United States Fidelity & Guaranty Co. v. American Re-Insurance Co.
20 N.Y.3d 407
NY2013Background
- USF&G settled asbestos claims totaling about $975 million plus $12.3 million in claimant attorneys’ fees; reinsurers dispute allocation of that settlement.
- MacArthur/Western Asbestos coverage litigation centered on whether USF&G properly defended and insured MacArthur, and whether policy terms and timing affected coverage.
- USF&G’s reinsurance treaty was excess-of-loss with a $100,000 per-loss retention and no aggregate limit; reinsurers’ liability mirrors number of covered losses.
- The settlement and related bankruptcy plan created a MacArthur trust to handle asbestos liabilities; allocation decisions determine how much of the settlement falls within reinsurers’ exposure.
- Follow the settlements clause generally binds reinsurers to cedent decisions on allocation, but courts scrutinize reasonableness and good faith when conflicts of interest exist; this case focuses on the reasonableness of USF&G’s allocations.
- Key disputed assumptions include: (i) all settlement amounts within policy limits vs. bad-faith claims; (ii) lung-cancer claims valued at $200,000 each and other diseases at lower values; (iii) allocating all losses to the 1959 policy year.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether USF&G’s allocation reasonably attributed nothing to bad-faith claims. | Reinsurers: allocation was not reasonable due to bad-faith claims’ value. | USF&G: allocation can be reasonable even if motivated by own interests; good-faith/consistency with underlying settlement matters. | Issue of fact; cannot decide as a matter of law. |
| Whether USF&G inflated values for non-bad-faith claims (e.g., lung cancer) to shift costs to reinsurers. | Allocation overvalued certain claims covered by reinsurance. | Values were within arm’s-length negotiation range. | Issue of fact; must be decided at trial. |
| Whether allocating all losses to the 1959 policy year was reasonable. | Allocation exploited the 1959 policy to maximize cedent’s protection. | Applying continuous trigger/all sums/no stacking rules is reasonable, given California law. | Summary judgment in USF&G’s favor on this aspect; not unreasonable. |
| Whether the alleged retroactive treaty amendment increasing per-loss retention created a dispute of material fact. | There was an oral/implicit amendment to raise retention; could affect liability. | No written endorsement or final agreement; amendment not proven. | Insufficient evidence of an amendment; no genuine issue of material fact. |
Key Cases Cited
- Travelers Cas. & Sur. Co. v. Insurance Co. of Am., 609 F.3d 143 (3d Cir. 2010) (follow the settlements allocations should be deference-bound but reasonable)
- Travelers Cas. & Sur. Co. v. Gerling Global Reins. Corp. of Am., 419 F.3d 181 (2d Cir. 2005) (allocation must be legitimate/credible; not purely reinsurance-driven)
- North River Ins. Co. v. ACE Am. Reins. Co., 2002 WL 506682 (SD N.Y. 2002) (allocation review in reinsurance disputes guidance)
- Commercial Union Ins. Co. v. Seven Provinces Ins. Co., Ltd., 217 F.3d 33 (1st Cir. 2000) (allocation must be legitimate or credible; cannot override policy terms)
- Montrose Chem. Corp. v. Admiral Ins. Co., 10 Cal.4th 645 (Cal. 1995) (continuous trigger rule context for occurrence-based policies)
- Lockheed Corp. v. Continental Ins. Co., 134 Cal. App. 4th 187 (Cal. App. 2005) (distinguishing occurrence vs. accident-based policies; impact on triggers)
- State of California v. Continental Ins. Co., 55 Cal.4th 186 (Cal. 2012) (approval of stacking; relevance to allocation choices)
