||||||||||||||
Net unrealized change in investments, net of tax | — | — | — | — | 2,557 | — | 2,557 | ||||||||||||||
Acquisition of treasury stock | (212,083 | ) | — | — | (431 | ) | — | — | (431 | ) | |||||||||||
Cash dividends on common stock | — | — | — | — | — | (518 | ) | (518 | ) | ||||||||||||
December 31, 2011 | 10,361,849 | 1 | 75 | (431 | ) | 2,341 | 53,003 | 54,989 |
Year Ended December 31, | ||||||||||||
2011 | 2010 | 2009 | ||||||||||
OPERATING ACTIVITIES | ||||||||||||
Net income (loss) | $ | 8,088 | $ | (925 | ) | $ | 4,057 | |||||
Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||||||
Depreciation and amortization | 1,218 | 1,106 | 1,188 | |||||||||
Net realized gains | (158 | ) | (4,346 | ) | (1,837 | ) | ||||||
Other-than-temporary impairments | 31 | 97 | 1,878 | |||||||||
Amortization of discount on notes payable | — | 159 | 419 | |||||||||
Loss on extinguishment of debt | — | 726 | — | |||||||||
Provision for uncollectible premiums | 23 | 42 | 83 | |||||||||
Deferred income taxes, net | (600 | ) | 352 | 1,255 | ||||||||
Stock-based compensation | — | — | 75 | |||||||||
Changes in operating assets and liabilities: | ||||||||||||
Accrued investment income | (572 | ) | 705 | 273 | ||||||||
Premiums receivable | (3,403 | ) | (323 | ) | 2,589 | |||||||
Reinsurance recoverable on paid and unpaid losses | 22,846 | (1,827 | ) | (2,873 | ) | |||||||
Prepaid reinsurance premiums | (2,660 | ) | 1,978 | (13,767 | ) | |||||||
Deferred policy acquisition costs, net | (2,982 | ) | (86 | ) | 958 | |||||||
Other assets | 371 | (398 | ) | (3,047 | ) | |||||||
Unpaid losses and loss adjustment expenses | (13,814 | ) | 3,302 | 4,014 | ||||||||
Unearned premiums | 22,969 | 3,330 | (553 | ) | ||||||||
Reinsurance payable | 1,589 | (13,180 | ) | 11,468 | ||||||||
Other liabilities | 5,703 | 1,345 | 267 | |||||||||
Net cash provided by (used in) operating activities | 38,649 | (7,943 | ) | 6,447 | ||||||||
INVESTING ACTIVITIES | ||||||||||||
Proceeds from sales and maturities of investments available for sale | 36,594 | 160,648 | 81,931 | |||||||||
Purchases of investments available for sale | (102,464 | ) | (80,343 | ) | (85,124 | ) | ||||||
Purchase of note receivable | (2,250 | ) | — | — | ||||||||
Cost of property and equipment acquired | (20 | ) | (73 | ) | (108 | ) | ||||||
Cost of capitalized software acquired | (15 | ) | (311 | ) | (206 | ) | ||||||
Net cash provided by (used in) investing activities | (68,155 | ) | 79,921 | (3,507 | ) | |||||||
FINANCING ACTIVITIES | ||||||||||||
Repayments of borrowings | (1,176 | ) | (24,078 | ) | (294 | ) | ||||||
Repurchases of common stock | (431 | ) | — | — | ||||||||
Dividends | (518 | ) | (529 | ) | (1,586 | ) | ||||||
Bank overdrafts | 1,626 | (2,813 | ) | (3,468 | ) | |||||||
Net cash used in financing activities | (499 | ) | (27,420 | ) | (5,348 | ) | ||||||
Increase (decrease) in cash | (30,005 | ) | 44,558 | (2,408 | ) | |||||||
Cash and cash equivalents at beginning of period | 71,644 | 27,086 | 29,494 | |||||||||
Cash and cash equivalents at end of period | $ | 41,639 | $ | 71,644 | $ | 27,086 | ||||||
Supplemental Cash Flows Information | ||||||||||||
Interest paid | $ | 553 | $ | 2,298 | $ | 2,592 | ||||||
Income taxes paid | $ | 4,360 | $ | — | $ | 3,987 |
(a) | Cash and Cash Equivalents |
(b) | Investments |
• | Level 1 – Valuations based on quoted prices in active markets for identical assets and liabilities; |
• | Level 2 – Valuations based on observable inputs that do not meet the criteria for Level 1, including quoted prices in inactive markets and quoted prices in active markets for similar, but not identical instruments; and |
• | Level 3 – Valuations based on unobservable inputs, which are based upon the best available information when external market data is limited or unavailable. |
• | a concentration in our distribution network because two agency groups provide approximately 55% of our direct premiums written |
• | a geographic concentration resulting from the fact that, though we now operate in three states, we still write approximately 95% of our premium in Florida |
• | a group concentration of credit risk with regard to our reinsurance recoverable, since all of our reinsurers engage in similar activities and have similar economic characteristics that could cause their ability to repay us to be similarly affected by changes in economic or other conditions |
• | a concentration of credit risk with regard to our cash, because we choose to deposit all our cash at two financial institutions |
Cost or Adjusted/Amortized Cost | Gross Unrealized Gains | Gross Unrealized Losses | Fair Value | ||||||||||||
December 31, 2011 | |||||||||||||||
U.S. government and agency securities | $ | 48,011 | $ | 219 | $ | 111 | $ | 48,119 | |||||||
States, municipalities and political subdivisions | 17,159 | 1,207 | — | 18,366 | |||||||||||
Corporate securities | 51,135 | 2,366 | 145 | 53,356 | |||||||||||
Redeemable preferred stocks | 558 | — | 21 | 537 | |||||||||||
Total fixed maturities | 116,863 | 3,792 | 277 | 120,378 | |||||||||||
Common stocks | 2,807 | 359 | 43 | 3,123 | |||||||||||
Nonredeemable preferred stocks | 477 | — | 19 | 458 | |||||||||||
Total equity securities | 3,284 | 359 | 62 | 3,581 | |||||||||||
Other long-term investments | 300 | — | — | 300 | |||||||||||
Total investments | $ | 120,447 | $ | 4,151 | $ | 339 | $ | 124,259 | |||||||
December 31, 2010 | |||||||||||||||
U.S. government and agency securities | $ | 32,841 | $ | 119 | $ | 65 | $ | 32,895 | |||||||
States, municipalities and political subdivisions | 13,305 | 10 | 336 | 12,979 | |||||||||||
Corporate securities | 4,029 | 18 | — | 4,047 | |||||||||||
Redeemable preferred stocks | 809 | — | 47 | 762 | |||||||||||
Total fixed maturities | 50,984 | 147 | 448 | 50,683 | |||||||||||
Common stocks | 3,061 | 47 | 60 | 3,048 | |||||||||||
Nonredeemable preferred stocks | 605 | — | 38 | 567 | |||||||||||
Total equity securities | 3,666 | 47 | 98 | 3,615 | |||||||||||
Other long-term investments | 300 | — | — | 300 | |||||||||||
Total investments | $ | 54,950 | $ | 194 | $ | 546 | $ | 54,598 |
2011 | 2010 | 2009 | |||||||||||||||||||||
Gains (Losses) | Fair Value at Sale | Gains (Losses) | Fair Value at Sale | Gains (Losses) | Fair Value at Sale | ||||||||||||||||||
Fixed maturities | $ | 231 | $ | 21,803 | $ | 4,278 | $ | 105,637 | $ | 1,545 | $ | 40,418 | |||||||||||
Equity securities | 10 | 65 | 149 | 2,731 | 1,165 | 4,977 | |||||||||||||||||
Total realized gains | 241 | 21,868 | 4,427 | 108,368 | 2,710 | 45,395 | |||||||||||||||||
Fixed maturities | (58 | ) | 3,191 | (43 | ) | 15,700 | (51 | ) | 1,574 | ||||||||||||||
Equity securities | (25 | ) | 335 | (38 | ) | 1,310 | (822 | ) | 1,111 | ||||||||||||||
Total realized losses | (83 | ) | 3,526 | (81 | ) | 17,010 | (873 | ) | 2,685 | ||||||||||||||
Net realized investment gains | $ | 158 | $ | 25,394 | $ | 4,346 | $ | 125,378 | $ | 1,837 | $ | 48,080 |
Type of Security Deposited | Cost/Amortized Cost | Fair Value | |||||||
Florida | Certificate of Deposit | $ | 300 | $ | 300 | ||||
Amount reflected in other long-term investments | 300 | 300 | |||||||
South Carolina | U.S. Treasury Note | 1,001 | 1,003 | ||||||
Massachusetts | Municipal Bond | 104 | 111 | ||||||
Amount reflected in fixed maturities | 1,105 | 1,114 | |||||||
Securities deposited with insurance regulatory authorities | $ | 1,405 | $ | 1,414 |
December 31, 2011 | |||||||||||||
Cost or Amortized Cost | Percent of Total | Fair Value | Percent of Total | ||||||||||
Due in one year or less | $ | 37,870 | 32.4 | % | $ | 37,795 | 31.4 | % | |||||
Due after one year through five years | 31,252 | 26.8 | % | 31,662 | 26.3 | % | |||||||
Due after five years through ten years | 30,761 | 26.3 | % | 32,809 | 27.3 | % | |||||||
Due after ten years | 16,980 | 14.5 | % | 18,112 | 15.0 | % | |||||||
Total | $ | 116,863 | 100.0 | % | $ | 120,378 | 100.0 | % |
Year Ended December 31, | |||||||||||
2011 | 2010 | 2009 | |||||||||
Fixed maturities | $ | 2,628 | $ | 3,639 | $ | 4,274 | |||||
Equity securities | 142 | 203 | 293 | ||||||||
Cash, cash equivalents and short-term investments | 19 | 37 | 264 | ||||||||
Other investments | $ | 34 | $ | — | $ | — | |||||
Net investment income | $ | 2,823 | $ | 3,879 | $ | 4,831 | |||||
Investment expenses | (140 | ) | (147 | ) | (164 | ) | |||||
Net investment income, less investment expenses | $ | 2,683 | $ | 3,732 | $ | 4,667 |
Less Than Twelve Months | Twelve Months or More | ||||||||||||||||||||
Number of Securities* | Gross Unrealized Losses | Fair Value | Number of Securities* | Gross Unrealized Losses | Fair Value | ||||||||||||||||
December 31, 2011 | |||||||||||||||||||||
U.S. government and agency securities | 2 | $ | 90 | $ | 16,915 | 1 | $ | 21 | $ | 1,627 | |||||||||||
Corporate securities | 3 | 145 | 3,924 | — | — | — | |||||||||||||||
Redeemable preferred stocks | — | — | — | 4 | 21 | 537 | |||||||||||||||
Total fixed maturities | 5 | 235 | 20,839 | 5 | 42 | 2,164 | |||||||||||||||
Common stocks | 12 | 40 | 740 | 1 | 3 | 9 | |||||||||||||||
Nonredeemable preferred stocks | — | — | — | 3 | 19 | 458 | |||||||||||||||
Total equity securities | 12 | 40 | 740 | 4 | 22 | 467 | |||||||||||||||
Total | 17 | $ | 275 | $ | 21,579 | 9 | $ | 64 | $ | 2,631 | |||||||||||
December 31, 2010 | |||||||||||||||||||||
U.S. government and agency securities | 7 | $ | 65 | $ | 9,611 | — | $ | — | $ | — | |||||||||||
States, municipalities and political subdivisions | 13 | 336 | 11,951 | — | — | — | |||||||||||||||
Redeemable preferred stocks | — | — | — | 6 | 47 | 763 | |||||||||||||||
Total fixed maturities | 20 | 401 | 21,562 | 6 | 47 | 763 | |||||||||||||||
Common stocks | 19 | 17 | 810 | 4 | 43 | 423 | |||||||||||||||
Nonredeemable preferred stocks | — | — | — | 4 | 38 | 567 | |||||||||||||||
Total equity securities | 19 | 17 | 810 | 8 | 81 | 990 | |||||||||||||||
Total | 39 | $ | 418 | $ | 22,372 | 14 | $ | 128 | $ | 1,753 |
December 31, 2011 | Total | Level 1 | Level 2 | Level 3 | |||||||||||
U.S. government and agency securities | $ | 48,119 | $ | 24,176 | $ | 23,943 | $ | — | |||||||
States, municipalities and political subdivisions | 18,366 | — | 18,366 | — | |||||||||||
Corporate securities | 53,356 | — | 53,356 | — | |||||||||||
Redeemable preferred stocks | 537 | 537 | — | — | |||||||||||
Total fixed maturities | 120,378 | 24,713 | 95,665 | — | |||||||||||
Common stocks | 3,123 | 3,123 | — | — | |||||||||||
Nonredeemable preferred stocks | 458 | 458 | — | — | |||||||||||
Total equity securities | 3,581 | 3,581 | — | — | |||||||||||
Other long-term investments | 300 | 300 | — | — | |||||||||||
Total investments | $ | 124,259 | $ | 28,594 | $ | 95,665 | $ | — | |||||||
December 31, 2010 | |||||||||||||||
U.S. government and agency securities | $ | 32,895 | $ | — | $ | 32,895 | $ | — | |||||||
States, municipalities and political subdivisions | 12,979 | — | 12,979 | — | |||||||||||
Corporate securities | 4,047 | — | 4,047 | — | |||||||||||
Redeemable preferred stocks | 762 | 762 | — | — | |||||||||||
Total fixed maturities | 50,683 | 762 | 49,921 | — | |||||||||||
Common stocks | 3,048 | 3,048 | — | — | |||||||||||
Nonredeemable preferred stocks | 567 | 567 | — | — | |||||||||||
Total equity securities | 3,615 | 3,615 | — | — | |||||||||||
Other long-term investments | 300 | 300 | — | — | |||||||||||
Total investments | $ | 54,598 | $ | 4,677 | $ | 49,921 | $ | — |
2011 | 2010 | ||||||
Balance at January 1 | $ | 9,342 | $ | 9,256 | |||
Policy acquisition costs deferred | 29,744 | 23,407 | |||||
Amortization | (26,762 | ) | (23,321 | ) | |||
Balance at December 31 | $ | 12,324 | $ | 9,342 |
2011 | 2010 | 2009 | |||||||||
Excess-of-loss | $ | (82,832 | ) | $ | (77,202 | ) | $ | (82,402 | ) | ||
Quota share | (587 | ) | (140 | ) | (1,039 | ) | |||||
Flood | (9,999 | ) | (9,132 | ) | (8,538 | ) | |||||
Ceded premiums written | $ | (93,418 | ) | $ | (86,474 | ) | $ | (91,979 | ) | ||
Increase (decrease) in ceded unearned premiums | 2,661 | (1,978 | ) | 13,767 | |||||||
Ceded premiums earned | $ | (90,757 | ) | $ | (88,452 | ) | $ | (78,212 | ) |
Year ended December 31, | |||||||||||
2011 | 2010 | 2009 | |||||||||
Premium written: | |||||||||||
Direct | $ | 199,606 | $ | 155,875 | $ | 154,339 | |||||
Assumed | 4,200 | 2,762 | 1,501 | ||||||||
Ceded | (93,418 | ) | (86,475 | ) | (91,979 | ) | |||||
Net premium written | $ | 110,388 | $ | 72,162 | $ | 63,861 | |||||
Change in unearned premiums: | |||||||||||
Direct | $ | (23,666 | ) | $ | (2,603 | ) | $ | (3,699 | ) | ||
Assumed | 697 | (727 | ) | 4,252 | |||||||
Ceded | 2,661 | (1,977 | ) | 13,767 | |||||||
Net decrease (increase) | $ | (20,308 | ) | $ | (5,307 | ) | $ | 14,320 | |||
Premiums earned: | |||||||||||
Direct | $ | 175,940 | $ | 153,272 | $ | 150,641 | |||||
Assumed | 4,897 | 2,035 | 5,752 | ||||||||
Ceded | (90,757 | ) | (88,452 | ) | (78,212 | ) | |||||
Net premiums earned | $ | 90,080 | $ | 66,855 | $ | 78,181 | |||||
Losses and LAE incurred: | |||||||||||
Direct | $ | 35,774 | $ | 60,508 | $ | 58,447 | |||||
Assumed | 2,554 | 1,436 | 4,423 | ||||||||
Ceded | 533 | (19,411 | ) | (22,115 | ) | ||||||
Net losses and LAE incurred | $ | 38,861 | $ | 42,533 | $ | 40,755 |
December 31, | |||||||
2011 | 2010 | ||||||
Unpaid losses and LAE, net: | |||||||
Direct | $ | 30,501 | $ | 43,999 | |||
Assumed | 3,099 | 3,415 | |||||
Ceded | (3,318 | ) | (23,814 | ) | |||
Net unpaid losses and LAE | $ | 30,282 | $ | 23,600 | |||
Unearned premiums, net: | |||||||
Direct | $ | 100,042 | $ | 76,376 | |||
Assumed | 88 | 785 | |||||
Ceded | (40,968 | ) | (38,307 | ) | |||
Net unearned premiums | $ | 59,162 | $ | 38,854 |
December 31, | |||||||
2011 | 2010 | ||||||
Reinsurance recoverable on unpaid losses and LAE | $ | 3,318 | $ | 23,814 | |||
Reinsurance recoverable on paid losses and LAE | 1,140 | 3,490 | |||||
Reinsurance recoverable | $ | 4,458 | $ | 27,304 |
2011 | 2010 | 2009 | |||||||||
Balance at January 1 | $ | 47,414 | $ | 44,112 | $ | 40,098 | |||||
Less: reinsurance recoverable on unpaid losses | 23,814 | 23,447 | 20,906 | ||||||||
Net balance at January 1 | $ | 23,600 | $ | 20,665 | $ | 19,192 | |||||
Incurred related to: | |||||||||||
Current year | 43,019 | 41,527 | 43,731 | ||||||||
Prior years | (4,158 | ) | 1,006 | (2,976 | ) | ||||||
Total incurred | $ | 38,861 | $ | 42,533 | $ | 40,755 | |||||
Paid related to: | |||||||||||
Current year | 28,857 | 27,065 | 30,637 | ||||||||
Prior years | 3,322 | 12,533 | 8,645 | ||||||||
Total paid | $ | 32,179 | $ | 39,598 | $ | 39,282 | |||||
Net balance at December 31 | $ | 30,282 | $ | 23,600 | $ | 20,665 | |||||
Plus: reinsurance recoverable on unpaid losses | 3,318 | 23,814 | 23,447 | ||||||||
Balance at December 31 | $ | 33,600 | $ | 47,414 | $ | 44,112 |
Amount | |||
2012 | $ | 1,176 | |
2013 | 1,176 | ||
2014 | 1,176 | ||
2015 | 1,176 | ||
2016 | 1,176 | ||
Thereafter | 11,179 | ||
Total debt | 17,059 |
• | a writing ratio based on net written premium to surplus of 2:1 ratio for the year beginning January 1, 2010 and thereafter for the remaining term of the note agreement, or |
• | a writing ratio based on gross written premium to surplus of 6:1 ratio for the year beginning January 1, 2010 and thereafter for the remaining term of the note agreement. |
Year Ended December 31, | ||||||||
2011 | 2010 | 2009 | ||||||
Federal: | ||||||||
Current | 4,864 | (843 | ) | 868 | ||||
Deferred | (656 | ) | 423 | 1,058 | ||||
Provision for (benefit from) Federal income tax expense | 4,208 | (420 | ) | 1,926 | ||||
State: | ||||||||
Current | 664 | 8 | 148 | |||||
Deferred | 56 | (71 | ) | 196 | ||||
Provision for (benefit from) State income tax expense | 720 | (63 | ) | 344 | ||||
Provision for (benefit from) income taxes | 4,928 | (483 | ) | 2,270 |
Year Ended December 31, | ||||||||
2011 | 2010 | 2009 | ||||||
Expected income tax expense (benefit) at federal rate | 4,425 | (479 | ) | 2,151 | ||||
State tax expense (benefit), net of federal deduction benefit | 472 | (71 | ) | 287 | ||||
Dividend received deduction | (38 | ) | (60 | ) | (83 | ) | ||
Other, net | 69 | 127 | (85 | ) | ||||
Reported income tax expense (benefit) | 4,928 | (483 | ) | 2,270 |
December 31, | |||||
2011 | 2010 | ||||
Deferred tax assets: | |||||
Unearned premiums | 4,356 | 2,998 | |||
Assessments | 4 | 179 | |||
Tax-related discount on loss reserve | 726 | 499 | |||
Bad debt expense | 30 | 23 | |||
Other-than-temporary impairment | 105 | 140 | |||
Acquired deferred tax asset | 172 | 172 | |||
Other | 304 | 178 | |||
Total deferred tax assets | 5,697 | 4,189 | |||
Deferred tax liabilities: | |||||
Unrealized gain | (1,470 | ) | 136 | ||
Deferred acquisitions costs | (4,285 | ) | (3,264 | ) | |
Capitalized software | (297 | ) | (323 | ) | |
Other | (104 | ) | (192 | ) | |
Total deferred tax liabilities | (6,156 | ) | (3,643 | ) | |
Less: valuation allowance | (172 | ) | (172 | ) | |
Net deferred tax asset (liability) | (631 | ) | 374 |
2011 | 2010 | 2009 | ||||||
Expected recoveries of assessments, January 1 | 413 | 1,525 | 2,235 | |||||
Assessments expensed | — | — | 1,045 | |||||
Assessments recovered | (403 | ) | (1,103 | ) | (1,688 | ) | ||
Assessments not recoverable | — | (9 | ) | (67 | ) | |||
Expected recoveries of assessments, December 31 | 10 | 413 | 1,525 |
• | Statutory accounting requires that we exclude certain assets, called non-admitted assets, from the balance sheet. |
• | Statutory accounting requires us to expense policy acquisition costs when incurred, while GAAP allows us to defer and amortize policy acquisition costs over the estimated life of the policies. |
• | Statutory accounting requires that we calculate deferred income taxes differently than we would under GAAP. |
• | Statutory accounting requires that we record certain investments at cost or amortized cost, while we record other investments at fair value; however, GAAP requires that we record all investments at fair value. |
• | Statutory accounting requires that surplus notes, also known as surplus debentures, be recorded in statutory surplus, while GAAP requires us to record surplus notes as a liability. |
Year Ended December 31, | ||||||||
2011 | 2010 | 2009 | ||||||
Consolidated GAAP net income (loss) | 8,088 | (925 | ) | 4,057 | ||||
Increase (decrease) due to: | ||||||||
Commissions | 56 | (11 | ) | (225 | ) | |||
Deferred income taxes | (1,278 | ) | 247 | 667 | ||||
Deferred policy acquisition costs | (98 | ) | (310 | ) | 652 | |||
Allowance for doubtful accounts | 16 | (309 | ) | 64 | ||||
Assessments | (453 | ) | (1,110 | ) | (884 | ) | ||
Prepaid expenses | 187 | (275 | ) | 3 | ||||
Premium deficiency reserve | 302 | — | — | |||||
Operations of non-statutory subsidiaries | (11,452 | ) | (3,489 | ) | (12,383 | ) | ||
Statutory net loss of UPC | (4,632 | ) | (6,182 | ) | (8,049 | ) |
December 31, | |||||
2011 | 2010 | ||||
Consolidated GAAP stockholders’ equity | 54,989 | 45,293 | |||
Increase (decrease) due to: | |||||
Deferred policy acquisition costs | (3,452 | ) | (3,354 | ) | |
Deferred income taxes | (295 | ) | (471 | ) | |
Investments | (2,145 | ) | 165 | ||
Non-admitted assets | (397 | ) | (109 | ) | |
Surplus debentures | 17,059 | 18,235 | |||
Provision for reinsurance | (105 | ) | (696 | ) | |
Equity of non-statutory subsidiaries | (19,681 | ) | (12,978 | ) | |
Commissions | 1,924 | 1,868 | |||
Allowance for doubtful accounts | 396 | 380 | |||
Assessments | 10 | 463 | |||
Prepaid expenses | (177 | ) | (364 | ) | |
Other, net | 62 | 63 | |||
Statutory surplus as regards policyholders of UPC | 48,188 | 48,495 |
Amount | |||
2012 | $ | 447 | |
2013 | 463 | ||
2014 | 332 | ||
2015 | 15 | ||
2016 | 5 |
Pre-Tax Amount | Tax (Expense)Benefit | Net-of-Tax Amount | |||||||||
December 31, 2008 | (2,389 | ) | 899 | (1,490 | ) | ||||||
Changes in net unrealized gain (loss) on investments | 4,152 | (1,580 | ) | 2,572 | |||||||
Reclassification adjustment for realized gains | (1,837 | ) | 699 | (1,138 | ) | ||||||
Reclassification adjustment for recognized other-than-temporary impairments | 1,878 | (714 | ) | 1,164 | |||||||
December 31, 2009 | 1,804 | (696 | ) | 1,108 | |||||||
Changes in net unrealized gain (loss) on investments | 2,093 | (807 | ) | 1,286 | |||||||
Reclassification adjustment for realized gains | (4,346 | ) | 1,676 | (2,670 | ) | ||||||
Reclassification adjustment for recognized other-than-temporary impairments | 97 | (37 | ) | 60 | |||||||
December 31, 2010 | $ | (352 | ) | $ | 136 | $ | (216 | ) | |||
Changes in net unrealized gain (loss) on investments | 4,291 | (1,656 | ) | 2,635 | |||||||
Reclassification adjustment for realized losses | (158 | ) | 61 | (97 | ) | ||||||
Reclassification adjustment for recognized other-than-temporary impairments | $ | 31 | $ | (12 | ) | $ | 19 | ||||
December 31, 2011 | $ | 3,812 | $ | (1,471 | ) | $ | 2,341 |
December 31, 2011 | |||||||||||
Cost or Amortized Cost | Fair Value | Amount Shown in Consolidated Balance Sheet | |||||||||
Bonds: | |||||||||||
U.S. government, government agencies and authorities | $ | 48,011 | $ | 48,119 | $ | 48,119 | |||||
States, municipalities and political subdivisions | 17,159 | 18,366 | 18,366 | ||||||||
Public utilities | 7,407 | 7,703 | 7,703 | ||||||||
All other corporate bonds | 43,728 | 45,653 | 45,653 | ||||||||
Redeemable preferred stocks | 558 | 537 | 537 | ||||||||
Total fixed maturities | 116,863 | 120,378 | 120,378 | ||||||||
Common stocks: | |||||||||||
Public Utilities | 209 | 254 | 254 | ||||||||
Industrial, miscellaneous and all other | 2,598 | 2,869 | 2,869 | ||||||||
Nonredeemable preferred stocks | 477 | 458 | 458 | ||||||||
Total equity securities | 3,284 | 3,581 | 3,581 | ||||||||
Other long-term investments | 300 | 300 | 300 | ||||||||
Total investments | $ | 120,447 | $ | 124,259 | $ | 124,259 |
Property and Casualty Insurance | ||||||||||||||||
Direct Premium Written | Premiums Ceded to Other Companies | Premiums Assumed from Other Companies | Net Premiums Written | Percentage of Premiums Assumed to Net | ||||||||||||
Years Ended December 31, | ||||||||||||||||
2011 | $ | 199,606 | 93,418 | 4,200 | $ | 110,388 | 3.8 | % | ||||||||
2010 | 155,875 | 86,475 | 2,762 | 72,162 | 3.8 | % | ||||||||||
2009 | 154,339 | 91,979 | 1,501 | 63,861 | 2.4 | % |
Uncollectible Premium Liability | ||||||||||||||
Balance at Beginning of Period | Charged to Costs and Expenses | Deductions | Balance at End of Period | |||||||||||
Years Ended December 31, | ||||||||||||||
2011 | $ | 61 | 16 | $ | — | $ | 77 | |||||||
2010 | 370 | 42 | (351 | ) | 61 | |||||||||
2009 | 305 | 83 | (18 | ) | 370 |
Exhibit | Description | |
3.1 | Second Amended and Restated Certificate of Incorporation (included as exhibit 3.1 to the Form 10-Q, filed November 14, 2008, and incorporated herein by reference). | |
3.2 | Bylaws (included as exhibit 3.3 to the Form S-1 (Registration No. 333-143466), filed June 4, 2007, and incorporated herein by reference). | |
4.1 | Specimen Common Stock Certificate (included as exhibit 4.2 to the Form S-1/A (Registration No. 333-143466), filed July 12, 2007, and incorporated herein by reference). | |
4.2 | Registration Rights Agreement, dated October 4, 2007, by and among FMG Acquisition Corp. and the investors named therein (included as exhibit 10.4 to the Form 8K, filed October 12, 2007, and incorporated herein by reference). | |
10.1 | Investment Management Agreement between United Property & Casualty Insurance Company and Synovus Trust Company, dated October 8, 2003 (included as exhibit 10.18 to the Form S-4/A (Registration No. 333-150327), filed June 13, 2008, and incorporated herein by reference). | |
10.2 | Insurance Capital Build-up Incentive Program Surplus Note between United Property & Casualty Insurance Company and the State Board of Administration of Florida dated September 22, 2006 (included as exhibit 10.31 to the Form S-4/A (Registration No. 333-150327), filed June 13, 2008, and incorporated herein by reference). | |
10.3 | Master Business Process Outsourcing Services Agreement between United Insurance Management, LLC and Computer Sciences Corporation, dated March 11, 2008 (included as exhibit 10.24 to the Form S-4/A (Registration No. 333-150327), filed June 13, 2008, and incorporated herein by reference). | |
10.4 | Master Business Process Outsourcing Services Agreement between United Insurance Management, LLC and Computer Sciences Corporation, dated March 11, 2008 (included as exhibit 10.24 to the Form S-4/A (Registration No. 333-150327), filed June 13, 2008, and incorporated herein by reference). | |
10.5 | Addendum Number One to Insurance Capital Build-Up Incentive Program Surplus Note, dated November 7, 2008 and effective July 1, 2008, between the State Board of Administration of Florida and United Property & Casualty Insurance Company (included as exhibit 10.1 to the Form 8-K, filed November 12, 2008, and incorporated herein by reference). | |
10.6 | Federal Income Tax Allocation Agreement between United Insurance Holdings Corp., United Insurance Holdings, L.C., United Insurance Management, L.C., Skyway Claims Services, LLC, and United Property & Casualty Insurance Company, dated October 1, 2008 (included as exhibit 10.32 to the Form 10-K/A, filed March 31, 2009, and incorporated herein by reference). | |
10.7 | Promissory Note dated March 30, 2011 issued by HRM Acquisition Corp. to United Property and Casualty Insurance Company (included as exhibit 10.1 to the Form 10-Q, filed May 11, 2011, and incorporated herein by reference). | |
10.8 | Note Purchase Agreement dated March 30, 2011 between HRM Acquisition Corp. and United Property and Casualty Insurance Company (included as exhibit 10.2 to the Form 10-Q, filed May 11, 2011, and incorporated herein by reference). | |
10.9 | Agreement of Limited Partnership dated March 30, 2011 between Acadia GP, LLC (in its capacity as a general partner of Acadia Acquisition Partners, L.P.) and limited partners (including United Property and Casualty Insurance Company) (included as exhibit 10.3 to the Form 10-Q, filed May 11, 2011, and incorporated herein by reference). | |
10.10 | PR-M Non-Bonus Assumption Agreement dated March 3, 2011 between Citizens Property Insurance Corporation and United Property and Casualty Insurance Company (included as exhibit 10.4 to the Form 10-Q, filed May 11, 2011, and incorporated herein by reference). | |
10.11 | Property Catastrophe Excess of Loss Reinsurance Agreement between United Property & Casualty Insurance Company and Various Reinsurance Companies, effective June 1, 2011 and including Addendum No. 1. |
Exhibit | Description | |
10.12 | Florida Hurricane Catastrophe Fund Reimbursement Contract between United Property & Casualty Insurance Company and the State Board of Administration of Florida, effective June 1, 2011 and including Addenda 1, 2 and 4. | |
10.13 | Multi-Line Per Risk Excess of Loss Reinsurance Agreement between United Property & Casualty Insurance Company and Various Reinsurance Companies, effective June 1, 2011. | |
10.14 | Reinstatement Premium Protection Reinsurance Agreement between United Property & Casualty Insurance Company and Various Reinsurance Companies, effective June 1, 2011. | |
10.15 | Property Catastrophe Excess of Loss Reinsurance Agreement between United Property & Casualty Insurance Company and UPC Re, effective June 1, 2011. | |
10.16 | Reinstatement Premium Protection Reinsurance Agreement between United Property & Casualty Insurance Company and UPC Re, effective June 1, 2011. | |
10.17 | Assumption Agreement between Sunshine State Insurance Company and United Property & Casualty Insurance Company, effective July 1, 2010 (included as exhibit 10.7 to the Form 10-Q, filed August 9, 2010, and incorporated herein by reference). | |
10.18 | Management Services Agreement between United Insurance Management, L.C. and 1347 Advisors, LLC, effective August 29, 2011 (included as exhibit 10.1 to the Form 10-Q, filed November 9, 2011, and incorporated herein by reference). | |
10.19 | Continuing Employment and Senior Advisor Agreement between United Insurance Holdings Corp. and Don Cronin effective November 1, 2011. | |
14.1 | Code of Conduct and Ethics (included as exhibit 14 to the Form S-1 (Registration No. 333-143466), filed June 4, 2007, and incorporated herein by reference). | |
21.1 | Subsidiaries of United Insurance Holdings Corp. | |
23.1 | Consent of McGladrey & Pullen LLP. | |
31.1 | Certification of Principal Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act. | |
31.2 | Certification of Principal Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act. | |
32.1 | Certification of Principal Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act. | |
32.2 | Certification of Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act. | |
101.INS | XBRL Instance Document | |
101.SCH | XBRL Taxonomy Extension Schema | |
101.CAL | XBRL Taxonomy Extension Calculation Linkbase | |
101.DEF | XBRL Taxonomy Extension Definition Linkbase | |
101.LAB | XBRL Taxonomy Extension Label Linkbase | |
101.PRE | XBRL Taxonomy Extension Presentation Linkbase |
UNITED INSURANCE HOLDINGS CORP. | |||
Date: | March 14, 2012 | By: | /s/ Melvin A. Russell |
Name: | Melvin A. Russell | ||
Title: | Senior Vice President and Chief Underwriting Officer | ||
(principal executive officer) |
/s/ Melvin A. Russell Melvin A. Russell | Senior Vice President and Chief Underwriting Officer (principal executive officer) | March 14, 2012 |
/s/ Hassan R. Baqar Hassan R. Baqar | Interim Chief Financial Officer (principal financial and accounting officer) | March 14, 2012 |
/s/ Gregory C. Branch Gregory C. Branch | Chairman of the Board | March 14, 2012 |
/s/ Gordon G. Pratt Gordon G. Pratt | Vice Chairman of the Board | March 14, 2012 |
/s/ Alec L. Poitevint, II Alec L. Poitevint, II | Director | March 14, 2012 |
/s/ Larry G. Swets, Jr. Larry G. Swets, Jr. | Director | March 14, 2012 |
/s/ Kent G. Whittemore Kent G. Whittemore | Director | March 14, 2012 |
/s/ James R. Zuhlke James R. Zuhlke | Director | March 14, 2012 |
ARTICLE | DESCRIPTION | PAGE |
1 | BUSINESS COVERED | 1 |
2 | RETENTION AND LIMIT | 1 |
3 | TERM | 2 |
4 | TERRITORY | 3 |
5 | EXCLUSIONS | 3 |
6 | DEFINITIONS | 4 |
7 | NET RETAINED LINES | 7 |
8 | OTHER REINSURANCE | 7 |
9 | PREMIUM | 7 |
10 | REINSTATEMENT | 9 |
11 | NOTICE OF LOSS AND LOSS SETTLEMENTS | 9 |
12 | LATE PAYMENTS | 9 |
13 | SALVAGE AND SUBROGATION | 11 |
14 | OFFSET | 11 |
15 | UNAUTHORIZED REINSURANCE | 11 |
16 | TAXES | 13 |
17 | CURRENCY | 13 |
18 | DELAY, OMISSION OR ERROR | 13 |
19 | ACCESS TO RECORDS | 14 |
20 | ARBITRATION | 14 |
21 | SERVICE OF SUIT | 15 |
22 | INSOLVENCY | 15 |
23 | THIRD PARTY RIGHTS | 16 |
24 | SEVERABILITY | 16 |
25 | CONFIDENTIALITY | 16 |
26 | ENTIRE AGREEMENT | 17 |
27 | CHOICE OF LAW AND JURISDICTION | 17 |
28 | INTERMEDIARY | 17 |
29 | NOTICES AND MODE OF EXECUTION | 17 |
Attachments: Schedule A - First Property Catastrophe Excess of Loss Reinsurance Schedule B - Second Property Catastrophe Excess of Loss Reinsurance Schedule C - Third Property Catastrophe Excess of Loss Reinsurance Schedule D - Fourth Property Catastrophe Excess of Loss Reinsurance Nuclear Incident Exclusion Clause ‑ Physical Damage ‑ Reinsurance - USA Terrorism Exclusion Clause (NMA2930c) Trust Agreement Requirements Clause |
1) | The subscribing reinsurer's policyholders' surplus falls by 20% or more from the inception of this Agreement; or |
2) | A State Insurance Department or other legal authority orders the subscribing reinsurer to cease writing business; or |
3) | The subscribing reinsurer has become insolvent or has been placed into liquidation or receivership (whether voluntary or involuntary), or there has been instituted against it proceedings for the appointment of a receiver, liquidator, rehabilitator, conservator, or trustee in bankruptcy, or other agent known by whatever name, to take possession of its assets or control of its operation; or |
4) | The subscribing reinsurer has become merged with, acquired or controlled by any company, corporation, or individual(s) not controlling the subscribing reinsurer's operations previously; or |
1) | The subscribing reinsurer ceases assuming new and renewal property treaty reinsurance business; or |
6) | The subscribing reinsurer's A.M. Best or Standard and Poor's rating is downgraded below A-. |
A. | Reinsurance assumed, except as respects the following: Reinsurance assumed as a result of the depopulation of the Citizens Property and Casualty Insurance Company and any successor organisation of this entity and/or any reinsurance assumed from Private Carriers as a result of depopulations. |
B. | Financial guarantee and/or insolvency. |
C. | Third party liability and medical payments business. |
D. | Liability as a member, subscriber or reinsurer of any Pool, Syndicate or Association; and any combination of insurers or reinsurers formed for the purpose of covering specific perils, specific classes of business or for the purpose of insuring risks located in specific geographical areas and any assessments from Citizens Property and Casualty Insurance Company and any successor organisation of this entity. |
E. | All 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, however 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. |
F. | Loss or liability from any Pool, Association or Syndicate and any assessment or similar demand for payment related to the Florida Hurricane Catastrophe Fund. |
G. | All Accident and Health, Fidelity, Surety, Boiler and Machinery, Workers' Compensation and Credit business. |
H. | All Ocean Marine business. |
I. | Flood and/or earthquake when written as such, except for earthquake business issued in South Carolina. |
J. | Difference in Conditions insurances and similar kinds of insurances, however styled, insofar as they may provide coverage for losses from the following causes: |
1) | Flood, surface water, waves, tidal water or tidal waves, overflow of streams or other bodies of water or spray from any of the foregoing, all whether wind‑driven or not, except when covering property in transit; or |
2) | Earthquake, landslide, subsidence or other earth movement or volcanic eruption, except when covering property in transit. |
K. | Mortgage Impairment insurances and similar kinds of insurances, however styled. |
L. | All Automobile Business. |
M. | Loss or damage directly or indirectly occasioned by, happening through or in consequences of war, invasion, acts of foreign enemies, hostilities (whether war be declared or not), civil war, rebellion, revolution, insurrection, military or usurped power, or confiscation or nationalisation or requisition or destruction of or damage to property by or under the order of any government or public or local authority. |
N. | Loss and/or Damage and/or Costs and/or Expenses arising from seepage and/or pollution and/or contamination, other than contamination from smoke. Nevertheless, this exclusion does not preclude any payment of the cost of removal of debris of property damaged by a loss otherwise covered hereunder, subject always to a limit of 25% of the Company's property loss under the applicable original Policy. |
O. | Nuclear risks as defined in the "Nuclear Incident Exclusion Clause ‑ Physical Damage Reinsurance" attached to and forming part of this Agreement. |
P. | All liability arising out of mold, spores and/or fungus but this exclusion shall not apply to those losses which follow as a direct result of a loss caused by a peril otherwise covered hereunder. |
Q. | Terrorism, in accordance with NMA2930c, attached hereto. |
A. | The term “Loss Occurrence” shall mean the sum of all individual losses directly occasioned by any one disaster, accident or loss or series of disasters, accidents or losses arising out of one event which occurs within the area of one state of the United States or province of Canada and states or provinces contiguous thereto and to one another. However, the duration and extent of any one Loss Occurrence shall be limited to all individual losses sustained by the Company occurring during any period of 168 consecutive hours arising out of and directly occasioned by the same event except that the term Loss Occurrence shall be further defined as follows: |
(i) | As regards windstorm, hail, tornado, hurricane, cyclone, including ensuing collapse and water damage, all individual losses sustained by the Company occurring during any period of 96 consecutive hours arising out of and directly occasioned by the same event. However, the event need not be limited to one state or province or states or provinces contiguous thereto. |
(ii) | As regards riot, riot attending a strike, civil commotion, vandalism and malicious mischief, all individual losses sustained by the Company occurring during any period of 72 consecutive hours within the area of one municipality or county and the municipalities or counties contiguous thereto arising out of and directly occasioned by the same event. The maximum duration of 72 consecutive hours may be extended in respect of individual losses which occur beyond such 72 consecutive hours during the continued occupation of an insured's premises by strikers, provided such occupation commenced during the aforesaid period. |
(iii) | As regards earthquake (the epicenter of which need not necessarily be within the territorial confines referred to in the opening paragraph of this Article) and fire following directly occasioned by the earthquake, only those individual fire losses which commence during the period of 168 consecutive hours may be included in the Company's Loss Occurrence. |
(iv) | As regards freeze, only individual losses directly occasioned by collapse, breakage of glass and water damage (caused by bursting of frozen pipes and tanks) may be included in the Company's Loss Occurrence. |
(i) | loss of, alteration of, or damage to |
(ii) | a reduction in the functionality, availability or operation of |
B. | The term “Ultimate Net Loss” as used herein is defined as the sum or sums (including 90% of any Extra Contractual Obligations and/or 90% of any Loss In Excess of Policy Limits, and any Loss Adjustment Expenses as hereinafter defined, provided there is an indemnity loss hereunder, and any Loss Adjustment Expense/fair rental value unrecoverable from the FHCF) paid or payable by the Company in settlement of claims and in satisfaction of judgments rendered on account of such claims, after deduction of all salvage, all recoveries and all claims on inuring insurance or reinsurance, whether collectible or not. Nothing herein shall be construed to mean that losses under this Agreement are not recoverable until the Company's Ultimate Net Loss has been ascertained. |
C. | The terms “Loss In Excess of Policy Limits” and “Extra Contractual Obligations” as used herein shall be defined as follows: |
1. | “Loss In Excess of Policy Limits” shall mean any amount paid or payable by the Company in excess of its Policy limits, but otherwise within the terms of its Policy, as a result of an action against it by its insured or its insured's assignee to recover damages the insured is legally obligated to pay because of the Company's alleged or actual negligence or bad faith in rejecting a settlement within Policy limits, or in discharging its duty to defend or prepare the defense in the trial of an action against its insured, or in discharging its duty to prepare or prosecute an appeal consequent upon such an action. |
2. | “Extra Contractual Obligations” shall mean any punitive, exemplary, compensatory or consequential damages, other than Loss In Excess of Policy Limits, paid or payable by the Company as a result of an action against it by its insured or its insured's assignee, which action alleges negligence or bad faith on the part of the Company in handling a claim under a policy subject to this Agreement. |
D. | The term “Loss Adjustment Expense” as used herein shall mean expenses allocable to the investigation, appraisal, adjustment, settlement, litigation, defense and/or appeal of specific claims reinsured hereunder, regardless of how such expenses are classified for statutory reporting purposes. Loss Adjustment Expense shall include, but not be limited to, Loss Adjustment Expense not recoverable from the FHCF, interest on judgments, expenses of outside adjusters, and a pro rata share of the salaries and expenses of the Company's field employees according to the time occupied adjusting such losses, but excluding salaries of the Company's officials and any normal overhead charges, and excluding Declaratory Judgment Expenses or other legal expenses and costs incurred in connection with coverage questions and legal actions connected thereto. |
E. | The term “Declaratory Judgment Expense” as used herein shall mean the Company's own costs and legal expense incurred in direct connection with declaratory judgment actions brought to determine the Company's defense and/or indemnification obligations that are assignable to specific claims arising out of policies reinsured by this Agreement, regardless of whether the declaratory judgment action is considered successful or unsuccessful. Any Declaratory Judgment Expense will be deemed to have been incurred by the Company on the date of the original loss, if any, giving rise to the declaratory judgment action. |
F. | The term “Agreement Year” as used herein shall be defined as the period from 12:01 a.m., Eastern Standard Time, June 1, 2011, until 12:01 a.m., Eastern Standard Time, June 1, 2012. However, if this Agreement is terminated, Agreement Year as used herein shall mean the period from 12:01 a.m., Eastern Standard Time, June 1, 2011 through the effective date of termination. |
A. | As premium for each excess layer of reinsurance coverage provided by this Agreement, the Company shall pay the Reinsurer the greater of the following: |
1. | The amount, shown as “Minimum Premium” for that excess layer in the Schedules attached hereto; or |
2. | The percentage, shown as “provisional rate” for that excess layer in the Schedules attached hereto to the Company's Total Insurance Values (“TIV”) in force for Coverages A, B, C and D in respect of the Company's Florida and South Carolina Homeowners/Dwelling/Condominium Business as at September 30, 2011. |
B. | The Company shall pay the Reinsurer a deposit premium for each excess layer of the amount, shown as “Deposit Premium” for that excess layer in the Schedules attached hereto, which is payable in three installments. The three installments shall be amounts equal to 33.33% of “Deposit Premium” for that excess layer due at July 1, 2011, 33.33% due at October 1, 2011, and 33.34% due at January 1, 2012. However, in the event this Agreement is terminated, there shall be no deposit premium installments due after the effective date of termination. |
1. | The premium due hereunder for each excess layer, computed in accordance with paragraph A above; less |
2. | The first, second and third installments paid for each excess layer in accordance with paragraph B above. |
D. | No later than April 1, 2012 (or the date of termination in the event this Agreement is terminated prior to April 1, 2012), the Company shall provide a report to the Reinsurer setting forth the premium due hereunder for each excess layer, computed in accordance with paragraph A above, and the adjusted deposit premium for each excess layer, computed in accordance with paragraph C above. In the event this Agreement is terminated prior to April 1, 2012, any additional premium due the Reinsurer or return premium due the Company shall be remitted promptly. |
A. | The provisions of this Article shall not be implemented unless specifically invoked, in writing, by one of the parties to this Agreement. |
B. | In the event any premium, loss or other payment due either party is not received by the Intermediary named in the Intermediary Article (hereinafter referred to as the "Intermediary") by the payment due date, the party to whom payment is due may, by notifying the Intermediary in writing, require the debtor party to pay, and the debtor party 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 which have expired since the due date or the last monthly calculation, whichever the lesser; times |
2. | 1/365ths of the LIBOR monthly on the first business day of the month for which the calculation is made; times |
C. | It is agreed that interest shall accumulate until payment of the original amount due plus interest penalties have been received by the Intermediary. |
D. | The establishment of the due date shall, for purposes of this Article, be determined as follows: |
1. | As respects the payment of routine deposits and premiums due the Reinsurer, the due date shall be as provided for in the applicable section of this Agreement. In the event a due date is not specifically stated for a given payment, it shall be deemed due 30 days after the date of transmittal by the Intermediary of the initial billing for each such payment. |
2. | Any claim or loss payment due the Company hereunder shall be deemed due 10 business days after the proof of loss or demand for payment is transmitted to the Reinsurer. If such loss or claim payment is not received within the 10 business days, interest will accrue on the payment or amount overdue in accordance with paragraph B of this Article, from the date the proof of loss or demand for payment was transmitted to the Reinsurer. |
3. | As respects any payment, adjustment or return due either party not otherwise provided for in subparagraphs 1 and 2 of this paragraph, the due date shall be as provided for in the applicable section of this Agreement. In the event a due date is not specifically stated for a given payment, it shall be deemed due 10 business days following transmittal of written notification that the provisions of this Article have been invoked. |
E. | For purposes of interest calculations only, amounts due hereunder shall be deemed paid upon receipt by the Intermediary. |
F. | Nothing herein shall be construed as limiting or prohibiting a Subscribing Reinsurer from contesting the validity of any claim, or from participating in the defense or control of any claim or suit, or prohibiting either party from contesting the validity of any payment or from initiating any arbitration or other proceeding in accordance with the provisions of this Agreement. If the debtor party prevails in an arbitration or other proceeding, then any interest penalties due hereunder on the amount in dispute shall be null and void. If the debtor party loses in such proceeding, then the interest penalty on the amount determined to be due hereunder shall be calculated in accordance with the provisions set forth above unless otherwise determined by such proceedings. If a debtor party advances payment of any amount it is contesting, and proves to be correct in its contestation, either in whole or in part, the other party shall reimburse the debtor party for any such excess payment made plus interest on the excess amount calculated in accordance with this Article. |
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 Company's reserves. |
B. | The Company agrees, in respect of its Policies or bonds falling within the scope of this Agreement, 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 "Reinsurer's Obligations" shall be defined as follows: |
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 from known Loss Occurrences and Loss Adjustment Expenses 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 Reinsurer's 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 Company's reserves. |
D. | When funding by a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement complies with the provisions of the “Trust Agreement Requirements Clause” attached hereto. 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 Company's reserves in an amount equal to the Reinsurer's 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 Agreement may be drawn upon at any time, notwithstanding any other provision of this Agreement, 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 Reinsurer's Obligations, the payment of which is due under the terms of this Agreement 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 Reinsurer's Obligations under this Agreement (or in excess of 102% of the Reinsurer's Obligations, if funding is provided by a Trust Agreement); |
3. | To fund an account with the Company for the Reinsurer's Obligations. Such cash deposit shall be held in an interest bearing account separate from the Company's 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 Reinsurer's Obligations (or in excess of 102% of the Reinsurer's 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 Reinsurer's share of any other amounts the Company claims are due under this Agreement. |
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 Reinsurer's 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 Reinsurer's 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 Reinsurer's Obligations are less than the balance of the LOC (or that 102% of the Reinsurer's 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. | If more than one reinsured company is referenced within the definition of "Company" in the Preamble to this Agreement, 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 state's 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 Agreement as though such expense had been incurred by the Company. |
D. | As to all reinsurance made, ceded, renewed or otherwise becoming effective under this Agreement, 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 Agreement 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. | Paper documents with an original ink signature; |
B. | Facsimile or electronic copies of paper documents showing an original ink signature; and/or |
C. | Electronic records with an electronic signature made via an electronic agent. For the purposes of this Agreement, the terms “electronic record,” “electronic signature” and “electronic agent” shall have the meanings set forth in the Electronic Signatures in Global and National Commerce Act of 2000 or any amendments thereto. |
1. | This Agreement does not cover any loss or liability accruing to the Reassured, 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 Agreement does not cover any loss or liability accruing to the Reassured, 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: |
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 operation of paragraphs (1) and (2) hereof, this Agreement does not cover any loss or liability by radioactive contamination accruing to the Reassured, 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 Reassured does not have knowledge of such nuclear reactor power plant or nuclear installation, or |
(b) | where the 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 operation of paragraphs (1), (2) and (3) hereof, this Agreement does not cover any loss or liability by radioactive contamination accruing to the Reassured, 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 Reassured 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. |
(a) | all policies issued by the Reassured 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 Reassured 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. |
A. | Except as provided in paragraph B. of this Clause, if the Reinsurer satisfies its funding obligations under the Unauthorized Reinsurance Article by providing a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement: |
1. | Requires the Reinsurer to establish a trust account for the benefit of the Company, and specifies what the Trust Agreement is to cover; |
2. | Stipulates that assets deposited in the trust account shall be valued according to their current fair market value and shall consist only of cash (United States legal tender), certificates of deposit (issued by a United States bank and payable in United States legal tender), and investments of the types permitted by the regulatory authorities having jurisdiction over the Company's reserves, or any combination of the three, provided that the investments are issued by an institution that is not the parent, subsidiary or affiliate of either the Reinsurer or the Company; |
3. | Requires the Reinsurer, prior to depositing assets with the trustee, to execute assignments or endorsements in blank, or to transfer legal title to the trustee of all shares, obligations or any other assets requiring assignments, in order that the Company, or the trustee upon the direction of the Company, may whenever necessary negotiate these assets without consent or signature from the Reinsurer or any other entity; |
4. | Requires that all settlements of account between the Company and the Reinsurer be made in cash or its equivalent; and |
5. | Provides that assets in the trust account shall be withdrawn only as permitted in this Agreement, without diminution because of the insolvency of the Company or the Reinsurer. |
B. | If a ceding insurer is domiciled in California and the Reinsurer satisfies its funding obligations under the Unauthorized Reinsurance Article by providing a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement: |
1. | Provides that assets deposited in the trust account shall be valued according to their current fair market value and shall consist only of cash in United States dollars, certificates of deposit issued by a United States financial institution as defined in California Insurance Code Section 922.7(a) and payable in United States dollars, and investments permitted by the California Insurance Code, or any combination of the above; |
2. | Provides that investments in or issued by an entity controlling, controlled by or under common control with either the grantor or the beneficiary of the trust shall not exceed 5% of total investments; |
3. | Requires the Reinsurer, prior to depositing assets with the trustee, to execute assignments or endorsements in blank, or to transfer legal title to the trustee of all shares, obligations or any other assets requiring assignments, in order that the ceding insurer, or the trustee upon the direction of the ceding insurer, may, whenever necessary, negotiate these assets without consent or signature from the Reinsurer or any other entity; |
4. | Provides that assets in the trust account shall be withdrawn only as permitted in this Agreement, without diminution because of the insolvency of the ceding insurer or the Reinsurer. |
BUREAU REFERENCE PROPORTION % | SYNDICATE | UNDERWRITER'S REFERENCE |
1.75 | 2791 | X1111WG00519 |
0.75 | 2791 | X1111LX03006 |
6.00 | 2001 | CAC0226411HL |
3.00 | 1400 | LPRX2374111A |
TOTAL LINE | No. OF SYNDICATES | |
11.50 | 4 |
BUREAU REFERENCE PROPORTION % | SYNDICATE | UNDERWRITER'S REFERENCE |
1.75 | 2791 | X111TG02192 |
0.75 | 2791 | X111MX03007 |
4.00 | 2001 | CAC2647211TA |
3.00 | 1400 | LPRX2374111B |
2.50 | 510 | UAXR11EHCRQJ |
2.50 | 1880 | UAXQ11EHCRQJ |
2.75 | 958 | FVXAXOEN5003 |
2.00 | 2987 | FC377N11A000 |
2.00 | 33 | Y15BE110AKWE |
1.00 | 2010 | N11B6190A001 |
1.00 | 727 | 5N920X4271MV |
TOTAL LINE | No. OF SYNDICATES | |
23.25 | 11 |
BUREAU REFERENCE PROPORTION % | SYNDICATE | UNDERWRITER'S REFERENCE |
5.2500 | 2001 | CAC1836811PJ |
15.5000 | 435 | TA648Q11A000 |
2.7930 | 2791 | X1111DG04566 |
1.1970 | 2791 | X1111EX04567 |
3.4550 | 510 | UAXR11EHCTAK |
3.4450 | 1880 | UAXQ11EHCTQJ |
5.1000 | 2010 | N11B6190C001 |
2.5000 | 1400 | LPRX2374111C |
2.2500 | 2987 | FC377N11B000 |
1.8225 | 2623 | T9184J11APCS |
0.4275 | 623 | T9184J11APCS |
2.2500 | 727 | 5N920X5579MV |
2.5000 | 1458 | D00283032011 |
0.2500 | 1084 | 60554H11AA |
TOTAL LINE | No. OF SYNDICATES | |
48.7500 | 14 |
BUREAU REFERENCE PROPORTION % | SYNDICATE | UNDERWRITER'S REFERENCE |
4.00 | 2001 | CAC2703311DG |
17.50 | 435 | TA649C11A000 |
7.50 | 1,084 | 86160J11AA |
4.00 | 2,010 | N11B6190D001 |
1.62 | 2,623 | T9186F11APCS |
0.38 | 623 | T9186F11APCS |
2.00 | 2,987 | FC377N11C000 |
2.50 | 1,458 | D00283042011 |
TOTAL LINE | No. OF SYNDICATES | |
39.50 | 8 |
BUREAU REFERENCE PROPORTION % | CODE | MEMBER COMPANY AND REFERENCE |
2.5000 | T3902 | MARKETL INTERNATIONAL INSURANCE COMPANY LIMITED (011R014717AR) |
45% | OR | 75% | OR | X | 90 | % |
OR | OR | X | ||
CARVING | NOT CARVING | NA |
OR | X | |
Yes - Time | No - Time | |
Element ALE | Element ALE |
________________________________ | |
________________________________ | |
Company | OR | Company | OR | Company | OR | Company |
selects | selects | selects | selects | |||
$1 billion | $2 billion | $3 billion | $4 billion | |||
TICL Coverage | TICL Coverage | TICL Coverage | TICL Coverage | |||
Option | Option | Option | Option | |||
X | ||||||
Company | OR | Company | ||||
selects | selects | |||||
$5 billion | $6 billion | |||||
TICL Coverage | TICL Coverage | |||||
Option | Option |
45% | OR | 75% | OR | X | 90% |
OR | OR | X | ||
CARVING | NOT CARVING | NA |
X | ||
Yes - Time Element ALE | OR | No - Time Element ALE |
X | ||||||
Company selects | OR | Company selects | OR | Company selects | OR | Company selects |
$1 billion | $2 billion | $3 billion | $billion | |||
TICL Coverage | TICL Coverage | TICL Coverage | TICL Coverage | |||
Option | Option | Option | Option | |||
Company selects | OR | Company selects | ||||
$5 billion | $6 billion | |||||
TICL Coverage | TICL Coverage | |||||
Option | Option |
ARTICLE | DESCRIPTION | PAGE |
1 | BUSINESS COVERED | 1 |
2 | RETENTION AND LIMIT | 1 |
3 | TERM | 2 |
4 | TERRITORY | 3 |
5 | EXCLUSIONS | 3 |
6 | DEFINITIONS | 4 |
7 | NET RETAINED LINES | 7 |
8 | PREMIUM | 7 |
9 | REINSTATEMENT | 8 |
10 | NOTICE OF LOSS AND LOSS SETTLEMENTS | 8 |
11 | LATE PAYMENTS | 9 |
12 | SPECIAL ACCEPTANCES | 10 |
13 | SALVAGE AND SUBROGATION | 10 |
14 | OFFSET | 10 |
15 | UNAUTHORIZED REINSURANCE | 11 |
16 | TAXES | 13 |
17 | CURRENCY | 13 |
18 | DELAY, OMISSION OR ERROR | 13 |
19 | ACCESS TO RECORDS | 13 |
20 | ARBITRATION | 14 |
21 | SERVICE OF SUIT | 14 |
22 | INSOLVENCY | 15 |
23 | THIRD PARTY RIGHTS | 16 |
24 | SEVERABILITY | 16 |
25 | CONFIDENTIALITY | 16 |
26 | ENTIRE AGREEMENT | 16 |
27 | CHOICE OF LAW AND JURISDICTION | 17 |
28 | INTERMEDIARY | 17 |
29 | NOTICES AND MODE OF EXECUTION | 17 |
Attachments: Nuclear Incident Exclusion Clause ‑ Physical Damage ‑ Reinsurance - USA Terrorism Exclusion Clause (NMA2930C) Trust Agreement Requirements Clause |
1) | The Subscribing Reinsurer's policyholders' surplus falls by 20% or more from the inception of this Agreement; or |
2) | A State Insurance Department or other legal authority orders the Subscribing Reinsurer to ceases writing business; or |
3) | The Subscribing Reinsurer has become insolvent or has been placed into liquidation or receivership (whether voluntary or involuntary), or there has been instituted against it proceedings for the appointment of a receiver, liquidator, rehabilitator, conservator, or trustee in bankruptcy, or other agent known by whatever name, to take possession of its assets or control of its operation; or |
4) | The Subscribing Reinsurer has become merged with, acquired or controlled by any company, corporation, or individual(s) not controlling the Subscribing Reinsurer's operations previously; or |
5) | The Subscribing Reinsurer's A.M. Best or Standard and Poor's rating is downgraded below A- or by two grades at one time, namely A++ to A or A+ to A-; or |
6) | The Subscribing Reinsurer ceases assuming new and renewal property treaty reinsurance business. |
B. | Reinsurance assumed by the Company under obligatory reinsurance agreements, except as respects the following: |
1. | Agency reinsurance where the Policies involved are to be re-underwritten in accordance with the underwriting standards of the Company and reissued as Company policies at the next anniversary or expiration date; |
2. | Reinsurance assumed as a result of the depopulation of the Citizens Property and Casualty Insurance Company and any successor organization of this entity and/or any reinsurance assumed from private carriers as a result of depopulations; |
3. | A book of business which is assumed 100% by the Company. |
D. | Third party liability and medical payments business, unless written as part of a Homeowners/Condominium Policy. |
E. | All 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, however 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. |
F. | All Accident and Health, Fidelity, Surety, Boiler and Machinery, Workers' Compensation and Credit business. |
G. | All Ocean Marine business. |
H. | Flood and/or earthquake when written as such, except for earthquake business issued in South Carolina. |
I. | Difference in Conditions insurances and similar kinds of insurances, however styled, insofar as they may provide coverage for losses from the following causes: |
1. | Flood, surface water, waves, tidal water or tidal waves, overflow of streams or other bodies of water or spray from any of the foregoing, all whether wind‑driven or not, except when covering property in transit; or |
2. | Earthquake, landslide, subsidence or other earth movement or volcanic eruption, except when covering property in transit. |
J. | Mortgage Impairment insurances and similar kinds of insurances, however styled. |
K. | All Automobile Business. |
L. | War Risks in accordance with the War exclusion clause of the Policies. |
M. | Loss and/or Damage and/or Costs and/or Expenses arising from seepage and/or pollution and/or contamination, other than contamination from smoke. Nevertheless, this exclusion does not preclude any payment of the cost of removal of debris of property damaged by a loss otherwise covered hereunder, subject always to a limit of 25% of the Company's property loss under the applicable Policy. |
N. | Nuclear risks as defined in the "Nuclear Incident Exclusion Clause ‑ Physical Damage Reinsurance" attached to and forming part of this Agreement. |
O. | All liability arising out of mold, spores and/or fungus, but this exclusion shall not apply to those losses which follow as a direct result of a loss caused by a peril otherwise covered hereunder. |
A. | The term “Ultimate Net Loss” as used herein is defined as the sum or sums (including 90% of any Extra Contractual Obligations, 90% of any Loss In Excess of Policy Limits, and any Loss Adjustment Expenses as hereinafter defined) paid or payable by the Company in settlement of claims and in satisfaction of judgments rendered on account of such claims, after deduction of all salvage, all recoveries and all claims on inuring insurance or reinsurance, whether collectible or not. Nothing herein shall be construed to mean that losses under this Agreement are not recoverable until the Company's Ultimate Net Loss has been ascertained. |
B. | With respect to Property Business, the term “Loss Occurrence” shall mean the sum of all individual losses directly occasioned by any one disaster, accident or loss or series of disasters, accidents or losses arising out of one event which occurs within the area of one state of the United States or province of Canada and states or provinces contiguous thereto and to one another. However, the duration and extent of any one Loss Occurrence shall be limited to all individual losses sustained by the Company occurring during any period of 168 consecutive hours arising out of and directly occasioned by the same event except that the term Loss Occurrence shall be further defined as follows: |
(i) | As regards windstorm, hail, tornado, hurricane, cyclone, including ensuing collapse and water damage, all individual losses sustained by the Company occurring during any period of 96 consecutive hours arising out of and directly occasioned by the same event. However, the event need not be limited to one state or province or states or provinces contiguous thereto. |
(ii) | As regards riot, riot attending a strike, civil commotion, vandalism and malicious mischief, all individual losses sustained by the Company occurring during any period of 72 consecutive hours within the area of one municipality or county and the municipalities or counties contiguous thereto arising out of and directly occasioned by the same event. The maximum duration of 72 consecutive hours may be extended in respect of individual losses which occur beyond such 72 consecutive hours during the continued occupation of an insured's premises by strikers, provided such occupation commenced during the aforesaid period. |
(iii) | As regards earthquake (the epicenter of which need not necessarily be within the territorial confines referred to in the opening paragraph of this Article) and fire following directly occasioned by the earthquake, only those individual fire losses which commence during the period of 168 consecutive hours may be included in the Company's Loss Occurrence. |
(iv) | As regards freeze, only individual losses directly occasioned by collapse, breakage of glass and water damage (caused by bursting of frozen pipes and tanks) may be included in the Company's Loss Occurrence. |
(i) | loss of, alteration of, or damage to |
(ii) | a reduction in the functionality, availability or operation of |
C. | With respect to Casualty Business, the term “Loss Occurrence” as used in this Agreement shall mean each accident, casualty, disaster or loss, or series of accidents, casualties, disasters or losses, arising out of or caused by one event. |
D. | The terms “Loss In Excess of Policy Limits” and “Extra Contractual Obligations” as used herein shall be defined as follows: |
1. | “Loss In Excess of Policy Limits” shall mean any amount paid or payable by the Company in excess of its Policy limits, but otherwise within the terms of its Policy, as a result of an action against it by its insured or its insured's assignee to recover damages the insured is legally obligated to pay because of the Company's alleged or actual negligence or bad faith in rejecting a settlement within Policy limits, or in discharging its duty to defend or prepare the defense in the trial of an action against its insured, or in discharging its duty to prepare or prosecute an appeal consequent upon such an action. |
2. | “Extra Contractual Obligations” shall mean any punitive, exemplary, compensatory or consequential damages, other than Loss In Excess of Policy Limits, paid or payable by the Company as a result of an action against it by its insured or its insured's assignee, which action alleges negligence or bad faith on the part of the Company in handling a claim under a policy subject to this Agreement. |
E. | The term “Loss Adjustment Expense” as used herein shall mean expenses assignable to the investigation, appraisal, adjustment, settlement, litigation, defense and/or appeal of specific claims, regardless of how such expenses are classified for statutory reporting purposes. Loss Adjustment Expense shall include, but not be limited to, interest on judgments, expenses of outside adjusters, and a pro rata share of the salaries and expenses of the Company's field employees according to the time occupied adjusting such losses and expenses of the Company's officials incurred in connection with the losses, but excluding salaries of the Company's officials and any normal overhead charges, and excluding Declaratory Judgment Expenses or other legal expenses and costs incurred in connection with coverage questions and legal actions connected thereto. |
F. | The term “Declaratory Judgment Expense” as used herein shall mean the Company's own costs and legal expense incurred in direct connection with declaratory judgment actions brought to determine the Company's defense and/or indemnification obligations that are assignable to specific claims arising out of policies reinsured by this Agreement, regardless of whether the declaratory judgment action is considered successful or unsuccessful. Any Declaratory Judgment Expense will be deemed to have been incurred by the Company on the date of the original loss, if any, giving rise to the declaratory judgment action. |
G. | The term “Gross Net Earned Premium Income” as used herein shall mean gross premiums earned during the period less cancellations and return premiums and less premiums paid for reinsurance, recoveries under which shall inure to the benefit of Reinsurers hereon. |
H. | The term “Agreement Year” as used herein shall be defined as the period from 12:01 a.m., Local Standard Time at the location of the risk, June 1, 2011, until 12:01 a.m., Local Standard Time at the location of the risk, June 1, 2012. However, if this Agreement is terminated, Agreement Year as used herein shall mean the period from 12:01 a.m., Local Standard Time at the location of the risk, June 1, 2011 through the effective date of termination. |
A. | The provisions of this Article shall not be implemented unless specifically invoked, in writing, by one of the parties to this Agreement. |
B. | In the event any premium, loss or other payment due either party is not received by the Intermediary named in the Intermediary Article (hereinafter referred to as the "Intermediary") by the payment due date, the party to whom payment is due may, by notifying the Intermediary in writing, require the debtor party to pay, and the debtor party 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 which have expired since the due date or the last monthly calculation, whichever the lesser; times |
2. | 1/365ths of the LIBOR monthly on the first business day of the month for which the calculation is made; times |
C. | It is agreed that interest shall accumulate until payment of the original amount due plus interest penalties have been received by the Intermediary. |
D. | The establishment of the due date shall, for purposes of this Article, be determined as follows: |
1. | As respects the payment of routine deposits and premiums due the Reinsurer, the due date shall be as provided for in the applicable section of this Agreement. In the event a due date is not specifically stated for a given payment, it shall be deemed due 30 days after the date of transmittal by the Intermediary of the initial billing for each such payment. |
2. | Any claim or loss payment due the Company hereunder shall be deemed due 10 business days after the proof of loss or demand for payment is transmitted to the Reinsurer. If such loss or claim payment is not received within the 10 business days, interest will accrue on the payment or amount overdue in accordance with paragraph B of this Article, from the date the proof of loss or demand for payment was transmitted to the Reinsurer. |
3. | As respects any payment, adjustment or return due either party not otherwise provided for in subparagraphs 1 and 2 of this paragraph, the due date shall be as provided for in the applicable section of this Agreement. In the event a due date is not specifically stated for a given payment, it shall be deemed due 10 business days following transmittal of written notification that the provisions of this Article have been invoked. |
E. | For purposes of interest calculations only, amounts due hereunder shall be deemed paid upon receipt by the Intermediary. |
F. | Nothing herein shall be construed as limiting or prohibiting a Subscribing Reinsurer from contesting the validity of any claim, or from participating in the defense or control of any claim or suit, or prohibiting either party from contesting the validity of any payment or from initiating any arbitration or other proceeding in accordance with the provisions of this Agreement. If the debtor party prevails in an arbitration or other proceeding, then any interest penalties due hereunder on the amount in dispute shall be null and void. If the debtor party loses in such proceeding, then the interest penalty on the amount determined to be due hereunder shall be calculated in accordance with the provisions set forth above unless otherwise determined by such proceedings. If a debtor party advances payment of any amount it is contesting, and proves to be correct in its contestation, either in whole or in part, the other party shall reimburse the debtor party for any such excess payment made plus interest on the excess amount calculated in accordance with this Article. |
A. | Business which is beyond the terms, conditions or limitations of this Agreement may be submitted to the Reinsurer for special acceptance hereunder and such business, if accepted by the Reinsurer, shall be subject to all the terms, conditions and limitations of this Agreement except as may be modified by the Reinsurer when negotiating the special acceptance. Such special acceptance shall be deemed a part of this Agreement. |
B. | Any special acceptance agreed to for a predecessor agreement to this Agreement shall automatically be covered hereunder and be deemed a part of this Agreement. Further, should a Subscribing Reinsurer become a party to this Agreement subsequent to the acceptance of any business not normally covered hereunder it shall automatically accept the same as being a part of this Agreement. |
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 Company's reserves. |
B. | The Company agrees, in respect of its Policies or bonds falling within the scope of this Agreement, 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 "Reinsurer's Obligations" shall be defined as follows: |
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; |
5. | All other amounts for which the Company cannot take credit on its financial statements unless funding is provided by the Reinsurer. |
C. | The Reinsurer's 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 Company's reserves. |
D. | When funding by a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement complies with the provisions of the “Trust Agreement Requirements Clause” attached hereto. 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 Company's reserves in an amount equal to the Reinsurer's 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 Agreement may be drawn upon at any time, notwithstanding any other provision of this Agreement, 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 Reinsurer's Obligations, the payment of which is due under the terms of this Agreement 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 Reinsurer's Obligations under this Agreement (or in excess of 102% of the Reinsurer's Obligations, if funding is provided by a Trust Agreement); |
3. | To fund an account with the Company for the Reinsurer's Obligations. Such cash deposit shall be held in an interest bearing account separate from the Company's 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 Reinsurer's Obligations (or in excess of 102% of the Reinsurer's 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 Reinsurer's share of any other amounts the Company claims are due under this Agreement. |
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 Reinsurer's 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 Reinsurer's 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 Reinsurer's Obligations are less than the balance of the LOC (or that 102% of the Reinsurer's 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. | If more than one reinsured company is referenced within the definition of "Company" in the Preamble to this Agreement, 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 state's 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 Agreement as though such expense had been incurred by the Company. |
D. | As to all reinsurance made, ceded, renewed or otherwise becoming effective under this Agreement, 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 Agreement 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. | Paper documents with an original ink signature; |
B. | Facsimile or electronic copies of paper documents showing an original ink signature; and/or |
C. | Electronic records with an electronic signature made via an electronic agent. For the purposes of this Agreement, the terms “electronic record,” “electronic signature” and “electronic agent” shall have the meanings set forth in the Electronic Signatures in Global and National Commerce Act of 2000 or any amendments thereto. |
1. | This Agreement does not cover any loss or liability accruing to the Reassured, 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 Agreement does not cover any loss or liability accruing to the Reassured, 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: |
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 operation of paragraphs (1) and (2) hereof, this Agreement does not cover any loss or liability by radioactive contamination accruing to the Reassured, 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 Reassured does not have knowledge of such nuclear reactor power plant or nuclear installation, or |
(b) | where the 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 operation of paragraphs (1), (2) and (3) hereof, this Agreement does not cover any loss or liability by radioactive contamination accruing to the Reassured, 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 Reassured 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. |
(a) | all policies issued by the Reassured 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 Reassured 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. |
A. | Except as provided in paragraph B. of this Clause, if the Reinsurer satisfies its funding obligations under the Unauthorized Reinsurance Article by providing a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement: |
1. | Requires the Reinsurer to establish a trust account for the benefit of the Company, and specifies what the Trust Agreement is to cover; |
2. | Stipulates that assets deposited in the trust account shall be valued according to their current fair market value and shall consist only of cash (United States legal tender), certificates of deposit (issued by a United States bank and payable in United States legal tender), and investments of the types permitted by the regulatory authorities having jurisdiction over the Company's reserves, or any combination of the three, provided that the investments are issued by an institution that is not the parent, subsidiary or affiliate of either the Reinsurer or the Company; |
3. | Requires the Reinsurer, prior to depositing assets with the trustee, to execute assignments or endorsements in blank, or to transfer legal title to the trustee of all shares, obligations or any other assets requiring assignments, in order that the Company, or the trustee upon the direction of the Company, may whenever necessary negotiate these assets without consent or signature from the Reinsurer or any other entity; |
4. | Requires that all settlements of account between the Company and the Reinsurer be made in cash or its equivalent; and |
5. | Provides that assets in the trust account shall be withdrawn only as permitted in this Agreement, without diminution because of the insolvency of the Company or the Reinsurer. |
B. | If a ceding insurer is domiciled in California and the Reinsurer satisfies its funding obligations under the Unauthorized Reinsurance Article by providing a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement: |
1. | Provides that assets deposited in the trust account shall be valued according to their current fair market value and shall consist only of cash in United States dollars, certificates of deposit issued by a United States financial institution as defined in California Insurance Code Section 922.7(a) and payable in United States dollars, and investments permitted by the California Insurance Code, or any combination of the above; |
2. | Provides that investments in or issued by an entity controlling, controlled by or under common control with either the grantor or the beneficiary of the trust shall not exceed 5% of total investments; |
3. | Requires the Reinsurer, prior to depositing assets with the trustee, to execute assignments or endorsements in blank, or to transfer legal title to the trustee of all shares, obligations or any other assets requiring assignments, in order that the ceding insurer, or the trustee upon the direction of the ceding insurer, may, whenever necessary, negotiate these assets without consent or signature from the Reinsurer or any other entity; |
4. | Provides that assets in the trust account shall be withdrawn only as permitted in this Agreement, without diminution because of the insolvency of the ceding insurer or the Reinsurer. |
C. | If there are multiple ceding insurers that collectively comprise the Company, "regulatory authorities" as referenced in subparagraph A(2) above, shall mean the individual ceding insurer's domestic regulator. If such ceding insurer is subject to the commercial domicile laws or regulations of another state, such laws or regulations shall apply to the extent not in conflict with those of such ceding insurer's domicile. |
ARTICLE | DESCRIPTION | PAGE |
1 | BUSINESS COVERED | 1 |
2 | TERM | 1 |
3 | CONCURRENCY OF CONDITIONS | 2 |
4 | PREMIUM | 2 |
5 | NOTICE OF LOSS AND LOSS SETTLEMENTS | 3 |
6 | LATE PAYMENTS | 4 |
7 | SALVAGE AND SUBROGATION | 5 |
8 | OFFSET | 5 |
9 | UNAUTHORIZED REINSURANCE | 6 |
10 | TAXES | 8 |
11 | CURRENCY | 8 |
12 | DELAY, OMISSION OR ERROR | 8 |
13 | ACCESS TO RECORDS | 8 |
14 | ARBITRATION | 9 |
15 | SERVICE OF SUIT | 9 |
16 | INSOLVENCY | 10 |
17 | THIRD PARTY RIGHTS | 11 |
18 | SEVERABILITY | 11 |
19 | CONFIDENTIALITY | 11 |
20 | ENTIRE AGREEMENT | 11 |
21 | CHOICE OF LAW AND JURISDICTION | 12 |
22 | INTERMEDIARY | 12 |
23 | NOTICES AND MODE OF EXECUTION | 12 |
1) | The subscribing reinsurer's policyholders' surplus falls by 20% or more from the inception of this Agreement; or |
2) | A state insurance department or other legal authority orders the subscribing reinsurer to cease writing business; or |
3) | The Subscribing Reinsurer has become insolvent or has been placed into liquidation or receivership (whether voluntary or involuntary), or there has been instituted against it proceedings for the appointment of a receiver, liquidator, rehabilitator, conservator, or trustee in bankruptcy, or other agent known by whatever name, to take possession of its assets or control of its operation; or |
4) | The subscribing reinsurer has become merged with, acquired or controlled by any company, corporation, or individual(s) not controlling the subscribing reinsurer's operations previously; or |
1) | The subscribing reinsurer ceases assuming new and renewal property treaty reinsurance business; or |
6) | The subscribing reinsurer's A.M. Best or Standard and Poor's rating is downgraded below A-. |
A. | As premium for the reinsurance provided hereunder for the first and second excess layers in the Original Agreement for the term of this Agreement, the Company shall pay the Reinsurer the product of the following: |
1. | The factor, shown as “Reinstatement Factor” for that excess layer in Schedule A attached hereto; |
2. | The final adjusted rate on line for the corresponding excess layer under the Original Agreement times; |
3. | The final adjusted premium paid by the Company, if any, for the corresponding excess layer under the Original Agreement (subject to the minimum premium provisions set forth within the Original Agreement). |
B. | For each excess layer in Schedule A attached hereto, the Company shall pay the Reinsurer a deposit premium of the amount shown as “Deposit Premium” for that excess layer in Schedule A attached hereto. Such deposit premium is payable: |
1. | As respects “Excess Layer 1”, in one installment on July 1, 2011; and |
2. | As respects “Excess Layer 2”, in three installments in amounts equal to 33.33% of the deposit premium due at July 1, 2011, 33.33% due at October 1, 2011, and 33.34% due at January 1, 2012. |
1. | The premium due hereunder, computed in accordance with the paragraph A above; less |
2. | The first, second and third installments paid in accordance with paragraph B above. |
D. | As promptly as possible after the reinsurance premium under the Original Agreement has been finally determined, the Company shall provide a report to the Reinsurer setting forth the premium due, computed in accordance with the paragraph A above, and the adjusted deposit premium, computed in accordance with paragraph C above. In the event this Agreement is terminated prior to April 1, 2012, any additional premium due the Reinsurer or return premium due the Company shall be remitted promptly. |
E. | At the beginning of each Agreement Quarter, the Company shall furnish the Reinsurer with such information as the Reinsurer may require to complete its Annual Convention Statement. |
F. | “Agreement Quarter” as used herein shall mean each of the following periods: June 1 through August 31 of 2011; September 1 through November 30 of 2011; December 1, 2011 through February 28, 2012; and March 1 through May 31 of 2012. |
A. | The provisions of this Article shall not be implemented unless specifically invoked, in writing, by one of the parties to this Agreement. |
B. | In the event any premium, loss or other payment due either party is not received by the Intermediary named in the Intermediary Article (hereinafter referred to as the "Intermediary") by the payment due date, the party to whom payment is due may, by notifying the Intermediary in writing, require the debtor party to pay, and the debtor party 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 which have expired since the due date or the last monthly calculation, whichever the lesser; times |
2. | 1/365ths of the LIBOR monthly on the first business day of the month for which the calculation is made; times |
C. | It is agreed that interest shall accumulate until payment of the original amount due plus interest penalties have been received by the Intermediary. |
D. | The establishment of the due date shall, for purposes of this Article, be determined as follows: |
1. | As respects the payment of routine deposits and premiums due the Reinsurer, the due date shall be as provided for in the applicable section of this Agreement. In the event a due date is not specifically stated for a given payment, it shall be deemed due 30 days after the date of transmittal by the Intermediary of the initial billing for each such payment. |
2. | Any claim or loss payment due the Company hereunder shall be deemed due 10 business days after the proof of loss or demand for payment is transmitted to the Reinsurer. If such loss or claim payment is not received within the 10 business days, interest will accrue on the payment or amount overdue in accordance with paragraph B of this Article, from the date the proof of loss or demand for payment was transmitted to the Reinsurer. |
3. | As respects any payment, adjustment or return due either party not otherwise provided for in subparagraphs 1 and 2 of this paragraph, the due date shall be as provided for in the applicable section of this Agreement. In the event a due date is not specifically stated for a given payment, it shall be deemed due 10 business days following transmittal of written notification that the provisions of this Article have been invoked. |
E. | For purposes of interest calculations only, amounts due hereunder shall be deemed paid upon receipt by the Intermediary. |
F. | Nothing herein shall be construed as limiting or prohibiting a Subscribing Reinsurer from contesting the validity of any claim, or from participating in the defense or control of any claim or suit, or prohibiting either party from contesting the validity of any payment or from initiating any arbitration or other proceeding in accordance with the provisions of this Agreement. If the debtor party prevails in an arbitration or other proceeding, then any interest penalties due hereunder on the amount in dispute shall be null and void. If the debtor party loses in such proceeding, then the interest penalty on the amount determined to be due hereunder shall be calculated in accordance with the provisions set forth above unless otherwise determined by such proceedings. If a debtor party advances payment of any amount it is contesting, and proves to be correct in its contestation, either in whole or in part, the other party shall reimburse the debtor party for any such excess payment made plus interest on the excess amount calculated in accordance with this Article. |
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 Company's reserves. |
B. | The Company agrees, in respect of its Policies or bonds falling within the scope of this Agreement, 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 "Reinsurer's Obligations" shall be defined as follows: |
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 from known Loss Occurrences and Loss Adjustment Expenses 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 Reinsurer's 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 Company's reserves. |
D. | When funding by a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement complies with the provisions of the “Trust Agreement Requirements Clause” attached hereto. 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 Company's reserves in an amount equal to the Reinsurer's 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 Agreement may be drawn upon at any time, notwithstanding any other provision of this Agreement, 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 Reinsurer's Obligations, the payment of which is due under the terms of this Agreement 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 Reinsurer's Obligations under this Agreement (or in excess of 102% of the Reinsurer's Obligations, if funding is provided by a Trust Agreement); |
3. | To fund an account with the Company for the Reinsurer's Obligations. Such cash deposit shall be held in an interest bearing account separate from the Company's 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 Reinsurer's Obligations (or in excess of 102% of the Reinsurer's 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 Reinsurer's share of any other amounts the Company claims are due under this Agreement. |
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 Reinsurer's 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 Reinsurer's 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 Reinsurer's Obligations are less than the balance of the LOC (or that 102% of the Reinsurer's 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. | If more than one reinsured company is referenced within the definition of "Company" in the Preamble to this Agreement, 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 state's 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 Agreement as though such expense had been incurred by the Company. |
D. | As to all reinsurance made, ceded, renewed or otherwise becoming effective under this Agreement, 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 Agreement 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. | Paper documents with an original ink signature; |
B. | Facsimile or electronic copies of paper documents showing an original ink signature; and/or |
C. | Electronic records with an electronic signature made via an electronic agent. For the purposes of this Agreement, the terms “electronic record,” “electronic signature” and “electronic agent” shall have the meanings set forth in the Electronic Signatures in Global and National Commerce Act of 2000 or any amendments thereto. |
ORIGINAL AGREEMENT | Excess Layer 1 | Excess Layer 2 |
Original Agreement Retention | $25,000,000 | $45,156,870 |
Original Agreement Reinsurer's Per Occurrence Limit | $20,156,870 | $72,389,610 |
Original Agreement Reinsurer's Agreement Limit | $40,313,740 | $144,779,220 |
Original Agreement Minimum Premium | $6,933,963.20 | $19,834,752.80 |
Original Agreement Deposit Premium | $8,667,454 | $24,793,441 |
Original Agreement Exposure Rate | 0.0217% | 0.062% |
REINSTATEMENT PREMIUM PROTECTION | ||
RPP Agreement Reinsurer's Limit | $8,667,454 | $24,793,441 |
RPP Provisional Rate on Line* | 51.17% | 40.76% |
RPP Reinstatement Factor | 1.19 | 1.19 |
RPP Deposit Premium | $4,435,136 | $10,105,807 |
A. | Except as provided in paragraph B. of this Clause, if the Reinsurer satisfies its funding obligations under the Unauthorized Reinsurance Article by providing a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement: |
1. | Requires the Reinsurer to establish a trust account for the benefit of the Company, and specifies what the Trust Agreement is to cover; |
2. | Stipulates that assets deposited in the trust account shall be valued according to their current fair market value and shall consist only of cash (United States legal tender), certificates of deposit (issued by a United States bank and payable in United States legal tender), and investments of the types permitted by the regulatory authorities having jurisdiction over the Company's reserves, or any combination of the three, provided that the investments are issued by an institution that is not the parent, subsidiary or affiliate of either the Reinsurer or the Company; |
3. | Requires the Reinsurer, prior to depositing assets with the trustee, to execute assignments or endorsements in blank, or to transfer legal title to the trustee of all shares, obligations or any other assets requiring assignments, in order that the Company, or the trustee upon the direction of the Company, may whenever necessary negotiate these assets without consent or signature from the Reinsurer or any other entity; |
4. | Requires that all settlements of account between the Company and the Reinsurer be made in cash or its equivalent; and |
5. | Provides that assets in the trust account shall be withdrawn only as permitted in this Agreement, without diminution because of the insolvency of the Company or the Reinsurer. |
B. | If a ceding insurer is domiciled in California and the Reinsurer satisfies its funding obligations under the Unauthorized Reinsurance Article by providing a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement: |
1. | Provides that assets deposited in the trust account shall be valued according to their current fair market value and shall consist only of cash in United States dollars, certificates of deposit issued by a United States financial institution as defined in California Insurance Code Section 922.7(a) and payable in United States dollars, and investments permitted by the California Insurance Code, or any combination of the above; |
2. | Provides that investments in or issued by an entity controlling, controlled by or under common control with either the grantor or the beneficiary of the trust shall not exceed 5% of total investments; |
3. | Requires the Reinsurer, prior to depositing assets with the trustee, to execute assignments or endorsements in blank, or to transfer legal title to the trustee of all shares, obligations or any other assets requiring assignments, in order that the ceding insurer, or the trustee upon the direction of the ceding insurer, may, whenever necessary, negotiate these assets without consent or signature from the Reinsurer or any other entity; |
4. | Provides that assets in the trust account shall be withdrawn only as permitted in this Agreement, without diminution because of the insolvency of the ceding insurer or the Reinsurer. |
C. | If there are multiple ceding insurers that collectively comprise the Company, "regulatory authorities" as referenced in subparagraph A(2) above, shall mean the individual ceding insurer's domestic regulator. If such ceding insurer is subject to the commercial domicile laws or regulations of another state, such laws or regulations shall apply to the extent not in conflict with those of such ceding insurer's domicile. |
ARTICLE | DESCRIPTION | PAGE |
1 | BUSINESS COVERED | 1 |
2 | RETENTION AND LIMIT | 1 |
3 | TERM | 1 |
4 | TERRITORY | 2 |
5 | EXCLUSIONS | 2 |
6 | DEFINITIONS | 4 |
7 | NET RETAINED LINES | 7 |
8 | OTHER REINSURANCE | 8 |
9 | PREMIUM | 8 |
10 | REINSTATEMENT | 9 |
11 | NOTICE OF LOSS AND LOSS SETTLEMENTS | 9 |
12 | SALVAGE AND SUBROGATION | 9 |
13 | OFFSET | 10 |
14 | UNAUTHORIZED REINSURANCE | 10 |
15 | TAXES | 12 |
16 | CURRENCY | 12 |
17 | DELAY, OMISSION OR ERROR | 12 |
18 | ACCESS TO RECORDS | 12 |
19 | ARBITRATION | 13 |
20 | SERVICE OF SUIT | 13 |
21 | INSOLVENCY | 14 |
22 | THIRD PARTY RIGHTS | 15 |
23 | SEVERABILITY | 15 |
24 | CONFIDENTIALITY | 15 |
25 | ENTIRE AGREEMENT | 15 |
26 | CHOICE OF LAW AND JURISDICTION | 15 |
27 | INTERMEDIARY | 15 |
28 | NOTICES AND MODE OF EXECUTION | 16 |
Attachments: Schedule A -Property Catastrophe Excess of Loss Reinsurance Nuclear Incident Exclusion Clause ‑ Physical Damage ‑ Reinsurance - USA Terrorism Exclusion Clause (NMA2930c) |
A. | Reinsurance assumed, except as respects the following: Reinsurance assumed as a result of the depopulation of the Citizens Property and Casualty Insurance Company and any successor organisation of this entity and/or any reinsurance assumed from Private Carriers as a result of depopulations. |
B. | Financial guarantee and/or insolvency. |
C. | Third party liability and medical payments business. |
D. | Liability as a member, subscriber or reinsurer of any Pool, Syndicate or Association; and any combination of insurers or reinsurers formed for the purpose of covering specific perils, specific classes of business or for the purpose of insuring risks located in specific geographical areas and any assessments from Citizens Property and Casualty Insurance Company and any successor organisation of this entity. |
E. | All 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, however 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. |
F. | Loss or liability from any Pool, Association or Syndicate and any assessment or similar demand for payment related to the Florida Hurricane Catastrophe Fund. |
G. | All Accident and Health, Fidelity, Surety, Boiler and Machinery, Workers' Compensation and Credit business. |
H. | All Ocean Marine business. |
I. | Flood and/or earthquake when written as such, except for earthquake business issued in South Carolina. |
J. | Difference in Conditions insurances and similar kinds of insurances, however styled, insofar as they may provide coverage for losses from the following causes: |
1) | Flood, surface water, waves, tidal water or tidal waves, overflow of streams or other bodies of water or spray from any of the foregoing, all whether wind‑driven or not, except when covering property in transit; or |
2) | Earthquake, landslide, subsidence or other earth movement or volcanic eruption, except when covering property in transit. |
K. | Mortgage Impairment insurances and similar kinds of insurances, however styled. |
L. | All Automobile Business. |
M. | Loss or damage directly or indirectly occasioned by, happening through or in consequences of war, invasion, acts of foreign enemies, hostilities (whether war be declared or not), civil war, rebellion, revolution, insurrection, military or usurped power, or confiscation or nationalisation or requisition or destruction of or damage to property by or under the order of any government or public or local authority. |
N. | Loss and/or Damage and/or Costs and/or Expenses arising from seepage and/or pollution and/or contamination, other than contamination from smoke. Nevertheless, this exclusion does not preclude any payment of the cost of removal of debris of property damaged by a loss otherwise covered hereunder, subject always to a limit of 25% of the Company's property loss under the applicable original Policy. |
O. | Nuclear risks as defined in the "Nuclear Incident Exclusion Clause ‑ Physical Damage Reinsurance" attached to and forming part of this Agreement. |
P. | All liability arising out of mold, spores and/or fungus but this exclusion shall not apply to those losses which follow as a direct result of a loss caused by a peril otherwise covered hereunder. |
Q. | Terrorism, in accordance with NMA2930c, attached hereto. |
A. | The term “Loss Occurrence” shall mean the sum of all individual losses directly occasioned by any one disaster, accident or loss or series of disasters, accidents or losses arising out of one event which occurs within the area of one state of the United States or province of Canada and states or provinces contiguous thereto and to one another. However, the duration and extent of any one Loss Occurrence shall be limited to all individual losses sustained by the Company occurring during any period of 168 consecutive hours arising out of and directly occasioned by the same event except that the term Loss Occurrence shall be further defined as follows: |
(i) | As regards windstorm, hail, tornado, hurricane, cyclone, including ensuing collapse and water damage, all individual losses sustained by the Company occurring during any period of 96 consecutive hours arising out of and directly occasioned by the same event. However, the event need not be limited to one state or province or states or provinces contiguous thereto. |
(ii) | As regards riot, riot attending a strike, civil commotion, vandalism and malicious mischief, all individual losses sustained by the Company occurring during any period of 72 consecutive hours within the area of one municipality or county and the municipalities or counties contiguous thereto arising out of and directly occasioned by the same event. The maximum duration of 72 consecutive hours may be extended in respect of individual losses which occur beyond such 72 consecutive hours during the continued occupation of an insured's premises by strikers, provided such occupation commenced during the aforesaid period. |
(iii) | As regards earthquake (the epicenter of which need not necessarily be within the territorial confines referred to in the opening paragraph of this Article) and fire following directly occasioned by the earthquake, only those individual fire losses which commence during the period of 168 consecutive hours may be included in the Company's Loss Occurrence. |
(iv) | As regards freeze, only individual losses directly occasioned by collapse, breakage of glass and water damage (caused by bursting of frozen pipes and tanks) may be included in the Company's Loss Occurrence. |
(i) | loss of, alteration of, or damage to, or |
(ii) | a reduction in the functionality, availability or operation of |
B. | The term “Ultimate Net Loss” as used herein is defined as the sum or sums (including 90% of any Extra Contractual Obligations and/or 90% of any Loss In Excess of Policy Limits, and any Loss Adjustment Expenses as hereinafter defined, provided there is an indemnity loss hereunder, and any Loss Adjustment Expense/fair rental value unrecoverable from the FHCF) paid or payable by the Company in settlement of claims and in satisfaction of judgments rendered on account of such claims, after deduction of all salvage, all recoveries and all claims on inuring insurance or reinsurance, whether collectible or not. Nothing herein shall be construed to mean that losses under this Agreement are not recoverable until the Company's Ultimate Net Loss has been ascertained. |
C. | The terms “Loss In Excess of Policy Limits” and “Extra Contractual Obligations” as used herein shall be defined as follows: |
1. | “Loss In Excess of Policy Limits” shall mean any amount paid or payable by the Company in excess of its Policy limits, but otherwise within the terms of its Policy, as a result of an action against it by its insured or its insured's assignee to recover damages the insured is legally obligated to pay because of the Company's alleged or actual negligence or bad faith in rejecting a settlement within Policy limits, or in discharging its duty to defend or prepare the defense in the trial of an action against its insured, or in discharging its duty to prepare or prosecute an appeal consequent upon such an action. |
2. | “Extra Contractual Obligations” shall mean any punitive, exemplary, compensatory or consequential damages, other than Loss In Excess of Policy Limits, paid or payable by the Company as a result of an action against it by its insured or its insured's assignee, which action alleges negligence or bad faith on the part of the Company in handling a claim under a policy subject to this Agreement. |
D. | The term “Loss Adjustment Expense” as used herein shall mean expenses allocable to the investigation, appraisal, adjustment, settlement, litigation, defense and/or appeal of specific claims reinsured hereunder, regardless of how such expenses are classified for statutory reporting purposes. Loss Adjustment Expense shall include, but not be limited to, Loss Adjustment Expense not recoverable from the FHCF, interest on judgments, expenses of outside adjusters, and a pro rata share of the salaries and expenses of the Company's field employees according to the time occupied adjusting such losses, but excluding salaries of the Company's officials and any normal overhead charges, and excluding Declaratory Judgment Expenses or other legal expenses and costs incurred in connection with coverage questions and legal actions connected thereto. |
E. | The term “Declaratory Judgment Expense” as used herein shall mean the Company's own costs and legal expense incurred in direct connection with declaratory judgment actions brought to determine the Company's defense and/or indemnification obligations that are assignable to specific claims arising out of policies reinsured by this Agreement, regardless of whether the declaratory judgment action is considered successful or unsuccessful. Any Declaratory Judgment Expense will be deemed to have been incurred by the Company on the date of the original loss, if any, giving rise to the declaratory judgment action. |
F. | The term “Agreement Year” as used herein shall be defined as the period from 12:01 a.m., Eastern Standard Time, June 1, 2011, until 12:01 a.m., Eastern Standard Time, June 1, 2012. However, if this Agreement is terminated, Agreement Year as used herein shall mean the period from 12:01 a.m., Eastern Standard Time, June 1, 2011 through the effective date of termination. |
A. | As premium for each excess layer of reinsurance coverage provided by this Agreement, the Company shall pay the Reinsurer the greater of the following: |
1. | The amount, shown as “Minimum Premium” for that excess layer in the Schedules attached hereto; or |
2. | The percentage, shown as “provisional rate” for that excess layer in the Schedules attached hereto to the Company's Total Insurance Values (“TIV”) in force for Coverages A, B, C and D in respect of the Company's Florida and South Carolina Homeowners/Dwelling/Condominium Business as at September 30, 2011. |
B. | The Company shall pay the Reinsurer a deposit premium for each excess layer of the amount, shown as “Deposit Premium” for that excess layer in the Schedules attached hereto, which is payable in three installments. The three installments shall be amounts equal to 33.33% of “Deposit Premium” for that excess layer due at July 1, 2011, 33.33% due at October 1, 2011, and 33.34% due at January 1, 2012. However, in the event this Agreement is terminated, there shall be no deposit premium installments due after the effective date of termination. |
1. | The premium due hereunder for each excess layer, computed in accordance with paragraph A above; less |
2. | The first, second and third installments paid for each excess layer in accordance with paragraph B above. |
D. | No later than April 1, 2012 (or the date of termination in the event this Agreement is terminated prior to April 1, 2012), the Company shall provide a report to the Reinsurer setting forth the premium due hereunder for each excess layer, computed in accordance with paragraph A above, and the adjusted deposit premium for each excess layer, computed in accordance with paragraph C above. In the event this Agreement is terminated prior to April 1, 2012, any additional premium due the Reinsurer or return premium due the Company shall be remitted promptly. |
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 Company's reserves. |
B. | The Company agrees, in respect of its Policies or bonds falling within the scope of this Agreement, 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 "Reinsurer's Obligations" shall be defined as follows: |
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 from known Loss Occurrences and Loss Adjustment Expenses 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 Reinsurer's 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 Company's reserves. |
D. | When funding by a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement complies with the provisions of the “Trust Agreement Requirements Clause” attached hereto. 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 Company's reserves in an amount equal to the Reinsurer's 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 Agreement may be drawn upon at any time, notwithstanding any other provision of this Agreement, 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 Reinsurer's Obligations, the payment of which is due under the terms of this Agreement 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 Reinsurer's Obligations under this Agreement (or in excess of 102% of the Reinsurer's Obligations, if funding is provided by a Trust Agreement); |
3. | To fund an account with the Company for the Reinsurer's Obligations. Such cash deposit shall be held in an interest bearing account separate from the Company's 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 Reinsurer's Obligations (or in excess of 102% of the Reinsurer's 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 Reinsurer's share of any other amounts the Company claims are due under this Agreement. |
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 Reinsurer's 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 Reinsurer's 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 Reinsurer's Obligations are less than the balance of the LOC (or that 102% of the Reinsurer's 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. | Paper documents with an original ink signature; |
B. | Facsimile or electronic copies of paper documents showing an original ink signature; and/or |
C. | Electronic records with an electronic signature made via an electronic agent. For the purposes of this Agreement, the terms “electronic record,” “electronic signature” and “electronic agent” shall have the meanings set forth in the Electronic Signatures in Global and National Commerce Act of 2000 or any amendments thereto. |
1. | This Agreement does not cover any loss or liability accruing to the Reassured, 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 Agreement does not cover any loss or liability accruing to the Reassured, 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: |
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 operation of paragraphs (1) and (2) hereof, this Agreement does not cover any loss or liability by radioactive contamination accruing to the Reassured, 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 Reassured does not have knowledge of such nuclear reactor power plant or nuclear installation, or |
(b) | where the 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 operation of paragraphs (1), (2) and (3) hereof, this Agreement does not cover any loss or liability by radioactive contamination accruing to the Reassured, 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 Reassured 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. |
(a) | all policies issued by the Reassured 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 Reassured 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. |
ARTICLE | DESCRIPTION | PAGE |
1 | BUSINESS COVERED | 1 |
2 | TERM | 1 |
3 | CONCURRENCY OF CONDITIONS | 2 |
4 | PREMIUM | 2 |
5 | NOTICE OF LOSS AND LOSS SETTLEMENTS | 3 |
6 | LATE PAYMENTS | 4 |
7 | SALVAGE AND SUBROGATION | 5 |
8 | OFFSET | 5 |
9 | UNAUTHORIZED REINSURANCE | 6 |
10 | TAXES | 8 |
11 | CURRENCY | 8 |
12 | DELAY, OMISSION OR ERROR | 8 |
13 | ACCESS TO RECORDS | 8 |
14 | ARBITRATION | 9 |
15 | SERVICE OF SUIT | 9 |
16 | INSOLVENCY | 10 |
17 | THIRD PARTY RIGHTS | 11 |
18 | SEVERABILITY | 11 |
19 | CONFIDENTIALITY | 11 |
20 | ENTIRE AGREEMENT | 11 |
21 | CHOICE OF LAW AND JURISDICTION | 12 |
22 | INTERMEDIARY | 12 |
23 | NOTICES AND MODE OF EXECUTION | 12 |
1) | The Reinsurer's policyholders' surplus falls by 20% or more from the inception of this Agreement; or |
2) | A state insurance department or other legal authority orders the Reinsurer to cease writing business; or |
3) | The Reinsurer has become insolvent or has been placed into liquidation or receivership (whether voluntary or involuntary), or there has been instituted against it proceedings for the appointment of a receiver, liquidator, rehabilitator, conservator, or trustee in bankruptcy, or other agent known by whatever name, to take possession of its assets or control of its operation; or |
4) | The Reinsurer has become merged with, acquired or controlled by any company, corporation, or individual(s) not controlling the subscribing reinsurer's operations previously; or |
5) | The Reinsurer ceases assuming new and renewal property treaty reinsurance business; or |
6) | The subscribing reinsurer's A.M. Best or Standard and Poor's rating is downgraded below A-. |
A. | As premium for the reinsurance provided hereunder for the second excess layer in the Original Agreement for the term of this Agreement, the Company shall pay the Reinsurer the product of the following: |
1. | The factor, shown as “Reinstatement Factor” for that excess layer in Schedule A attached hereto; |
2. | The final adjusted rate on line for the corresponding excess layer under the Original Agreement times; |
3. | The final adjusted premium paid by the Company, if any, for the corresponding excess layer under the Original Agreement (subject to the minimum premium provisions set forth within the Original Agreement). |
B. | For each excess layer in Schedule A attached hereto, the Company shall pay the Reinsurer a deposit premium of the amount shown as “Deposit Premium” for that excess layer in Schedule A attached hereto. Such deposit premium is payable in three installments in amounts equal to 33.33% of the deposit premium due at July 1, 2011, 33.33% due at October 1, 2011, and 33.34% due at January 1, 2012. |
1. | The premium due hereunder, computed in accordance with the paragraph A above; less |
2. | The first, second and third installments paid in accordance with paragraph B above. |
D. | As promptly as possible after the reinsurance premium under the Original Agreement has been finally determined, the Company shall provide a report to the Reinsurer setting forth the premium due, computed in accordance with the paragraph A above, and the adjusted deposit premium, computed in accordance with paragraph C above. In the event this Agreement is terminated prior to April 1, 2012, any additional premium due the Reinsurer or return premium due the Company shall be remitted promptly. |
E. | At the beginning of each Agreement Quarter, the Company shall furnish the Reinsurer with such information as the Reinsurer may require to complete its Annual Convention Statement. |
F. | “Agreement Quarter” as used herein shall mean each of the following periods: June 1 through August 31 of 2011; September 1 through November 30 of 2011; December 1, 2011 through February 28, 2012; and March 1 through May 31 of 2012. |
A. | The provisions of this Article shall not be implemented unless specifically invoked, in writing, by one of the parties to this Agreement. |
B. | In the event any premium, loss or other payment due either party is not received by the Intermediary named in the Intermediary Article (hereinafter referred to as the "Intermediary") by the payment due date, the party to whom payment is due may, by notifying the Intermediary in writing, require the debtor party to pay, and the debtor party 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 which have expired since the due date or the last monthly calculation, whichever the lesser; times |
2. | 1/365ths of the LIBOR monthly on the first business day of the month for which the calculation is made; times |
C. | It is agreed that interest shall accumulate until payment of the original amount due plus interest penalties have been received by the Intermediary. |
D. | The establishment of the due date shall, for purposes of this Article, be determined as follows: |
1. | As respects the payment of routine deposits and premiums due the Reinsurer, the due date shall be as provided for in the applicable section of this Agreement. In the event a due date is not specifically stated for a given payment, it shall be deemed due 30 days after the date of transmittal by the Intermediary of the initial billing for each such payment. |
2. | Any claim or loss payment due the Company hereunder shall be deemed due 10 business days after the proof of loss or demand for payment is transmitted to the Reinsurer. If such loss or claim payment is not received within the 10 business days, interest will accrue on the payment or amount overdue in accordance with paragraph B of this Article, from the date the proof of loss or demand for payment was transmitted to the Reinsurer. |
3. | As respects any payment, adjustment or return due either party not otherwise provided for in subparagraphs 1 and 2 of this paragraph, the due date shall be as provided for in the applicable section of this Agreement. In the event a due date is not specifically stated for a given payment, it shall be deemed due 10 business days following transmittal of written notification that the provisions of this Article have been invoked. |
E. | For purposes of interest calculations only, amounts due hereunder shall be deemed paid upon receipt by the Intermediary. |
F. | Nothing herein shall be construed as limiting or prohibiting a Subscribing Reinsurer from contesting the validity of any claim, or from participating in the defense or control of any claim or suit, or prohibiting either party from contesting the validity of any payment or from initiating any arbitration or other proceeding in accordance with the provisions of this Agreement. If the debtor party prevails in an arbitration or other proceeding, then any interest penalties due hereunder on the amount in dispute shall be null and void. If the debtor party loses in such proceeding, then the interest penalty on the amount determined to be due hereunder shall be calculated in accordance with the provisions set forth above unless otherwise determined by such proceedings. If a debtor party advances payment of any amount it is contesting, and proves to be correct in its contestation, either in whole or in part, the other party shall reimburse the debtor party for any such excess payment made plus interest on the excess amount calculated in accordance with this Article. |
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 Company's reserves. |
B. | The Company agrees, in respect of its Policies or bonds falling within the scope of this Agreement, 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 "Reinsurer's Obligations" shall be defined as follows: |
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 from known Loss Occurrences and Loss Adjustment Expenses 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 Reinsurer's 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 Company's reserves. |
D. | When funding by a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement complies with the provisions of the “Trust Agreement Requirements Clause” attached hereto. 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 Company's reserves in an amount equal to the Reinsurer's 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 Agreement may be drawn upon at any time, notwithstanding any other provision of this Agreement, 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 Reinsurer's Obligations, the payment of which is due under the terms of this Agreement 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 Reinsurer's Obligations under this Agreement (or in excess of 102% of the Reinsurer's Obligations, if funding is provided by a Trust Agreement); |
3. | To fund an account with the Company for the Reinsurer's Obligations. Such cash deposit shall be held in an interest bearing account separate from the Company's 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 Reinsurer's Obligations (or in excess of 102% of the Reinsurer's 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 Reinsurer's share of any other amounts the Company claims are due under this Agreement. |
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 Reinsurer's 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 Reinsurer's 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 Reinsurer's Obligations are less than the balance of the LOC (or that 102% of the Reinsurer's 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. | If more than one reinsured company is referenced within the definition of "Company" in the Preamble to this Agreement, 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 state's 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 Agreement as though such expense had been incurred by the Company. |
D. | As to all reinsurance made, ceded, renewed or otherwise becoming effective under this Agreement, 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 Agreement 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. | Paper documents with an original ink signature; |
B. | Facsimile or electronic copies of paper documents showing an original ink signature; and/or |
C. | Electronic records with an electronic signature made via an electronic agent. For the purposes of this Agreement, the terms “electronic record,” “electronic signature” and “electronic agent” shall have the meanings set forth in the Electronic Signatures in Global and National Commerce Act of 2000 or any amendments thereto. |
ORIGINAL AGREEMENT | Excess Layer 2 | |
Original Agreement Retention | $45,156,870 | |
Original Agreement Reinsurer's Per Occurrence Limit | $72,389,610 | |
Original Agreement Reinsurer's Agreement Limit | $144,779,220 | |
Original Agreement Minimum Premium | $19,834,752.80 | |
Original Agreement Deposit Premium | $24,793,441 | |
Original Agreement Exposure Rate | 0.062% | |
REINSTATEMENT PREMIUM PROTECTION | ||
RPP Agreement Reinsurer's Limit | $24,793,441 | |
RPP Provisional Rate on Line* | 40.76% | |
RPP Reinstatement Factor | 1.19 | |
RPP Deposit Premium | $10,105,807 |
A. | Except as provided in paragraph B. of this Clause, if the Reinsurer satisfies its funding obligations under the Unauthorized Reinsurance Article by providing a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement: |
1. | Requires the Reinsurer to establish a trust account for the benefit of the Company, and specifies what the Trust Agreement is to cover; |
2. | Stipulates that assets deposited in the trust account shall be valued according to their current fair market value and shall consist only of cash (United States legal tender), certificates of deposit (issued by a United States bank and payable in United States legal tender), and investments of the types permitted by the regulatory authorities having jurisdiction over the Company's reserves, or any combination of the three, provided that the investments are issued by an institution that is not the parent, subsidiary or affiliate of either the Reinsurer or the Company; |
3. | Requires the Reinsurer, prior to depositing assets with the trustee, to execute assignments or endorsements in blank, or to transfer legal title to the trustee of all shares, obligations or any other assets requiring assignments, in order that the Company, or the trustee upon the direction of the Company, may whenever necessary negotiate these assets without consent or signature from the Reinsurer or any other entity; |
4. | Requires that all settlements of account between the Company and the Reinsurer be made in cash or its equivalent; and |
5. | Provides that assets in the trust account shall be withdrawn only as permitted in this Agreement, without diminution because of the insolvency of the Company or the Reinsurer. |
B. | If a ceding insurer is domiciled in California and the Reinsurer satisfies its funding obligations under the Unauthorized Reinsurance Article by providing a Trust Agreement, the Reinsurer shall ensure that the Trust Agreement: |
1. | Provides that assets deposited in the trust account shall be valued according to their current fair market value and shall consist only of cash in United States dollars, certificates of deposit issued by a United States financial institution as defined in California Insurance Code Section 922.7(a) and payable in United States dollars, and investments permitted by the California Insurance Code, or any combination of the above; |
2. | Provides that investments in or issued by an entity controlling, controlled by or under common control with either the grantor or the beneficiary of the trust shall not exceed 5% of total investments; |
3. | Requires the Reinsurer, prior to depositing assets with the trustee, to execute assignments or endorsements in blank, or to transfer legal title to the trustee of all shares, obligations or any other assets requiring assignments, in order that the ceding insurer, or the trustee upon the direction of the ceding insurer, may, whenever necessary, negotiate these assets without consent or signature from the Reinsurer or any other entity; |
4. | Provides that assets in the trust account shall be withdrawn only as permitted in this Agreement, without diminution because of the insolvency of the ceding insurer or the Reinsurer. |
C. | If there are multiple ceding insurers that collectively comprise the Company, "regulatory authorities" as referenced in subparagraph A(2) above, shall mean the individual ceding insurer's domestic regulator. If such ceding insurer is subject to the commercial domicile laws or regulations of another state, such laws or regulations shall apply to the extent not in conflict with those of such ceding insurer's domicile. |
If to United to: | If to Cronin to: | |
United Insurance Holdings Corp. | ||
Attn: Chairman of the Board of Directors | ||
360 Central Avenue, Suite 900 | ||
St. Petersburg, FL 33701 |
United Insurance Holdings Corporation: | Donald J. Cronin | |
Signed: /s/ Greg C. Branch | Signed: /s/ Donald J. Cronin | |
Print Name: Greg C. Branch | Print Name: Donald J. Cronin | |
Title: Chairman | Title: CEO | |
Date: 11/14/11 | Date: 11/14/11 |
/s/ Melvin A. Russell | |
Melvin A. Russell Senior Vice President and Chief Underwriting Officer (principal executive officer) | |
March 14, 2012 |
/s/ Hassan R. Baqar | |
Hassan R. Baqar Interim Chief Financial Officer (principal financial officer and principal accounting officer) | |
March 14, 2012 |
1) | The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and |
2) | The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of United Insurance Holdings Corp. |
By: | /s/ Melvin A. Russell | |
Melvin A. Russell Senior Vice President and Chief Underwriting Officer (principal executive officer) | March 14, 2012 |
1) | The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and |
2) | The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of United Insurance Holdings Corp. |
By: | /s/ Hassan R. Baqar | |
Hassan R. Baqar Interim Chief Financial Officer (principal financial officer and principal accounting officer) | March 14, 2012 |
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Schedule IV. Reinsurance
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Dec. 31, 2011
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Reinsurance [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reinsurance | SCHEDULE IV. REINSURANCE
|
Investments
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Dec. 31, 2011
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Investments [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Investments in Debt and Marketable Equity Securities | INVESTMENTS The following table details the difference between cost or adjusted/amortized cost and estimated fair value, by major investment category, at December 31, 2011, and 2010:
When we sell investments, we calculate the gain or loss realized on the sale by comparing the sales price (fair value) to the cost or adjusted/amortized cost of the security sold. We determine the cost or adjusted/amortized cost of the security sold using the specific-identification method. The following tables detail our realized gains (losses) by major investment category for the years ended December 31, 2011, 2010 and 2009:
Various states in which we operate or will be operating require us, by statute, to maintain deposits to secure the payment of claims. The table below summarizes our statutorily-required deposits at December 31, 2011.
The CD we deposited with the Florida insurance regulatory authority is a twelve-month, automatically renewing CD. The par value of the securities we deposited with the South Carolina and Massachusetts insurance regulatory authorities are $1,000 and $100, respectively. The table below summarizes our fixed maturities at year end by contractual maturity periods. Actual results may differ as issuers may have the right to call or prepay obligations, with or without penalties, prior to the contractual maturity of those obligations.
The following table summarizes our net investment income by major investment category:
The following table presents an aging of our unrealized investment losses by investment class:
* This amount represents the actual number of discrete securities, not the number of shares of those securities. The number is not presented in thousands. During the years ended December 31, 2011, 2010 and 2009, we recorded other-than-temporary impairment charges of $31, $97, and $1,878, respectively. We have never recorded an OTTI charge on our debt-security investments. During our quarterly evaluations of our securities for impairment, we determined that, other than the one security on which we recorded an other-than-temporary impairment charge, none of our investments in debt and equity securities that reflected an unrealized loss position were other-than-temporarily impaired. The issuers of our debt securities continue to make interest payments on a timely basis and have not suffered any credit rating reductions. We do not intend to sell nor is it likely that we would be required to sell the debt securities before we recover our amortized cost basis. All the issuers of the equity securities we own had near-term prospects that indicated we could recover our cost basis, and we also have the ability and the intent to hold these securities until their value equals or exceeds their cost. The following table presents the fair value measurements of our financial instruments by level at December 31, 2011 and December 31, 2010:
For our investments in U.S. government securities that do not have prices in active markets, agency securities, state and municipal governments, and corporate bonds, we obtain the fair values from Synovus Trust Company, NA, which uses a third-party valuation service. The valuation service calculates prices for our investments in the aforementioned security types on a month-end basis by using several matrix-pricing methodologies that incorporate inputs from various sources. The model the valuation service uses to price U.S. government securities and securities of states and municipalities incorporates inputs from active market makers and inter-dealer brokers. To price corporate bonds and agency securities, the valuation service calculates non-call yield spreads on all issuers, uses option-adjusted yield spreads to account for any early redemption features, then adds final spreads to the U.S. Treasury curve at 3 p.m. (ET) as of quarter end. Since the inputs the valuation service uses in their calculations are not quoted prices in active markets, but are observable inputs, they represent Level 2 inputs. |