Treaty Tip: Clarity In Reinsurance Contracts

Carlton Fields
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Reinsurance agreements commonly contain a dollar limit on the liability of the reinsurer. Both the reinsured and the reinsurer benefit from clarity with respect to such limits. The reinsured benefits by knowing with precision the amount of financial risk it has transferred to the reinsurer, and has a better basis for forecasting the amount of and planning for the risk i t retains. The reinsurer benefits from knowing the maximum amount of its potential liability, having the ability to make financial plans to ensure that it will be able to pay the limit if called upon to do so and being better able to maximize the amount o f reinsurance it can write.

Despite the mutual benefits of such clarity, the liability limit provisions of reinsurance agreements are not always clear. For example, in Continental Casualty Co. v. MidStates Reinsurance Corp. , 2014 WL 7166484 (Ill. Ct. App. Dec. 16, 2014), the reinsured sued the reinsurer due to uncertainty as to whether the reinsurer’s obligation to pay the reinsured’s claim handling expenses were, or were not, subject to the contractual liability limit contained in certain facultative reinsurance certificates. The liability limit provision of some of the reinsurance certificates explicitly provided that the contractual liability limit was inclusive of claims expenses, while the other certificates were silent with respect to this issue. Th e courts held that the reinsurance certificates were unambiguous with respect to this issue, and that the contractual liability limit encompassed the payment of reimbursement for both losses and expenses.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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