ORDER
This is a diversity action for breach of contract filed by plaintiff North River Insurance Company against defendant Employers Reinsurance Corporation. Plaintiff alleges that it issued liability insurance policies to Owens-Corning Fiberglas Corporation (“Owens-Corning”), a company formerly engaged in the manufacture of insulation containing asbestos. Plaintiff then entered into a reinsurance agreement with the defendant under which defendant agreed to indemnify plaintiff for a percentage of plaintiffs liability in the event that plaintiff became obligated to satisfy claims submitted by Owens Corning under those policies. This facultative reinsurance certificate related solely to the liability policies issued by plaintiff to Owens-Corning, and the certificate was effective from June 18,1974, to October 22,1976.
Pursuant to this reinsurance certificate, defendant paid certain amounts to plaintiff following payments by plaintiff to Owens-Corning under its liability policies stemming from asbestos product liability claims against Owens-Corning. However, in 1998, Owens-Corning incurred additional liability for the payment of claims stemming from the installation of its asbestos products (the so-called non-product asbestos claims) and submitted these new claims to plaintiff under the liability policies. Plaintiff initially contested any obligation to satisfy these additional liability claims by filing an action in which plaintiff asserted various defenses to liability, but on May 17, 2000, plaintiff agreed to settle the claim submitted by Owens-Corning. Plaintiff then submitted a claim to defendant under the reinsurance certificate, which defendant refused to pay. Plaintiff now alleges that defendant is liable for breach of contract in the amount of $15,331,526.
On January 4, 2001, defendant filed an answer in which defendant asserted various defenses, including a denial that any additional amounts were owed under the reinsurance certificate and the assertion that plaintiff waived any entitlement to benefits by breaching its duty of good faith and fair dealing to defendant.
Defendant also filed a counterclaim for a declaratory judgment pursuant to 28 U.S.C. § 2201. Defendant requests a determination: (1) that there was no “occurrence” during the certificate period because installation of asbestos products ceased in 1973; (2) that plaintiff must prove that the non-product asbestos claims were covered under plaintiffs liability policies; (3) that plaintiff breached its duty of good faith to defendant by failing to fully investigate Owens Coming’s claims, to assert available defenses to coverage, and to first exhaust underlying layers of insurance coverage; (4) that plaintiff failed to promptly notify defendant of the pendency of Owens-Coming’s claims; (5) that defendant is not liable for defense costs in addition to the policy limits of the reinsurance
On January 29, 2001, plaintiff filed an answer to defendant’s counterclaim, asserting various defenses, and filed a counterclaim for breach of contract, asserting that defendant is liable to reimburse plaintiff for the payment of defense costs in addition to the certificate limits in amount of $6,849,827.
The parties have filed cross motions for partial summary judgment on the issue of whether the “follow the settlements” doctrine should be read into the reinsurance certificate at issue here. Docket Nos. 21, 24. The procedure for granting summary judgment is found in Fed.R.Civ.P. 56(c), which provides:
The judgment sought shall be rendered forthwith if the pleadings, depositions, answers to interrogatories and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law.
The evidence must be viewed in the light most favorable to the nonmoving party.
Adickes v. S.H. Kress & Co.,
The Sixth Circuit Court of Appeals has recognized that
Liberty Lobby, Celotex
and
Matsushita
effected “a decided change in summary judgment practice,” ushering in a “new era” in summary judgments.
Street v. J.C. Bradford & Co.,
The “follow the settlements” doctrine imposes on the reinsurer a contractual obligation to indemnify the reinsured or ceding company for payments the reinsured makes pursuant to a loss settlement under its own policy, provided that such settlement is not fraudulent, collusive or otherwise made in bad faith, or an
ex gratia
payment, such as one made to avoid the costs of litigation even though there is no legal obligation to pay.
Aetna Cas. and
The purpose of this doctrine is to prevent the reinsurer from second-guessing the settlement decisions of the reinsured, thereby promoting good faith settlements by the reinsured.
Id.
Where this doctrine applies, the insurer cannot avoid liability by raising policy defenses and objections that were available to the reinsured unless the reinsured pays a settlement that is clearly or manifestly outside the scope of the reinsured’s policy coverage or pays a settlement that is fraudulent, collusive or in bad faith.
Id.
at 1347.
1
See also Mentor Insurance Co. (U.K.) Ltd. v. Brannkasse,
Plaintiff points to language in the reinsurance certificate which plaintiff contends is sufficient to impose a “follow the settlements” obligation. Plaintiff further argues that, even in the absence of a specific provision, the concept of “follow the settlements” is implicit in every reinsurance contract as a matter of law by reason of custom or practice in the reinsurance industry. Plaintiff further argues that the intent to include the concept of “follow the settlements” in the agreement may be implied by evidence of custom or practice in the reinsurance industry. Defendant contends that the certificate contains no language which can reasonably be construed as a “follow the settlements” clause, and that, in the absence of an explicit clause to that effect, the certificate is not governed by this principle.
Both parties have submitted evidence, including expert affidavits, on the issue of whether it was the custom or practice in the reinsurance industry at the time the reinsurance certificate in this case was issued for the parties to assume that a “follow the settlements” obligation was inherent in the certificate even in the absence of a specific provision to that effect.
The existence of a custom or usage to “follow the settlements” is in the first instance a question of fact.
National American Ins. Co. of Cal. v. Certain Underwriters at Lloyd’s London,
I. Choice of Law
The first matter disputed by the parties is which state’s law should be applied to their contract dispute on this issue. There is no choice of law provision in the reinsurance certificate. In a diversity action, a district court must apply the choice of law rules of the state in which it sits.
National Union Fire Ins. Co. v. Watts,
Ohio has adopted the test set forth in the Restatement (Second) of Conflict of Laws § 188, which includes consideration of: (a) the place of contracting; (b) the place of negotiation of the contract; (c) the place of performance; (d) the location of the subject matter of the contract; and (e) the domicile, residence, nationality, place of incorporation and place of business of the parties.
Watts,
Plaintiff alleges in the complaint that it is a New Jersey corporation with its principal place of business in Morristown, New Jersey, and that defendant is a Missouri Corporation with its principal place of business in Overland Park, Kansas. Plaintiff contends that the contract was to be performed in New Hampshire, New York, New Jersey and Kansas. Plaintiff argues that the law of New York should apply, because the parties negotiated the terms of the reinsurance certificate in New York, and the certificate became binding upon defendant’s countersignature in New York. In the alternative, plaintiff argues that Ohio law should apply because Owens-Corning, the holder of the underlying liability policy, is located in Ohio.
Defendant argues that New Jersey has the most significant relationship to the contract. Defendant asserts that the bulk of plaintiffs assets are located in New Jersey. Defendant contends that the contract was completed with the delivery of the certificate to plaintiffs office in New Jersey. Defendant cites
British Ins. Co. of Cayman v. Safety National Cas. Corp.,
This court agrees with defendant’s argument that Ohio would have little or no interest in the contract by virtue of the fact that Owens-Corning, the under
Applying the factors in § 188 of the Restatement, this court concludes that New Jersey has the most significant relationship with the reinsurance contract. Plaintiff is a party to the reinsurance contract. The certificate was issued to plaintiff, a New Jersey corporation with its principal place of business located in New Jersey. The reinsurance contract is one of indemnity, designed to protect plaintiffs assets in the event that they are depleted by claims made on the underlying policy. It is likely that payment of any claim made under the terms of the reinsurance certificate would be sent to plaintiffs principal place of business in New Jersey.
The court further determines that none of the factors set forth in § 6 of the Restatement are of significant weight here. New Jersey has the strongest interest in furthering any state policies designed to protect insureds domiciled within its borders. New York and Ohio have no comparable interest in the subject matter of the contract. Since each contract dispute depends on the individual contract, certainty, predictability, and uniformity of result is not of strong concern. 2 For a court sitting in Ohio, New Jersey law is no more difficult to determine than New York law. If the parties had justified expectations which they wished to protect, they could have included a choice of law provision in the contract, but they did not do so. The court will apply New Jersey law.
II. Motions to Strike Expert Affidavits
Plaintiff has moved to strike certain paragraphs from the affidavit of defendant’s expert, William C. Hoffman, Exhibit F to defendant’s cross-motion for summary judgment, arguing that these paragraphs constitute impermissible legal opinions on matters of reinsurance law. Mr. Hoffman is an attorney who has been employed in the reinsurance industry since 1990, and is currently employed as a casualty underwriter with the Swiss Reinsurance Company. Defendant has moved to strike certain paragraphs from the affidavit of plaintiffs expert, William J. Gilmar-tin, Exhibit G to plaintiffs reply memorandum in support of its motion for summary judgment, on that same ground. Mr. Gil-martin is a consultant who retired from the insurance industry in 1986 after more than thirty-five years of working in the industry.
Pursuant to Fed.R.Evid. 702, expert testimony is admissible if the evidence will assist the trier of fact and if the witness is qualified as an expert.
Glaser v. Thompson Medical Co., Inc.,
Plaintiff first argues that paragraph 8 of Hoffman’s affidavit expresses a legal opinion on the validity of two prior decisions,
International Surplus Lines Ins. Co. v. Certain Underwriters at Lloyd’s London,
Plaintiff also attacks the statement in paragraph nine that an implied “follow the settlements” clause must be shown by clearly convincing evidence describes a legal standard. Plaintiff is correct that it is a matter of law for this court to determine what standard of proof applies to showing an implied contractual term here, and that statement will be stricken.
Plaintiff next argues that Hoffman expresses impermissible legal conclusions concerning the “follow the fortunes” or “follow the settlements” principles which are rooted in legal research, not experience in the industry. In paragraph 5(a), Hoffman states that under “standard reinsurance practices prevailing for several centuries and pursuant to settled principles of indemnity law, a reinsurer’s duty to indemnify does not arise unless the rein-sured shows that it was actually liable for reinsured loss.” The fact that Hoffman also bases his opinion on indemnity law does not require ignoring his opinion concerning “standard reinsurance practices” and the motion to strike the paragraph as a whole is denied. This affidavit is being submitted in support of a motion for summary judgment. This is not a situation where the court is being asked to screen portions of the expert’s opinion before he testifies before a jury. This court understands that it is the job of this court, not Mr. Hoffman, to determine the status of “settled principles of indemnity law” and the court will consider Hoffman’s opinion only insofar as it constitutes a factual opinion based on his experience in the reinsurance industry, not a legal opinion.
In paragraph 5(c), Mr. Hoffman begins a discussion of the reinsured’s indemnity rights with the prefix “[a]s a mat
Paragraph 5(f) contains statements concerning the appearance of “follow the fortunes” and “follow the settlement” clauses in reinsurance contracts. This information is of a factual nature. Hoffman goes on to describe the effect of such clauses “[ujnder settled legal principles, case law, and prevailing reinsurance practices and usagef.]” To the extent that this discussion purports to describe settled legal principles and case law, it constitutes an impermissible legal opinion. However, insofar as it is intended as a factual statement concerning prevailing reinsurance practices and usage, these statements constitute an admissible factual description of the practices and usages in the industry. The fact that Hoffman indicates that these statements are consistent with settled legal principles and ease law as well as industry practices does not require the court to disregard these statements completely. Rather, the court will limit its consideration of these statements to their factual context, and will disregard any legal argument implied by these statements.
The statements in paragraph 5(g) about the historical development of the “follow the fortunes” and “follow the settlements” clauses and the freedom of the parties to negotiate for such clauses are permissible factual statements. The remainder of that paragraph refers to the effect of such clauses under “general principles of the law of indemnity” and appears to be a legal rather than a factual discussion based on the understood use of those clauses in the industry, and as such, is improper expert testimony.
In paragraph 6, Hoffman states that based on his experience and research, the previously discussed concepts would have been a part of reinsurance law and reinsurance practice and usage in 1974 when the certificate in this case was issued. He also states that “the above points are so fundamental to reinsurance as it has been practiced in the past and continues to be practiced today that to describe them differently would presuppose a major change in the nature of reinsurance.” Plaintiff argues that this paragraph is based in part on Hoffman’s legal research, and should be stricken in its entirety. However, Hoffman refers to his “research,” not to “legal research.” While there is a reference to “reinsurance law,” the majority of the paragraph refers to reinsurance practices. Thus, with motion to strike paragraph 6 is denied, with the proviso that this court will ignore the reference to “reinsurance law.”
Plaintiff moves to strike paragraphs 7, 16 and 18 because Hoffman bases his opinion in these paragraphs both on his experience in the industry and on his legal research. In paragraph 7, Hoffman expresses the opinion based on his “experience in the reinsurance industry” and on his “extensive research specifically in this area of reinsurance law” that a duty to “follow the fortunes” can only be created by express agreement, not by operation of law, and that there is no reinsurance practice or usage that implies any duty to “follow the fortunes.” Again, to the extent that this opinion is based on industry custom and practice, it is permissible.
In paragraph 7, Hoffman further offers the opinion that defendant retained its right to insist on proof of plaintiffs liability to its insured, and that, contrary to the affidavit of Wayne Keith, the certifi
In paragraph 16, Hoffman offers an opinion based on his experience and research that the terms of the certificate, governed the agreement between the parties, and that the scope of coverage must be determined from that certificate and not from the terms of the policy issued by plaintiff to Owens Coming. In paragraph 18, Hoffman expresses the opinion, based on his experience and research, that the clause in the certificate giving defendant the right to participate jointly with plaintiff in the investigation, adjustment or defense of claims filed in the underlying policy gave defendant the right but not the duty to investigate such claims, and that the failure to participate did not result in defendant being bound to plaintiffs settlement agreement. Again, to the extent that Hoffman’s opinion is based on his experience in the industry and constitutes a statement of fact concerning industry custom and practice, it is admissible. To the extent that it purports to convey an opinion concerning reinsurance law, it is hereby stricken.
In accordance with the foregoing, plaintiffs motion to strike is granted in part and denied in part.
Defendant has moved to strike certain paragraphs of the affidavit of William Gilmartin. Defendant first moves to strike paragraph 25. This paragraph consists of a series of hypothetical questions illustrating why a “follow the settlements” clause should be implied and pointing out the difficulties of formulating standards for judging the reasonableness of a settlement. In paragraph 26, Gilmartin criticizes Hoffman’s affidavit for failing to offer standards by which to judge the reasonableness of a settlement, and quotes from language found in International Surplus Lines discussing the policy reasons in favor of the “follow the fortunes” doctrine. In paragraph 29, Gilmartin quotes language from the Aetna opinion concerning the purpose of the “follow the settlements” doctrine. These paragraphs are not factual in nature, but rather amount to a policy argument which might be found in a legal brief on the issue. As such, they are outside the realm of expert testimony and will be stricken.
In paragraph 27, Gilmartin indicates that he disagrees with Hoffman on the issue of what the standard for review of a settlement should be, and whether the reinsured must prove de novo that the settlement was within the grant of coverage and in good faith, as Hoffman asserts, as opposed to the reinsurer having to show that the settlement was ex gratia, in bad faith, fraudulent or collusive. If Gilmartin were indicating a difference of opinion on what the standard view or practice actually is in the industry in regard to proof of good faith in settlements, this would be admissible. However, merely indicating that the affiant holds a different opinion on the legal issue of what should be the appropriate standard of review and burden of proof in these situations does not aid the court factually and amounts to an impermissible legal argument. This paragraph will be stricken.
Finally, defendant moves to strike paragraph 41 of Gilmartin’s affidavit on the basis that it states a legal conclusion. This paragraph addresses the issue of
In accordance with the foregoing, the defendant’s motion to strike portions of the affidavit of William Gilmartin is granted in part and denied in part.
III. Applicability of “Follow the Settlements” Doctrine
The parties have filed cross motions for summary judgment on the issue of whether the “follow the settlements” doctrine is applicable to the reinsurance certificate in this case.
A Applicability of Doctrine as a Matter of Law
Plaintiff argues that the “follow the fortunes” or “follow the settlements” doctrine is inherent in every reinsurance contract as a matter of law. Plaintiff relies on
International Surplus Lines Ins. Co. v. Certain Underwriters at Lloyd’s London,
Defendant argues that the cited authorities do not support the court’s conclusion in International Surplus Lines. Defendant notes that the Mentor Insurance decision discussed the “follow the fortunes” doctrine but applied it to a reinsurance contract which contained an express “follow the fortunes” clause. The court in Mentor Insurance did not address the question of whether the doctrine was applicable in the absence of such a clause.
Defendant also correctly points out that the district court’s decision in
National American
was later reversed by the Ninth Circuit Court of Appeals in
National
Defendant also argues that the citation to the Kramer article does not support the conclusion that the “follow the settlements” doctrine is inherent in every reinsurance contract. Kramer states in his treatise:
It is the traditional and normal position of the parties to a reinsurance, that quite apart from the principle of utmost good faith between them, a reinsurer shall also and in any case “follow the fortunes” of the insured as if the rein-surer were a party to the original insurance. This seems to speak for itself, but in practical usage problems can arise. The difficulty usually lies in determining precisely what kind of fortunes the rein-surer has agreed to follow.
It is clear that this understanding (which may or may not be expressed in an agreement of reinsurance but nevertheless exists for all) does not supersede state limitations or exclusions in a reinsurance agreement. Neither is it a means by which a reinsurer can be taken right outside the contract of reinsurance on a matter about which the contract is silent or allegedly ambiguous.
Exhibit C, Defendant’s Exhibits to Reply to Defendant’s Cross Motion for Partial Summary Judgment. Defendant argues that the statement “but nevertheless exists for all” refers to the more narrow concept of “follow the fortunes,” that is, the obligation to follow the reinsured’s underwriting fortunes.
See Aetna,
The court in International Surplus Lines did not have the benefit of the Ninth Circuit’s decision in National American Insurance Co. and did not hear evidence on the prevailing custom or practice in the reinsurance industry at the time the reinsurance contract at issue was drafted. Although Ohio law was applicable in that case, there was no discussion of whether Ohio courts had addressed this question.
The Ninth Circuit’s decision in
National American Insurance Co.
illustrates that a district court sitting in a diversity ease must apply the relevant state law in determining whether to imply a “follow the settlements” obligation. Defendant notes that in
Michigan Township Participating Plan v. Federal Insurance Co.,
Plaintiff also relies on the decision in
Aetna Cas. and Sur. Co. v. Home Ins. Co.,
Plaintiff has cited only three cases where the courts have held that the “follow the settlements” doctrine is inherent in every reinsurance contract, those cases being Aetna, International Surplus Lines, and the district court’s opinion in National American Insurance Co. later reversed by the Ninth Circuit. Most cases which discuss the “follow the settlements” or “follow the fortunes” doctrine were faced with reinsurance certificates which contained express “follow the settlements” clauses. In fact, defendant notes that specific “follow the settlement” clauses are often included in reinsurance certificates, and that the Brokers and Reinsurance Markets Association’s Contract Wording and Reference Manual promulgated under the direction of William Gilmartin, plaintiffs expert, includes forms for such clauses. Defendant’s Reply, Ex. D. It seems logical that if the “follow the settlements” doctrine was so widely accepted as an inherent part of every reinsurance contract that the doctrine may be read into every certificate as a matter of law, there would be no need to include such clauses in reinsurance contracts.
Unlike the situation in Aetna and International Surplus Lines, expert testimony has been offered by the defendant in this case to refute plaintiffs argument that the “follow the settlements” principle was implied in every contract as a matter of custom or practice in the industry. Those cases also did not require the application of New Jersey laws of contract interpretation. Whether the “follow the fortunes” doctrine may be implied in a contract by reason of custom or policy will vary depending on which state’s laws apply to the contract dispute. This strongly militates against a finding that the practice of implying a “follow the settlements” clause in every reinsurance contract is so widespread and accepted in the industry as to be beyond all factual and legal dispute. The above factors indicate that there is no sound basis for applying the “follow the settlements” doctrine in this case as a matter of law.
B. Presence or Lack of “Follow the Settlements” Clause in Contract
Plaintiff argues in the alternative that certain language in the certificate may be interpreted as a “follow the settlements” clause. Plaintiff first notes language in paragraph III of the certificate, which is entitled “DEFINITION OF LOSS AND CLAIM EXPENSES” and which states that “unqualified ‘loss’ shall mean only such amounts as are actually paid by the Reinsured in settlement of claims or in satisfaction of awards or judgments[.]” Plaintiffs Motion for Partial Summary Judgment, Exhibit B. Plaintiff argues that this language imposes a duty on the defendant to reimburse plaintiff for sums paid in settlement, and that it amounts to a “follow the settlements” clause.
4
Defendant argues that this paragraph is merely a definition of the term “unqualified loss” which confines loss to amounts actually paid by plaintiff as opposed to some other loss calculation submitted by Owens-Corning. This para
Plaintiff next relies on paragraph II of the certificate, which provides that defendant “hereby agrees to indemnify the Reinsured against loss[.]” Plaintiff argues that since unqualified loss under paragraph III includes amounts paid in settlement, defendant is bound to reimburse plaintiff for settlements without contesting whether they are covered by the Owens-Corning policy. However, defendant notes that paragraph II requires defendant to indemnify plaintiff against loss “[a]s respects loss sustained by the Reinsured under the primary policy [.]” Thus, defendant argues, the certificate specifically limits defendant’s obligation to indemnify to losses covered under the Owens-Coming policy. The court agrees with the defendant that there is nothing in this provision which purports to limit or preclude defendant from contesting whether amounts paid in settlement fall within the terms of the Owens-Corning policy.
Plaintiff further notes language in paragraph V of the certificate. That paragraph provides that the defendant “shall have the right, at its own expense, to participate jointly with the Reinsured in the investigation, adjustment or defense of claims to which, in the judgment of the Corporation, it is or might become exposed.” Plaintiff argues that under this paragraph, defendant waived any right to contest the settlement by failing to exercise its right to participate in the claims investigation. However, there is nothing in this language which suggests that defendant had not just a right but a duty or obligation to participate in the claims investigation, and plaintiff cites no authority which holds that a failure to exercise the right to participate in the investigation and adjustment of claims warrants application of the “follow the settlements” doctrine. As noted by defendant, the plain language of this provision merely gives defendant the right to participate in the plaintiffs claims investigation; it does not require such participation, nor does it operate as a waiver of the defendant’s right to insist on proof that the loss was sustained under the primary policy as required under paragraph II.
Paragraph V further states that the “Corporation shall reimburse the Rein-sured or its legal representative promptly for loss against which indemnity is herein provided, upon receipt in the home office of the Corporation of satisfactory evidence of payment of such loss.” Plaintiff argues that this paragraph requires only proof of payment, not proof of actual liability for such payment. Defendant argues that this clause must be read in conjunction with the other provisions in the contract which address the type of loss subject to indemnity. These provisions include paragraph V, which provides that defendant must reimburse plaintiff “for loss against which indemnity is herein provided,” and the indemnity obligation in paragraph II, which applies to “loss sustained by the Reinsured under the primary policy[.]” There is .no indication in the certificate that the parties intended the ‘loss” referred to in paragraph V to be broader in scope than the indemnifiable loss referred to in other paragraphs of the certificate.
This court agrees with defendant that the certificate at issue does not contain language which could reasonably be construed as a “follow the settlements” clause. 5
The remaining issue is whether it is possible to read a “follow the settlements” requirement into the reinsurance certificate in the absence of an express provision to that effect.
New Jersey law states that where “the parties have made the writing the sole repository of their bargain, there is the integration which precludes evidence to antecedent understandings and negotiations to vary or contradict the writing.”
Atlantic Northern Airlines, Inc. v. Schwimmer,
Under New Jersey law, the “polestar of contractual interpretation is the intent of the parties.”
Communications Workers of America, Local 1087 v. Monmouth County Bd. of Social Servs.,
In determining the intent of the parties, the court may consider evidence of the situation of the parties, the attendant circumstances, and the objects they sought to attain, and even when the contract is unambiguous, evidence of the situation of the parties and the surrounding circumstances and conditions is admissible in aid of interpretation.
Great Atlantic & Pacific Tea Co., Inc. v. Checchio,
Thus, in
Schnakenberg v. Gibraltar Savings and Loan Assoc.,
New Jersey law further holds that an insurance policy generally should be interpreted according to its plain and ordinary meaning, and in the absence of an ambiguity in the language of the policy, a court should not engage in a strained construction to support the imposition of liability, or write for the insured a better policy of insurance than the one purchased.
Progressive Casualty Insurance Co. v. Hurley,
“[E]vidence of an established custom or usage in the trade is generally admissible as an aid in the interpretation of the meaning of language used in an insurance policy or other contract.”
Public Service Mut. Ins. Co. v. White, 4
N.J.Super. 523, 526,
In
Cramer & King Co. v. National Surety Co. of New York,
[W]here the sense of the words and expressions used in a policy is either ambiguous or obscure on the face of the instrument, or is made so by proof of extrinsic circumstances, parol evidence is admissible to explain by usage their meaning in the given case. No doubt, too, every usage of a particular trade, which is so well settled or so generally known that all persons engaged in that trade may be fairly considered as contracting with reference to it, is considered to form part of every policy, designed to protect risks in such trade, unless the express terms of the policy decisively repel the inference. But the usage, in order to be binding, must be either a general usage of the whole mercantile world, or a particular usage of universal notoriety in the trade upon which, and of the place at which, the insurance is effected; the usage of a particular place, or of a particular class of persons, cannot be binding on nonresidents, or on other persons, unless they are shown to have been cognizant of it or the usage is shown to have existed under such circumstances, or for such a length of time, as to have become generally well known to all persons concerned in or about the branch of trade to which it relates, and so as to warrant a presumption that contracts are made with reference to it.
The burden of proof of showing a special usage establishing a peculiar and technical meaning of words of a policy is on the party asserting it. and the proof must be clear and explicit.
Id.,
This court has examined the reinsurance certificate at issue in this case. On its face, this certificate contains no language which could reasonably be construed as a “follow the settlements” clause. There is no ambiguity in that regard in the actual language of the certificate. However, in light of the fact that the New Jersey law discussed above indicates that this court may look beyond the face of the contract to determine the intent of the parties, even in the absence of any ambiguity in the contract language, the court will review the additional evidence bearing on intent which has been submitted by the parties.
The plaintiff has submitted the affidavit of Wayne Keith, a former underwriter for the defendant who supervised David Smith, the underwriter who actually drafted the certificate in this case. Plaintiffs Motion for Partial Summary Judgment, Ex. F. Mr. Keith stated that Mr. Smith negotiated the terms of the certificate and sent it to Mr. Keith for his review and approval. Keith Affid., ¶ 5. Mr. Keith further stated that the “follow the fortunes” doctrine is inherent in all reinsurance relationships, and that this doctrine obligates the reinsurer to pay its share of all settlements made by the reinsured so long as those settlements are reasonable and in good faith. Keith Affid., ¶ 9. He also stated that if defendant declined to participate in the investigation of claims, defendant may not second guess any reasonable and good faith settlement made by plaintiff. Id.
Defendant argues that Mr. Keith’s opinion concerning the “follow the fortunes” doctrine does not expressly indicate what the parties’ intentions were in regard to the certificate in this case. Defendant notes that Keith admitted in his deposition that defendant was not the underwriter of the certificate, that he could not speak for the defendant, and that, in the absence of language in the certificate, there was no intention by the defendant to include a “follow the fortunes” clause. Defendant’s Memorandum Contra, Ex. I, Keith Dep. pp. 67, 98.
Defendant has submitted the affidavit of David L. Smith, the underwriter who wrote the certificate for defendant. Defendant’s Memorandum Contra, Ex. J. Mr. Smith stated that the reinsurance agreement was intended to be governed by the provisions in that agreement, and that no additional terms were intended to be applied. Smith Affid., ¶ 7. He stated that the certificate does not and was not intended to contain a “follow the fortunes” clause, and that such a clause is not inherent in every reinsurance contract. Smith Affid., ¶ 10. Plaintiff has not submitted evidence from anyone engaged in the negotiation or drafting of the certificate on plaintiff’s side.
The parties have also submitted affidavits from experts. Plaintiff has offered the affidavit of William J. Gilmartin. Plaintiffs Reply, Ex. G. Gilmartin stated that based on his nearly fifty years of experience in underwriting reinsurance, he has personal knowledge of customs, practices and usages in the American reinsurance market. Gilmartin Affid., ¶ 11. Gil-martin stated that in his view, the “follow the fortunes” doctrine requires the rein-surer to follow the underwriting and claims decisions of the reinsured and to share the bad debt of the reinsured, whereas the “follow the settlements” doctrine is a subset of the “follow the fortunes” doctrine and requires the reinsurer to follow the good faith claims settlements of the reinsured. Gilmartin Affid., ¶ 18. Gilmartin further stated that, according to the custom and practice of the business at the time this certificate was issued, rein-
Defendant has submitted the affidavit of William C. Hoffman. Defendant’s Memorandum Contra, Ex. F. Hoffman stated that clauses such as “follow the settlements” are subject to negotiation in the reinsurance industry, and that they have the effect of waiving the reinsurer’s right to insist on proof of the reinsured’s liability. Hoffman Affid., ¶ 5(g). Hoffman further stated that no reinsurance custom, usage, or practice exists which implies a duty to “follow the settlements” in the absence of such a clause, and that, in fact, the standard custom and usage is that such a loss settlement clause must be included in the contract. Hoffman Affid., ¶ 5(h). He also stated that this was the practice in 1974 at the time the certificate in this ease was negotiated. Hoffman Af-fid., ¶¶ 6, 7.
The parties have also submitted various treatises whose authors give conflicting opinions on the custom and practice in the insurance. These include an article by William Hoffman, On the Use and Abuse of Custom and Usage in Reinsurance Contracts, 33 Tort & Ins. L.J. 1 (Fall, 1997); Reinsurance: Indemnifying Insurers for Insurance Losses 31 (R. Strain, ed.1997); Staring, Law of Reinsurance, § 18.2; and Staring, “Unsettling Loss Settlements Doctrine: A Comment on Some Deviant Decisions,” Mealey’s Reinsurance, Vol 6, Issue 7 (Aug. 9, 1995), which hold the opinion that the doctrine is not inherent, and Lasley, “Follow the Settlements” Reasonable, Not ‘Deviant,’ Mealey’s Reinsurance, Vol 6, Issue 13 (Nov. 8, 1995), in which Ms. Lasley, lead counsel for the reinsured in the National American Insurance Company case, defended the contrary view. See Defendant’s Reply, Ex. C.
Based on the evidence submitted by the parties, this court finds that genuine issues of fact exist which preclude the award of partial summary judgment to either party on the issue of whether a “follow the settlements” clause should be read into this policy based on custom or practice in the industry.
IV. Conclusion
Based on the foregoing, plaintiffs motion to strike portions of the Hoffman affidavit (Docket # 37) and defendant’s motion to strike portions of the Gilmartin affidavit (Docket # 37) are granted in part and denied in part. Plaintiffs motion for partial summary judgment (Docket #21) is denied. Defendant’s motion for partial summary judgment (Docket # 24) is granted in part and denied in part.
It is so ORDERED.
Notes
. Some cases refer to the concept of "follow the settlements” as the "follow the fortunes” doctrine. Although these terms are frequently used interchangeably in opinions, the term "follow the fortunes” more accurately describes the reinsurer's obligation to follow the reinsured's underwriting fortunes, whereas "follow the settlements” refers to the duty to follow the actions of the reinsured in adjusting and settling claims.
Aetna Cas. & Sur. Co.,
. In any event, this court’s research has disclosed that the rules of contract interpretation under New York and New Jersey law are substantially similar.
. This issue is addressed in another motion for partial summary judgment which has been filed by the defendant.
. Plaintiff has submitted the affidavit of William Gilmartin, who stated that, in his opinion, this language amounts to a "follow the settlements” clause. Plaintiff’s Reply, Ex. G., ¶ 20.
. While the court has arrived at this conclusion solely by considering the contract lan
. New Jersey law also holds that the doctrine of
contra proferentum,
which requires that any ambiguities in an insurance contract be resolved in favor of the insured, does not apply when a sophisticated insured has participated in the negotiation or drafting of the policy terms. See
Pittston Co. Ultramar America v. Allianz Insurance Co.,
