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You are here: BAILII >> Databases >> England and Wales High Court (Commercial Court) Decisions >> English and American Insurance Company Ltd v AXA Re SA [2006] EWHC 3323 (Comm) (20 December 2006) URL: http://www.bailii.org/ew/cases/EWHC/Comm/2006/3323.html Cite as: [2006] EWHC 3323 (Comm), [2007] Lloyd's Rep IR 359, [2007] Lloyd's Rep IR Plus 14 |
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QUEEN'S BENCH DIVISION
COMMERCIAL COURT
Strand, London, WC2A 2LL |
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B e f o r e :
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English and American Insurance Company Ltd (in a scheme of arrangement) |
Claimant |
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- and - |
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Axa Re SA |
Defendant |
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Stephen Phillips Esq, QC (instructed by Holman Fenwick Willan) for the Defendant
Hearing dates: 18 September 2006
(further written submissions 20 September 2006)
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Crown Copyright ©
Mrs Justice Gloster, DBE :
Factual Background
"Subject to all terms, clauses and conditions as original and to follow the settlement of original Underwriters in all respects within the terms of this reinsurance.
…
All terms and conditions as original and to strictly follow the fortunes of the E&A [i.e., EAIC] in all things."
"… You have stated that EAIC did not participate because of its status as an insolvent market. In fact, KPMG declined to pay EAIC's share of the costs of legal representation provided by the LMCS. Although this may have preserved assets for the creditors of EAIC in the short term, the result was to cut off EAIC and therefore its fronted reinsurers' ability to manage claims, including the possibility to participate in the London Market settlement activities. The clear effect was a serious prejudice to the fronted reinsurers' rights.
However, if the market intends that, under a Scheme of Arrangement, the insolvent market shall follow the solvent markets' lead in Market settlements and that all parties are so bound, then Down Corning and the solvent markets are obliged to offer AXA, as successor to Abeille Re, the same terms as agreed to in the 1999 Market Settlement. In this manner, the global long term credibility interests of the market is served. The insolvent company assets are preserved for the benefit of the insured creditors by limiting outside legal costs, the twin objectives of stability and finality of settlements are realised, and the interests of the insolvent company's reinsurers are protected at least to the same extent as are the solvent company's reinsurers. Otherwise, under a Scheme of Arrangement, a reinsurer might be encouraged to settle directly with a Scheme creditor, which would stand to recover significantly more than under the Scheme of Arrangement, even applying the terms of the Market settlement.
You have stated that the involvement of EAIC in the Dow Corning policies reinsured with Abeille Ré was a fronting arrangement whereby the broker, CT Bowring used EAIC as a conduit to European reinsurers. In our view, reasonable and businesslike practices required that EAIC keep its fronted insurers, the true risks carriers, fully informed as to developments relating to the Dow Corning claims. That however was not possible here because KPMG, by its decision to terminate EAIC's legal representation, cut-off EAIC and therefore its fronted reinsurers' links to all current claims developments. Moreover, this failure to advise reinsurers eliminated any possibility that the reinsurers had to manage their Dow Corning exposure fronted through EAIC, including participation in the London market settlement in 1995.
In the circumstances, we do not accept that the Dow Corning claims have been handled in a proper and businesslike manner. However, without prejudice to our right to deny liability for losses arising out of EAIC settlement with Dow Corning, we will support a settlement up to the present value of what our share of the 1995 Market Settlement would have been. We understand that were EAIC to settle on the basis of the Market Settlement, its total liability on the relevant policies would be $3,772,761, of which Abeille Ré's share would be $772,538. [my emphasis]
Should EAIC have taken the necessary steps to participate in the London settlement in line with its obligations to its fronted reinsurers, Abeille Ré would have settled its share in May 1996 along with the other participating insurers. Accordingly, we are prepared to settle the Dow Corning claim for an amount of $1.018.574 corresponding to our share of the London Market settlement plus interests based on a 5% rate over 5 years and 8 months. To the extent that EAIC settles with Dow Corning at any higher level than the London Market Settlement, Axa Corporate Solutions will not bridge the gap.
Please note that the terms of our offer must remain confidential between AXA Corporate Solutions SA as successor in interest of Abeille Réassurance and EAIC and does not constitute an admission of liability.
Nothing in this letter is intended to waive any of our rights or defenses [sic] to EAIC's claims relating to Dow Corning. Rather, we continue to fully reserve all of our rights and defences, including such defences as further investigation may reveal."
Axa's application to strike out EAIC's evidence
"We refer to your letter of 14 June 2005 in which you request payment of the sum of $772,538 in respect of the above-mentioned claims. Firstly, please note that we only received your letter by mail, on 23 June 2005. We did not receive it by fax because you sent it to the wrong fax number, The correct fax number is 33 1 58 36 75 98.
Axa does not admit liability in respect of these claims. Nevertheless, in the interests of resolving this matter and avoiding unnecessary future costs, Axa confirms that it is prepared to pay EAIC the sum of $1,018,574 in full and final settlement of all claims arising from the Dow breast implant claims. This sum comprises the principal sum of $772,538 together with an element of interest, which Axa first offered EAIC in December 2001.
This confirmation is subject to the execution of a satisfactory settlement agreement, and, as noted above, is made without any admission of liability in respect of the subject contracts and on a full and final basis.
Finally, you should note that Axa will vigorously contest any legal proceedings brought against it by EAIC in respect of these claims."
EAIC's application for summary judgment
"95. A reinsurer is not liable to pay the reinsured until the amount of the reinsured's liability has been ascertained by judgment, award or settlement. (Versicherungs und Transport A/G. Daugava v Henderson (1934) 49 LI L Rep 252 at 254 Scrutton LJ).
96. The fact that the reinsured has paid under the policy reinsured does not enable the reinsured to substantiate its claims against the reinsurer. Subject to any provision to the contrary in the reinsurance policy the reinsured, in order to recover from the reinsurer, must prove the loss in the same manner as the original insured must have proved it against the reinsured, and the reinsurer can raise all defences which were open to the reinsured against the original assured. (Mr. Justice P. O. Lawrence in Re London County Commercial Re-Insurance Office Ltd. (1992) 10 LI.L.Rep. 370 at p. 371).
97. Where a reinsured seeks to recover under a policy of reinsurance, the reinsurer cannot be held liable unless the loss falls within the cover of the policy reinsured and within the cover created by the reinsurance. (Lord Mustill in Hill v Mercantile and General Reinsurance Co plc [1996] 1 WLR 1239, 1251).
98. The effect of a clause binding reinsurers to follow settlements of the reinsured is that the reinsurer agrees to indemnify the reinsured in the event that the reinsured settles any claim by their assured, i.e., when the reinsured disposes, or binds itself to dispose, of a claim, whether by reason of admission or compromise, provided (i) that the claim as so recognised falls within the risks covered by the policy of reinsurance as a matter of law and (ii) that in settling the claim the reinsured has acted honestly and has taken all proper and businesslike steps in reaching the settlement. (Robert Goff LJ in Insurance Co of Africa v Scor (UK) Reinsurance Co Ltd [1985] 1 Lloyd's Rep. at p. 330)."
"1. Interim Distribution
We intended to agree terms on which a partial good faith dividend payment could be made to Dow Corning Corporation, but this has become confused with efforts to agree a mutually acceptable mechanism to resolve the full value of the Dow Corning claim.
Without prejudice and subject to full reservation of EAIC's rights, the Scheme Administrators recognise and acknowledge that EAIC has a liability to Dow Corning Corporation of at least US$3,772,760.93. Therefore, this amount will be admitted as an Established Scheme liability (as defined in the scheme of arrangement to which EAIC is subject) and on which Dow Corning Corporation shall receive a dividend. The current dividend rate is 25% giving a dividend amount of US$ 943,190.23.
Payment of such a dividend does not need any legal agreement between us."
"The payment was made on the basis, and accepted by Dow … on the basis, that the scheme administrators agree that the Dow claim is at least equal to EAIC's share of the Dow Corning LMS and that pending resolution of the greater claim by Dow …, the scheme administrators could not justify failure to pay dividends on the lower amount."
Mr. Phillips contended that such an agreement to pay that sum to Dow, on a good faith basis, but without prejudice and subject to a full reservation of rights, was not a payment which settled anything. He referred to paragraph 126 of the judgment of Cresswell J in CGU International (supra), where the judge stated that the fact of payment by itself, without fulfilling the other requirements agreed in a reinsurance contract for reinsurer's liability to arise was not sufficient to constitute a settlement. He further submitted that the payment of US$ 3,772,760.93 by the scheme administrators to Dow was not in any way allocated to any particular claims presented by Dow under the contracts of insurance, but rather a lump sum payment based on EAIC's estimate that liability for all claims would indeed exceed that amount. He submitted that, on the information presently available, there can be no determination as to whether the claims alleged to have been settled by EAIC are recoverable under the reinsurance, or whether, for example, they relate to IBNR or ex gratia claims. Accordingly, Mr. Phillips submits that there has been no identification of claims properly falling within the terms of the reinsurance for the purposes of the summary judgment application. He also submits that the requirement that there should be proper and businesslike steps to settle the claims has not been established. He further contends that EAIC has not as yet taken any proper and businesslike steps to determine its own liability in respect of any claims which it says have been presented, let alone to determine its liabilities in a way which binds Axa. He contends that EAIC cannot possibly have done so when it cannot even identify which of the underlying claims has been settled. He complains that at the time when EAIC made its payment to Dow it had not at that stage obtained advice from the claims evaluation experts in the USA engaged to review the implant claims and the model put forward by Dow. He complains that as at 14 June 2005, EAIC had received no legal advice in relation to the Dow claims at all, and that EAIC accordingly made its payment to Dow without having made any proper evaluation of whatever claims it is which are said to have been settled.
Determination