ARIAS17 Fall OnsiteProgram Web Ready
ARIAS17 Fall OnsiteProgram Web Ready
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ARIAS•U.S. 2017 Fall Conference
Table of Contents
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Conference Detailed Schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Faculty Biographies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Session Materials. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Thursday, November 2, 2017
GENERAL SESSION: Through the Looking Glass – Insurance Company Perspectives
on Policyholder Arbitration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Writing Arbitration Clauses to Get the Arbitration You Want . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
BREAKOUT SESSIONS:
All Sums vs. ProRata – An Insider ’s Guide to a Hotly Disputed Issue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
In the Matter of VIKING PUMP, INC., et al., Insurance Appeals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Arbitrating and Managing Small Disputes Cost-Effectively: Strategies for Arbitrators, Counsel,
and Company Representatives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
ARIAS•U.S. Streamlined Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
The AIRROC Dispute Resolution Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Discovery – A Matter of Balance. Keeping a Watchful Eye on the Objective. . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Draft Arbitration Clauses & Hypothetical. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Miller Brewing Co. v. Fort Ií/orth Dist. Co., Inc.,78l F.2d494(1936) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Burton v. Bush,614F.2d 389 (4th Cir. 1980) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Privilege and its Perils: Insights and Strategies for Addressing Privilege Issues in Arbitrations. . . . . . . . . . . 75
Privilege and its Perils – Session Written Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
The Gatekeeper: A Practical Guide to Resolving Evidentiary Disputes at Hearing. . . . . . . . . . . . . . . . . . . . . . . 83
The Gatekeeper – Session Written Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Workers' Compensation Disputes in the Insurance and Reinsurance Sphere – A Practical Guide. . . . . . . . . . 98
Key Issues in Workers’ Compensation Disputes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Friday, November 3, 2017
GENERAL SESSION: Captives in Reinsurance Disputes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Three Issues for Captives When Arbitrating Reinsurance Disputes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112
15th CICA Captive Market Study Results Highlights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
GENERAL SESSION: The ARIAS Ethics Code in Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
ARIAS•U.S. Code of Conduct. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
GENERAL SESSION: The State of Play: An Insider's Perspective on Insurance
and Reinsurance Arbitrations in 2017 and Beyond. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Altering the Structure of Reinsurance Arbitrations: Are Old Habits Too Hard to Break?. . . . . . . . . . . . . . . . . . 136
How Reinsurance Arbitrations Can Be Faster, Cheaper and Better. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Let’s Break the Mold...or at Least Reshape It a Bit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
GENERAL SESSION: The Bermuda Form: Can ARIAS Disrupt the Traditional Model?. . . . . . . . . . . . . . . . . . . . . 150
The Bermuda Form - Interpretation and Dispute Resolution of Excess Liability Insurance . . . . . . . . . . . . . . . 151
Bermuda Form Arbitration: A Policyholder Perspective. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
The Bermuda Form Arbitration Process: A Glimpse through the Insurers’ Spectacles. . . . . . . . . . . . . . . . . . . . 161
Policy Statement and Guidelines Concerning Antitrust Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Registered Attendees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176
Meeting Space Floor Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
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Expanding Our Reach: Exploring the Role of ARIAS in Non-Reinsurance Disputes
Badges: Conference badges will be issued to all attendees. Please wear your badge at all times to
access all conference functions.
Session Materials: While most session materials are in the conference program, some materials may
be published online due to length.
Breakout Session Room Assignments: Room assignments for the Thursday afternoon Breakout
Sessions are included in the back of the program. Please refer to the list for your assigned session
room. Be sure to attend your assigned session and fill in each seat to ensure that all attendees have a
seat and sessions can begin on time.
Continuing Legal Education: Continuing legal education credits will be awarded for the State of
New York and Illinois. Credits are pending for Pennsylvania and Minnesota. For other states, please
reference the information that was communicated to all participants. Sign-in and sign-out sheets
are for attorneys who wish to receive CLE Credit. Certificates of attendance will be based solely upon
these sheets. You must sign in and out each day to receive credit for each day. There will be sign in
and out sheets on tables outside the General Session, next to registration. The sign in and out sheets
for the Thursday Breakout Sessions will be on tables near each room, and signage will be displayed
clearly for each session. Make sure you sign in and out of the various sessions with the time you arrive
and the time you leave in order to receive full credit. Certificates of attendance will be sent via email
to everyone who has signed in and out.
ARIAS•U.S. Certification: Anyone receiving credit for ARIAS•U.S. Certification does not have to sign in
and out and will not be provided with a certificate of completion for the training. Participants however
must be in the training session and not in the hallways. This is a directive from the ARIAS•U.S Board of
Directors.
Obtaining Credit for the Conference: You will not receive full credit for a session if you are standing
in the hallways or arrive late or leave early. The training is taking place in the session rooms; you must
be inside. This is true both for CLE training and for ARIAS•U.S. Certification credit. To be clear, anyone
who is attending for ARIAS•U.S. certification renewal or for initial certification and who is not in the
session rooms will be considered as not completing the attendance requirement for certification/
recertification.
Opinions and Comments: Opinions and comments expressed in the enclosed materials and during
the conference sessions are not necessarily those of ARIAS•U.S., the firms or companies with which
the speakers are associated, or even the speakers themselves. Some arguments are made in the
context of fictitious disputes to illustrate methods of handling issues; others are individual opinions
about the handling of an issue. Every dispute or matter presents its own circumstances that provide
the context for decisions.
Finally, please note that this conference will be conducted in accordance with the ARIAS•U.S. Antitrust
Policy, which is enclosed and is also available in the About ARIAS section of the website (www.arias-
us.org).
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ARIAS•U.S. 2017 Fall Conference
Thursday, November 2
7:00 a.m. – 8:30 a.m. REGISTRATION
South Pre-function Registration Booth (5th Floor)
Thank you to our lanyard sponsor, FTI Consulting
Thursday, November 2
12:20 p.m. – 12:25 p.m. ANNOUNCEMENTS FROM THE EXECUTIVE DIRECTOR
Westside Ballroom (5th Floor)
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ARIAS•U.S. 2017 Fall Conference
Thursday, November 2
Privilege and its Perils: Insights and Strategies for
Addressing Privilege Issues in Arbitrations
Salon 4
The attorney-client privilege keeps secrets—sometimes. During this
session, panelists and conference participants will explore the foundations
of privilege, its role in our business, and recent developments that put
its protections at risk. Test your knowledge against real life problems and
fellow conference-goers in a lively participatory presentation.
Panel: Patricia Fox, AIG
Chuck Ehrlich, ARIAS•U.S. Certified Arbitrator
Nick Cramb, Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
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Expanding Our Reach: Exploring the Role of ARIAS in Non-Reinsurance Disputes
Thursday, November 2
3:50 p.m. – 4:15 p.m. AFTERNOON REFRESHMENT BREAK
North and South Pre-function Foyer (5th Floor)
Friday, November 3
7:00 a.m. – 8:30 a.m. BREAKFAST
North Pre-function Foyer Area
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ARIAS•U.S. 2017 Fall Conference
Friday, November 3
8:30 a.m. – 9:20 a.m. GENERAL SESSION:
Captives in Reinsurance Disputes
Westside Ballroom (5th Floor)
Reinsurers and arbitrators should recognize that coverage conventions
and arbitration rules may take on a unique cast in disputes between a
captive and its reinsurers. This session will provide tools to understand the
application of “follow the fortunes” in disputes involving captives, what
captives look for in arbitrators, and modifications that captives may seek to
arbitration clauses.
Panel: Peter A. Halprin, Anderson Kill
Robert M. Horkovich, Anderson Kill
Larry Zelle, L Zelle LLC
Sandra J. Sutton, MCIC Vermont LLC
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Expanding Our Reach: Exploring the Role of ARIAS in Non-Reinsurance Disputes
Friday, November 3
11:20 a.m. – 12:10 p.m. GENERAL SESSION:
The Bermuda Form: Can ARIAS Disrupt the
Traditional Model?
Westside Ballroom (5th Floor)
In a Bermuda Form arbitration, clients are typically faced with significant
dispute costs, including retention of multiple sets of counsel presenting
positions across different jurisdictions as well as application of different
bodies of law with frequent battles involving jurisdiction, choice of law,
experts, and the actual dispute itself. Would use of an ARIAS arbitration
clause, certified arbitrators and procedures create jurisdictional
impediments to clients that wish to avoid nexus with the U.S.? Would
application of an ARIAS format provide a better product to clients in the
Bermuda Form market? If so, what does ARIAS need to do in order to
“disrupt” the traditional Bermuda Form model?
Panel: John L. Jacobus, Steptoe & Johnson, LLP
Jonathan Goodman, General Electric
Leonard Romeo, Arch Bermuda
Mike Merlo, Aon (Bermuda) Ltd.
Robin Saul, XL Bermuda Ltd/Insurance
Greg Hoffnagle, Mintzm Kevin, Cohn, Ferris, Glovsky and Pepeo, P.C.
NY CLE CREDIT: ARIAS•U.S. is accredited by the New York State Continuing Legal Education
Board as a provider of CLE training. Nine hours of Continuing Legal Education credits are
available to those who attend this conference, which breaks down as follows: 1.0 CLE credits
for Ethics and 8.0 CLE credits for Areas of Professional Practice. This program is structured for
both newly admitted attorneys and experienced attorneys. Sign-in and sign-out sheets will
verify attendance at all sessions and will be the basis upon which certificates of attendance
will be prepared and sent, but certification of completed credit hours to CLE Boards is the
responsibility of each attorney.
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ARIAS•U.S. 2017 Fall Conference
Faculty Biographies
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Expanding Our Reach: Exploring the Role of ARIAS in Non-Reinsurance Disputes
Faculty Biographies
Mitchell Dolin, Covington & Burling LLP security, and compliance with actuarial standards of practice. She
was named a leader in insurance law in The Best Lawyers in Amer-
Mitchell Dolin, who co-chairs Covington & Bur-
ica (2016 and 2017). Randi is a co-founder of Butler Rubin’s Women
ling’s highly regarded global insurance recovery
in Reinsurance organization and she is a member of the Publica-
practice, represents corporate and other policy-
tion Committee of AIRROC Matters. She has spoken at AIRROC
holders in pursuing coverage for a broad range
meetings and the Women in Insurance Leadership Forum.
of underlying liabilities through litigation, arbi-
tration, mediation, and negotiation. His work in the field has in- Patricia Taylor Fox,
cluded coverage for antitrust, cyber, employment, environmental, American International Group
intellectual property, mass tort, media, professional liability, and
shareholder claims, as well as first-party property, business inter- Patricia Taylor Fox has over 15 years’ experience
ruption, cargo, event cancellation, political risk, and representa- in the insurance and reinsurance industry. She
tion and warranty losses. Mr. Dolin has been ranked by Chambers currently serves as Deputy General Counsel in the
USA as one of the nation’s top dozen or so policyholder lawyers Reinsurance Legal Division of AIG, where she is
for each of the past several years, and Chambers has described the head of the Dispute Resolution Unit. Patricia has co-authored
him as “universally lauded for his deep policyholder experience articles on evidence in arbitrations, attorney-client privilege, the
and knowledge.” For several years, he also chaired the firm’s arbi- common-interest privilege and developments in reinsurance law,
tration practice group and has served as an advocate and arbitra- and is a frequent speaker on issues relating to the arbitration of
tor in domestic and international arbitrations. Mitchell is a grad- reinsurance disputes.
uate of Tufts and NYU Law School and has spent his entire private
practice career at Covington based in its Washington office. Ana M. Francisco, Foley & Lardner LLP
Ana M. Francisco is a partner at Foley & Lardner LLP,
Jodi Ebersole, The Travelers Companies, Inc. and the Boston Litigation Department Chair. She is
Jodi Ebersole has been with Travelers since 1999 in a member of the firm’s Insurance & Reinsurance
a variety of legal roles and currently serves as the Litigation, Business Litigation & Dispute Resolu-
Vice President, Associate Group General Counsel tion, and Privacy, Security & Information manage-
of Corporate Litigation and Business Insurance. In ment Practices. Ana is a trial lawyer and commercial litigator with
her Corporate Litigation role, Jodi and the Cor- deep expertise in insurance disputes. For over twenty years, she
porate Litigation team manage all non-claim, non-employment has defended clients in coverage disputes and provided strategic
litigation for all of the Travelers enterprise and its individual busi- advice concerning mass tort and environmental pollution claims
ness units. In her Business Insurance legal role, Jodi is the lead across the United States and abroad, particularly those presenting
lawyer for the Small Commercial and National Accounts business novel issues. Ana also regularly represents insurer and reinsurers
units, and the lead lawyer for Travelers Workers Compensation in disputes concerning general liability and life insurance disputes.
product group. Prior to joining Travelers, Jodi was in private prac- She has been recognized by The Legal 500 for her work in insur-
tice as a trial lawyer in Baltimore where she was a partner in the ance: advice to insurers. Ana has also been selected by her peers for
law firm of Ferguson, Schetelich and Ballew. inclusion in The Best Lawyers in America© in the field of commer-
cial litigation. In 2010, Ms. Francisco was named as one of the “Top
Chuck Ehrlich, ARIAS•U.S. Certified Arbitrator Women in the Law” by Massachusetts Lawyers Weekly.
Chuck Ehrlich was a litigation partner in an AmLaw Glenn Frankel, The Hartford Financial Services
100 firm when he joined the executive team or-
ganized to extricate Xerox Financial Services, Inc. Glenn is a Vice President of Claims with The
from the property and casualty insurance business. Hartford, and currently leads the Strategic Claim
He was responsible for resolving complex, volatile, Management group, responsible for: (1) direct
high dollar matters as the team completed its assignment for Xerox asbestos and toxic tort (sexual molestation, lead
and ultimately became part of the Fairfax Financial Holdings Limit- paint, chemical exposures, sports-related head
ed family. Chuck’s corporate positions included: Senior Vice Presi- injuries, etc.) claims; (2) Assumed Reinsurance; and (3) Interna-
dent & General Counsel; Senior Vice President, Claims; and Senior tional Claims and Puni-Wrap Cover (domestic and international
Vice President, Worldwide Special Counsel, as well as directorships general liability, auto, property, workers’ compensation, acciden-
of domestic and foreign insurance companies. Chuck was respon- tal death and dismemberment, kidnap and ransom, cargo, finan-
sible for resolution of billions of dollars in disputes, and adminis- cial products and punitive damages claims). In addition, Glenn
tration of legal budgets in the tens of millions annually. His portfo- sits on the Boards of Directors for the First State Insurance Group
lio included mass tort liabilities, pollution, class actions, products companies. Prior to joining The Hartford, Glenn was a Managing
liability, and complex commercial coverages. He is familiar with all Counsel with Travelers Property & Casualty, and an associate with
aspects of the property and casualty industry.Chuck has served as the law firm of Day, Berry & Howard (now Day Pitney) in Hartford,
an umpire and a party arbitrator. CT. Glenn is also an ARIAS certified Arbitrator. Glenn earned his
J.D. from St. John’s University School of Law (cum laude), and B.A.
Randi Ellias, Butler Rubin Saltarelli & Boyd LLP in economics from Wesleyan University.
Randi Ellias focuses her practice on complex com- Donald Frechette, Locke Lord LLP
mercial litigation and arbitration, including com-
plex insurance coverage disputes and reinsurance Don is a partner in the Hartford office of Locke
matters. She has handled matters concerning al- Lord, LLP. As an experienced trial lawyer, he has
legations of nondisclosure and misrepresentation, represented both cedents and reinsurers in for-
treaty interpretation, ownership of common account reinsurance, eign and domestic arbitrations. He has also lit-
direct access to reinsurance proceeds by policyholders, number igated arbitration-related issues in numerous
of occurrences, contractual and statutory obligations regarding state and federal courts. Don received his B.A. in Economics and
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ARIAS•U.S. 2017 Fall Conference
Faculty Biographies
Business Administration from the University of New Hampshire, Peter Gentile, ARIAS•U.S. Certified Arbitrator
his J.D. from New York Law School, with honors, and his LL.M. from
Peter Gentile has served the insurance and re-in-
Boston University, with highest honors.
surance industries for over forty years; during
Bryce L. Friedman, the last fifteen years as an ARIAS – US Certified
Simpson Thacher & Bartlett LLP Umpire and Arbitrator. He has served on several
arbitration panels both as an Umpire and Party
Bryce L. Friedman, a Partner at Simpson Thacher, Appointed Arbitrator. Peter has also served as a litigation consul-
represents clients in complex disputes through tant and expert witness in a number of complex disputes involv-
counseling, litigation and trial. He devotes a signif- ing insurers and re-insurers. Previously, he was CEO. President
icant part of his practice to representing members and CFO of major reinsurers where his responsibilities included
of the insurance and reinsurance industries in litigated matters, and all aspects of underwriting, claims, contracts and financial mat-
the financial services and other industries in addressing allegations ters. Among his areas of expertise are alternative approaches to
of fraud and False Claims Act violations. He is recognized by Cham- transferring both long tail casualty and property risk, mergers and
bers where sources say “he receives high praise for his ‘top-notch acquisitions, captives and run-off. Mr. Gentile is a Certified Public
strategic thinking.’” He is also recognized as a national “Litigation Accountant and began his career at the accounting firm of KPMG
Star” for insurance by Euromoney’s Benchmark Litigation and was where he was a Partner and leader of the Insurance Practice in
named a “Rising Star” by Law360. He is also involved in substantial New York. He is both Treasurer and a Member of the Board of Di-
pro bono work including supervising Simpson Thacher’s ongoing rectors of ARIAS•U.S.
legal clinic at the Bushwick Campus Schools in Brooklyn and serves
on the Board of VOLS. Bryce received his B.A., cum laude, from Dart- Jonathan Goodman, General Electric
mouth College and graduated from Columbia University School of
Jonathan Goodman is Executive Counsel, GE
Law, where he was a Harlan Fiske Stone Scholar.
Global Operations, Risk & Property Divestitures in
Alexandra Furth, Resolute Management, Inc. Norwalk, Connecticut and has been with Gener-
al Electric Company since August 2005. He is re-
Alex Furth is Vice President and Assistant General sponsible for insurance-related legal issues at GE
Counsel at Resolute Management, Inc. Until 2015, Corporate, including management of insurance coverage claims
Alex was Assistant Vice President and Senior Cor- and disputes, oversight of significant insured litigation, advice on
porate Counsel in the Legal Department of Liberty the terms and structure of GE’s global insurance and reinsurance
Mutual’s Complex and Emerging Risks Claims De- programs, and captive management and reinsurance issues. Mr.
partment, which handled exposures arising out of asbestos, envi- Goodman’s responsibilities cover all lines of coverage, including
ronmental, toxic tort and other mass litigation. Alex continues to general liability, property, cyber, professional and other specialty
manage coverage and reinsurance litigation and arbitrations relat- coverages. He also is responsible for managing divestiture of sur-
ing to such complex losses. Prior to joining Liberty Mutual, Alex was plus real property held at GE Corporate. Before GE, he practiced
a litigator at the law firm of Ropes & Gray, where she represented law in the New York offices of Dickstein Shapiro Morin & Oshinsky
clients in a variety of commercial disputes, including contract dis- focusing on insurance coverage litigation. Mr. Goodman is an ad-
putes, trademark infringement and government enforcement ac- viser for ALI’s Restatement of the Law of Liability Insurance.
tions. At Ropes & Gray she specialized in representing insurers in
asbestos coverage litigation. She also served as a Special Assistant Kenneth M. Gorenberg, Barnes & Thornburg LLP
District Attorney for the Commonwealth of Massachusetts, where
Kenneth M. Gorenberg is a partner in the Chica-
she tried numerous criminal cases. Ms. Furth graduated from Wil-
go office of Barnes & Thornburg LLP. A versatile
liams College, magna cum laude, and received her law degree from
litigator, he is a member of the firm’s Insurance
the University of Pennsylvania, where she served as an editor of the
Recovery and Counseling, Commercial Litigation,
University of Pennsylvania Law Review.
Construction, Toxic Tort, and Appellate practice
Ronald S. Gass, The Gass Company, Inc. groups. Kenneth has handled coverage issues involving an alpha-
bet soup of insurance policies, including CGL, D&O, E&O, EPLI,
Ronald Gass is an attorney and an ARIAS•U.S. Certi-
PLL, and WC/EL, as well as first-party property policies, crime
fied Arbitrator and umpire. Most of his 28-year legal
bonds, and surety bonds. He has deep understanding of loss-sen-
career has been devoted exclusively to his reinsur-
sitive insurance programs, having litigated disputes involving
ance and insurance practice involving a broad range
workers compensation claim handling as well as deductible and
of complex business issues including coverage dis-
retrospective premium billing. His trial and appellate victories in
putes arising from various lines of business such as asbestos and
one such case in the 11th Circuit were featured in Law360’s selec-
environmental liability, workers’ comp carve-outs, general liability,
tion of Barnes & Thornburg’s Insurance Recovery group as a Prac-
medical malpractice liability, medical stop loss insurance, and prop-
tice Group of the Year for 2015. He also works in the trenches of
erty and catastrophe insurance. He also has significant experience
product liability, professional liability, and commercial litigation,
with reinsurance collections, MGA transactions and disputes, sure-
including as national coordinating counsel for defendants in as-
ty reinsurance, aviation and ocean marine reinsurance, reinsurance
bestos litigation. Gorenberg brings this underlying litigation ex-
contract wordings and interpretation, reinsurance intermediary dis-
perience to bear in insurance coverage litigation, negotiation, and
putes, and commutations. In 2001, Mr. Gass established his own firm
counseling for corporate policyholders.
to provide arbitrator and umpire dispute resolution services to the
reinsurance and insurance industry. Since that time, he has been
appointed as an umpire or party-arbitrator in over 90 arbitrations.
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Expanding Our Reach: Exploring the Role of ARIAS in Non-Reinsurance Disputes
Faculty Biographies
Mark S. Gurevitz, MG Re Arbitrator & Mediator ford’s Claim organization. Aimee counsels The Hartford’s Property
Services and Casualty business as well as provides reinsurance counsel to
Talcott Resolutions, which manages the company’s run-off life and
Mark S. Gurevitz is the founder and principal of
annuity business. She led a multidisciplinary team in the successful
MG Re Arbitrator and Mediator Services LLC, a
Part VII court restructuring of The Hartford’s UK run-off businesses
consulting firm specializing in dispute resolution
completed in October 2015. Prior to joining The Hartford, Aimee was
services for the insurance and reinsurance indus-
in private practice at Murtha Cullina LLP in Hartford, with a focus on
try. An ARIAS•U.S. Certified Arbitrator and Umpire, Mark serves as
insurance coverage, environmental law and land conservation. She
an arbitrator and umpire on insurance and reinsurance matters in-
received her B.A. in English Literature from the University of Colo-
volving property-casualty and life business. He is also a FINRA ap-
rado, and her J.D. from the University of Connecticut School of Law,
proved arbitrator on their roster for securities-related matters and
with high honors.
an AAA international arbitrator on the ICDR roster of arbitrators. He
is a Director of Fencourt Reinsurance Company, Ltd. and Heritage Gregory S. Hoffnagle, Mintz, Levin, Cohn, Ferris,
Reinsurance Company, Ltd. A frequent lecturer on reinsurance and Glovsky & Popeo, P.C.
arbitration topics, Mark is a Director Emeritus, former President and
Chairman of ARIAS•U.S., was chair of its Long Range Planning Com- Greg Hoffnagle is Of Counsel in the New York
mittee and co-chair of the Forms and Procedures Committee and office of Mintz Levin. Greg’s practice focuses on
is on the Editorial Board of the ARIAS Quarterly and the new Ethics complex insurance and reinsurance matters as
Discussion Committee. He is a graduate of The Pennsylvania State well as international arbitration and litigation. He
University, with high distinction, and received his J.D., cum laude, has a breadth of experience representing clients with government
from Temple University School of Law. He also attended the Amer- regulatory and enforcement actions along with internal investiga-
ican Institute for CPCU and Wharton School of Business Insurance tions. Prior to joining Mintz Levin, Greg worked in the New York of-
Executive Development Program. fice of a London-based global law firm, where his practice focused
on complex international insurance, reinsurance, and commercial
Peter A. Halprin, Anderson Kill disputes with a particular focus on Bermuda Form arbitrations.
Peter A. Halprin is an attorney in Anderson Kill’s Kim D. Hogrefe, ARIAS•U.S. Certified Arbitrator /
New York office. His practice concentrates in com- Retired Senior Vice President, Chubb and Son
mercial litigation and insurance recovery, exclu- Insurance
sively on behalf of policyholders. He also acts as
counsel for U.S. and foreign companies in domes- Kim D. Hogrefe is the Chair of the Board of Trust-
tic and international arbitrations (including London and Bermuda ees of the National Judicial College which provides
Form arbitrations). Peter is a Member of the Chartered Institute of educational programs and training to Judges in
Arbitrators, and received a Postgraduate Distance Learning Diplo- the United States. He was a Senior Vice President and Worldwide
ma in International Commercial Arbitration from the Queen Mary Claim Technical Officer of Chubb & Son Insurance with responsi-
School of Law, University of London. He successfully completed bility for direct and reinsurance claims with the highest complexity
the Hong Kong International Arbitration Centre’s (HKIAC) Tribunal and financial exposure. He led the handling and strategy in disput-
Secretary Accreditation Programme, and is on the Tribunal Secre- ed reinsurance claims worldwide for Chubb as both a cedent and
taries Panel for the Australian Centre for International Commer- reinsurer. He previously served as a trial attorney, supervisor and
cial Arbitration (ACICA). Peter is an Adjunct Professor of Law and administrator in the New York County District Attorney’s Office. A
Coach of the Benjamin N. Cardozo School of Law Willem C. Vis graduate of Yale University and the University of Pennsylvania Law
International Commercial Arbitration Moot Team and is Deputy School, he is an active member of ARIAS•U.S. and the American
Co-Chair of the Cyber Insurance Recovery Practice Group, as well Bar Association. He was elected as a member of the governing
as a member of Anderson Kill’s Financial Services Industry Group. Council and as the Financial Officer of the Tort Trial & Insurance
Since 2013, he has been recognized by Super Lawyers as a New Practice Section of the ABA and currently serves on its Cybersecu-
York Metro Rising Star for Insurance Coverage. rity and Data Privacy Committee. He is a frequent speaker on the
topics of cyberliability risks, mediation and arbitration resolution
Mitch Harris, Day Pitney LLP strategies and Directors’ and Officers’ liability claim handling.
Mitch Harris is a trial lawyer, primarily representing Robert M. Horkovich, Anderson Kill
financial institutions and insurance companies in
litigation, arbitration, investigative and regulatory Robert M. Horkovich is “the ‘go-to person’ in the
proceedings. Mitch has served as lead trial coun- area of insurance recovery,” according to a client
sel in commercial and insurance litigation in fed- cited by Chambers USA, which has recognized Mr.
eral and state courts and in arbitrations throughout the country. Horkovich as a leading insurance recovery attor-
An objective third-party survey, Benchmark Litigation: The Defin- ney every year since 2005. According to Cham-
itive Guide to America’s Leading Litigation Firms & Attorneys, has bers, Bob “has a strong ‘client-first’ attitude” and “is recognized
repeatedly recognized Mitch as a “Connecticut Litigation Star.” in the market for his leading trial and negotiation skills, with an
undisputed national presence.” Bob has obtained over $5 billion
Aimee L. Hoben, The Hartford in settlements and judgments from insurance companies for his
clients over the past decade. Bob is a trial lawyer with substan-
Aimee L. Hoben is Deputy General Counsel, Direc-
tial experience in trying complex insurance coverage actions on
tor of Reinsurance and Claims Law at Hartford Fi-
behalf of corporate policyholders and governmental entities. Bob
nancial Service Group, Inc. Reporting to the Gener-
has been selected by his peers for inclusion in Best Lawyers for in-
al Counsel, she leads a team of lawyers responsible
surance law in every year since 2009 and Super Lawyers for Insur-
for all legal issues relating to reinsurance as well as
ance Coverage since 2006. He has been selected as a Fellow of the
for providing regulatory and claim practices support to The Hart-
American Bar Foundation, the premier institute for social science
13
ARIAS•U.S. 2017 Fall Conference
Faculty Biographies
research regarding law in the USA, an honor limited to one-third argued 7 cases in 6 separate arguments at the Supreme Court,
of one percent of the lawyers in America. far more than any other advocate in the nation (the next high-
est number, 4 arguments, was reached by two attorneys). At the
Catherine Isely, Butler Rubin Saltarelli & Boyd LLP
age of 47, he has already argued more Supreme Court cases in
Catherine Isely is a trial attorney and Butler Rubin Saltarelli & Boyd U.S. history than has any minority attorney, with the exception
LLP partner who has litigated and arbitrated complex commer- of Thurgood Marshall (with whom Neal is currently tied). Neal is
cial disputes for more than two decades. For the past ten years, well-known for winning the landmark decision Hamdan v. Rums-
Chambers USA has recognized her as a leading Illinois lawyer in feld, which challenged the policy of military trials at Guantanamo
reinsurance dispute resolution. Catherine has extensive experi- Bay. The Supreme Court sided with him by a 5-3 vote, finding that
ence before courts and arbitration panels litigating the allocation President Bush's tribunals violated the constitutional separation
of environmental and toxic tort settlements, as well as disputes of powers, domestic military law, and international law.
related to claims handling, negligent underwriting, bad faith al-
legations, pool membership rights and obligations, retrospective- Stephen M. Kennedy, Clyde & Co US LLP
ly-rated business, commutations, retrocessional coverage, title Stephen Kennedy represents insurers and reinsur-
reinsurance, direct access provisions, obligations to follow set- ers as lead counsel in trials, arbitrations, mediations
tlements, obligations to post security, and the interpretation and and appeals of complex coverage and transaction-
application of ultimate net loss, aggregate limit, definitive state- al disputes involving all lines of business, including
ment of loss, net retained lines, prompt notice, access to records, casualty, energy, environmental, financial guaran-
consent to settle, honorable engagement and arbitration clauses. ty, life and health, political risk, property, and trade credit. He also
Catherine is a founding member and co-host of Butler Rubin’s an- represents companies in high-dollar bad faith claims and counsels
nual Women in Reinsurance Program. them on contract drafting, risk management and regulatory mat-
ters. Mr. Kennedy is a frequent speaker at industry events and has
John L. Jacobus, Partner, Steptoe & Johnson, LLP
written numerous articles in various publications, including the
John Jacobus is a member of Steptoe & Johnson Journal of Insurance Coverage, Reinsurance Magazine, ARIAS•U.S.
LLP’s Insurance and Reinsurance Practice Group. Quarterly and the Insurance & Reinsurance International Compara-
Mr. Jacobus has focused on representing cedents, tive Legal Guide. He also served on a three-member task force that
reinsurers and retrocessionaires in litigation and drafted the ARIAS•U.S. Rules for the Resolution of U.S. Insurance
arbitrations within the United States and in private and Reinsurance Disputes as well as the ARIAS•U.S. Streamlined
international dispute resolution centers. He also has a corporate Rules for Small Claim Disputes. He has been consistently recognized
practice, focused on commutation and work-out issues, as well as by a number of leading legal directories, including the Euromoney’s
merger and acquisition activities that are handled through rein- Expert Guide to Insurance and Reinsurance Lawyers, Who’s Who Le-
surance assumption agreements and the novation of reinsurance gal Insurance and Reinsurance Lawyers and Legal 500 U.S. He is a
treaties. He is also a specialist with respect to insurance coverage graduate of Kenyon College and Villanova University School of Law.
for cyber risks. Mr. Jacobus is an internationally known member
of the insurance and reinsurance bar. He is a Chairman Emeritus Jeanne M. Kohler, Carlton Fields
of the Insurance and Reinsurance Practice Group for LEX MUNDI, Jeanne Kohler is a Shareholder in the New York of-
the world’s largest association of private law firms. John earned an fice of Carlton Fields and a member of its Property
A.B. in History, magna cum laude, Phi Beta Kappa, from Harvard & Casualty Insurance and Life Insurance & Annuity
University (1986), and a J.D. from the Harvard Law School (1989). practice groups. She also co- chairs the firm’s Re-
insurance group. Her practice focuses on complex
Deirdre G. Johnson, Crowell & Moring LLP
commercial litigation and arbitration, with an emphasis on insurance
Deirdre Johnson is a partner in the Washington, coverage and reinsurance disputes. Jeanne has litigated and arbitrat-
D.C. office of Crowell & Moring LLP. She has nearly ed cases on behalf of U.S. and international insurers and reinsurers
two decades of experience handling disputes in involving a broad range of issues in the property and casualty and life
the U.S., Bermuda, London and European markets and health sectors, as well as various specialty re/insurance products.
in lawsuits and arbitration proceedings arising out She has also represented insurers, brokers, third-party administrators
of a broad range of claims and virtually all types of insurance and and managing general agents and underwriters in disputes. In ad-
reinsurance agreements. Johnson has handled dozens of reinsur- dition, Jeanne regularly assists her insurer and reinsurer clients with
ance arbitrations in both domestic and international proceedings, product development and contract drafting, as well as advises them
including many Bermuda and London arbitrations arising out of on regulatory issues and risk management.
a broad range of claim types. She also represents insurers and
reinsurers in insolvency proceedings and leads Crowell & Moring’s Mark Megaw , ARIAS•U.S. Certified Arbitrator
Professional Liability insurance practice. Johnson is a graduate of Mark is a former ARIAS Board member, and an
the Georgetown University Law Center (cum laude) and the Uni- original co-chair of the ARIAS Arbitrator’s Commit-
versity of Tennessee (B.A., with honors). tee. He currently sits on the ARIAS Ethics Commit-
tee. He was previously the head of assumed and
Neal Katyal, Hogan Lovells LLP
ceded reinsurance disputes for the ACE Group of
Neal Katyal, the former Acting Solicitor General Companies, now known as Chubb. Prior to that role, he served as
of the United States, focuses on appellate and General Counsel to ACE Tempest Re Group. During the 1990’s, he
complex litigation. He has extensive experience was based in London, in a business role for CIGNA Re. These days,
in matters of patent, securities, criminal, employ- though retired from the practice of law, he serves in neutral roles
ment, and constitutional law. Neal has orally ar- in reinsurance arbitration disputes. Beyond reinsurance, when not
gued 34 cases before the Supreme Court of the United States, on a tennis court, he and his wife tutor a class of pre-K children and
with 32 of them in the last 8 years. In the 2016-17 Term alone, Neal they teach adult-literacy, all in Charlottesville, Virginia.
14
Expanding Our Reach: Exploring the Role of ARIAS in Non-Reinsurance Disputes
Faculty Biographies
Michael G. Merlo, Aon (Bermuda) Ltd Brad Rosen, Berkshire Hathaway Group
Mike joined Aon as Chief Counsel and Senior Vice Brad Rosen is a vice president and counsel with
President of Aon (Bermuda) Ltd. in 2004. He was the Berkshire Hathaway Reinsurance Division,
promoted to Executive Vice President of Aon (Ber- where he serves as a legal resource on a variety of
muda) Ltd. in 2007, and also continues to serve as matters. Previously, he was an associate at Quinn,
its Chief Counsel. In 2011, Mike took on the addi- Emanuel, Urquhart & Sullivan LLP in New York.
tional roles of Managing Director of Aon Risk Solution’s Casualty Brad also serves as an adjunct lecturer for the Yale College Com-
Consultation, Advocacy and Claims Resolution Practice, and also puter Science Department in New Haven. He received a master ’s
Special Counsel to Aon Corporation. As Managing Director of Aon of science and bachelors of science from Yale University in 2004
Risk Solution’s Casualty Consultation, Advocacy and Claims Reso- and his juris doctor from Harvard Law School in 2008.
lution Practice, Mike provides counsel and advocacy to Aon’s cli-
ents on a wide range of issues, including coverage, drafting and Jonathan Rosen, Arbitration, Mediation and
interpretation issues across all lines of business, but with a par- Expert Witness Services
ticular emphasis on complex casualty matters. Mike has authored Jonathan Rosen is an ARIAS•U.S. Certified Arbitra-
articles and spoken frequently at seminars on various industry tor and Umpire and is primarily engaged as an ar-
topics, legal developments and litigation techniques. Mike has bitrator, mediator and expert witness servicing the
also served as a Board Member of Aon Benfield (Bermuda) Ltd, insurance and reinsurance industries. He is also
and as an Executive Board Member of the Association of Bermuda listed on the CPR’s Panel of Distinguished Neutrals. Jonathan was
Compliance Officers (“ABCO”). formerly Chief Operating Officer of The Home Insurance Compa-
ny in Liquidation. Prior to Home’s liquidation, Jonathan was Exec-
Diane Nergaard, ARIAS•U.S. Certified Arbitrator
utive Vice President and Reinsurance Counsel of Home and Risk
Diane Nergaard is an ARIAS•U.S. Certified Arbitrator and Umpire Enterprise Management Limited, responsible for the reinsurance
and is engaged as an arbitrator and mediator servicing the insur- operations of the Home entities as well as certain reinsurance
ance and reinsurance industries. She has experience in all aspects endeavors of the Zurich group. He has depth of experience in all
of property/casualty insurance and reinsurance and has also spoken aspects of property/casualty insurance and reinsurance arrange-
extensively on insurance and reinsurance matters at various confer- ments and has served on NAIC advisory committees and work-
ences. Diane has participated in hundreds of arbitrations, including ing groups involved in the preparation of model legislation and
in complex matters such as financial guaranty / securitizations, bro- regulation. Jonathan is currently President of Cityvest Reinsurance
ker / dealers, global covers, MGA/MGU matters and rescission cases. Limited, a Bermuda licensed subsidiary of Home, an officer of
She also has regulatory expertise and has worked extensively with SOBC Insurance Company Limited, domiciled in Connecticut, and
regulators to set up numerous insurance companies, agencies and a Director of Compass Insurance Company. He is a past Director
MGAs. Nergaard transitioned from being a litigator in private prac- and past Chairman of the Association of Insurance and Reinsur-
tice to in-house counsel at Crum and Foster where she was involved ance Run-Off Companies (“AIRROC”) and a past Director of the
with the run-off of a $1billion portfolio of reinsurance recoverables. Reinsurance Mediation Institute (“REMEDI”).
15
ARIAS•U.S. 2017 Fall Conference
Faculty Biographies
as a national leader in insurance and reinsurance law in publications Brian Snover, Berkshire Hathaway Group
including Chambers USA, The Legal 500, The Best Lawyers in Amer-
Brian Snover is the Senior Vice President and Gen-
ica and Super Lawyers. He is a member of the Board of Directors of
eral Counsel of the Reinsurance Division of the
ARIAS-U.S. and Chair of the ARIAS Ethics and Publications commit-
Berkshire Hathaway Group in Stamford, CT, and
tees and he co-wrote ARIAS’ Guidelines for Arbitrator Conduct.
serves as an officer and a director of several com-
Robin Saul, XL Bermuda Ltd/Insurance panies in the Berkshire Hathaway Group. Snover
has been with the Berkshire Hathaway Reinsurance Division since
Robin Saul is the Claims Manager for Casualty and 1993. He received a B.A. from Franklin & Marshall College in 1984
Healthcare claims at XL Bermuda Ltd (“XLB”). Robin and a J.D. from the Albany Law School of Union University in 1987.
has handled both insurance and reinsurance cov- Prior to joining Berkshire Hathaway, he was associated with the
erage disputes. Robin’s core area of expertise is in New York law firms of Simpson Thacher & Bartlett and Werner,
handling high value international coverage matters, Kennedy & French.
and has experience in a wide variety of product lines, including: en-
ergy; pharmaceutical; life science; product recall; and, professional Alysa B. Wakin, Odyssey Re
lines. Robin also has extensive experience in handling Bermuda
Alysa Wakin is Vice President and Claims Coun-
Form arbitrations. Before joining XLB, Robin held a similar position
sel for Odyssey Reinsurance Company where she
at Markel Bermuda (formerly Alterra). Prior to that, she was a solic-
manages the litigation and arbitration of disputes
itor with Clyde & Co in London. Robin started her insurance / rein-
on behalf of that company and its subsidiaries. Pri-
surance career in the 90s on the excess liability broking team with
or to joining Odyssey Re, Alysa was a litigator with
Johnson & Higgins in Bermuda. Robin has both her ACII (Associate
the firm of Wiley Rein & Fielding where she represented insurers
of Chartered Insurers, UK) and ARM (Associate of Risk Management,
and reinsurers in complex litigation and arbitration matters and
USA) professional designations. Robin has been called to the Bar in
provided advice and counsel on a wide range of insurance and re-
Bermuda and admitted as a Solicitor in England and Wales.
insurance topics. Wakin first entered the world of reinsurance arbi-
Joshua Schwartz, Chubb trations in 1995 as an associate with the firm of Werner & Kennedy.
Ms. Wakin previously served on the ARIAS·U.S. Education Commit-
Joshua Schwartz is Managing Counsel, Director tee and currently serves on the Strategic Planning Committee.
of Reinsurance Litigation for Chubb. His respon-
sibilities include management and oversight of Larry Zelle, L. Zelle LLC
reinsurance disputes involving Chubb entities,
For over 50 years, as a practicing lawyer, Larry Zelle
including Chubb Tempest, Chubb Tempest Life,
represented major property and casualty insurers
Brandywine and the ceded reinsurance of Chubb’s insurance
(FM Global, IRI, Kemper amongst others) as well as
business. Prior to this role, Josh served as General Counsel and
several major reinsurers. His involvement with the
Regional Compliance Officer for ACE Bermuda. His responsibili-
captive insurance industry began in the early 1980’s
ties included providing legal advice on professional lines, excess
when he was retained by the Reiss Organization (ARM, IRM, IRMG)
liability, property and reinsurance claims; participating in media-
to handle a large subrogation case for one of the captives it man-
tions, arbitrations and other litigation; counseling underwriters on
aged. In subsequent years Larry became involved in several nota-
policy and reinsurance wordings; assisting with product develop-
ble captive losses. Among them were the vapor cloud explosions at
ment; and providing advice on risk management. He participated
Pampas TX and Pasadena TX in the late 1980’s, the Cheerios contam-
on the ACE Bermuda Risk, Management Audit, Reserving, Pension
ination loss in the 1990’s, and the 2008 Cargill flood loss. In addition
and Investment Committees. Josh joined ACE in 2006 as Associate
Larry served as Vice President, Claims of a captive in the early 2000’s,
General Counsel (Litigation) in New York. Before ACE, Josh worked
supervising the runoff and ultimate liquidation of the company. He
as Counsel at O’Melveny & Myers, Associate at Fried Frank and
retired from the practice of law in 2015 and now keeps busy as an
Law Clerk to the Hon. Federico A. Moreno, District Court Judge,
arbitrator or mediator in insurance and reinsurance disputes.
Southern District of Florida.
Paul Zevnik, Morgan Lewis
Steven C. Schwartz, Chaffetz Lindsey LLP
Paul Zevnik has nearly 40 years’ experience de-
Steve Schwartz is a partner at Chaffetz Lindsey
fending mass and toxic tort, environmental and
LLP. He has devoted most of his practice to rein-
product liability suits; handling insurance recovery
surance arbitration and litigation since the early
disputes; and structuring captives, qualified set-
1990s. During that time, Steve has handled dis-
tlement funds, and other risk transfer vehicles to
putes relating to both property/casualty and life
meet mass and toxic tort, environmental, and product liabilities.
and health reinsurance, as well as finite risk reinsurance. Steve
His experience extends from the courtroom to the boardroom,
is the author of Reinsurance Law: An Analytic Approach, a com-
embracing trial and appellate practice, arbitration, mediation, ad-
prehensive treatise first published in 2009 and updated semi-an-
vice and counsel, bankruptcy and restructuring, and private and
nually since then. Steve is a graduate of Princeton University and
public company transactions and financial reporting.
Columbia Law School.
16
Session Materials
PRESENTED BY:
Brian Snover, Berkshire Hathaway Reinsurance Division
Glenn Frankel, The Hartford Financial Services
Kim Hogrefe, ARIAS•U.S. Certified Arbitrator /
Retired Senior Vice President, Chubb and Son Insurance
Amanda Music, HCC/Tokio Marine
Steven Rosenstein, AIG
17
Session Materials ARIAS•U.S. 2017 Fall Conference
Writing Arbitration Clauses To Get The Arbitration You Want - Law360 https://www.law360.com/articles/826544/print?section=aerospace
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So far as the Federal Arbitration Act is concerned, the U.S. Supreme Court
has not done these counsel any favors. In one breath, the court emphasizes
that the act is “motivated, first and foremost, by a congressional desire to
enforce agreements into which parties ha[ve] entered” to achieve their
objectives.[2] But, in the next breath, the court tells the parties that the
objective they really need to want to have is finality.
Nicholas Schuchert
In Hall Street Associates LLC v. Mattel Inc.,[3] the Supreme Court
concluded that the Federal Arbitration Act barred courts applying the act
from honoring parties’ agreements to have courts review an arbitration decision for legal error.
The court reasoned that the Federal Arbitration Act provided for only very limited review of
arbitration decisions — essentially that a disinterested arbitrator’s decision could not be reviewed
for being legally wrong, or factually unsupported, but merely for whether the arbitrator either
improperly failed to resolve an issue or prevented parties from making arguments. According to
the court, the act’s provisions on this point “substantiat[e] a national policy favoring arbitration
with just the limited review needed to maintain arbitration’s essential virtue of resolving disputes
straightaway.”[4]
As our courts have recognized in their own procedures, the goal is to have dispute resolution be
“just, speedy and inexpensive.”[5] Having a regime of federal law that says that arbitrators
generally cannot be reversed for getting the decision wrong, but (absent fraud) only for failing to
consider something may be speedy once you get to court, but it does not afford much comfort
that arbitration decisions will be just or inexpensive. Indeed, it is difficult to imagine that what
people really want, above all else, out of a dispute resolution system is a guarantee that incorrect
and expensive determinations will be made final and unappealable.
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Writing Arbitration Clauses To Get The Arbitration You Want - Law360 https://www.law360.com/articles/826544/print?section=aerospace
We are not here to argue that the Supreme Court misread the Federal Arbitration Act. (Nor would
it do much good. The justices, after all, are the ones who wear the robes). Our point is that,
correct or not, what the Supreme Court read was the Federal Arbitration Act. Participants in
arbitration can generally fashion a different system — one that, for example, generally permits
reversal for errors of law or factual findings that lack substantial evidence bases, but makes
decisions to limit discovery or exclude evidence matters of broader discretion.
The way to fashion a different system is to use a different law. Participants can draft arbitration
clauses so that their choice is governed by arbitral procedures or state law that permit them to do
so, instead of the Federal Arbitration Act. As the Supreme Court also said in Hall, the Federal
Arbitration Act “is not the only way into court for parties wanting review of arbitration awards:
they may contemplate enforcement under state statutory or common law, for example, where
judicial review of different scope is arguable.”[6]
Creating an arbitration agreement that is subject to different review requires some care and you
need to plan ahead. But generally you can get the arbitration you want.
New Jersey’s arbitration act specifically allows the parties to contract for expanded judicial
review.[7] Provided some conditions are met (including that the arbitration not be “conducted
under the auspices of the American Arbitration Association”), Iowa’s arbitration act provides for
vacating an award where “[s]ubstantial evidence on the record as a whole does not support the
award.”[8] New Hampshire’s arbitration act[9] has also been interpreted to allow for expanded
judicial review.[10] In 2003, Georgia amended its arbitration statute to allow judicial review for an
“arbitrator’s manifest disregard of the law.”[11]
Other jurisdictions have interpreted their statutes to operate differently from the Federal
Arbitration Act. The supreme courts of California,[12] Texas,[13] Alabama[14] and
Connecticut[15] have ruled that parties are free to contract for more searching judicial review
than what their respective arbitration acts would, by themselves, allow. An older intermediate
appellate court case in New York has also suggested that New York would permit parties to
contract for broader review, by restricting the arbitrator’s authority.[16]
In other states, the law is undecided. This provides limited comfort: people drafting arbitration
clauses usually want certainty, not the chance for additional groundbreaking litigation. But an
open question may still be better than a closed door. The District of Columbia’s arbitration statute
allows a court to “vacate an award made in the arbitration proceedings on other reasonable
ground.”[17] The District of Columbia’s highest court has rejected the argument that this
language provides for additional grounds for judicial review,[18] but it has not ruled on whether
this language might allow the parties to agree to other reasonable grounds for appeal.
More generally, the District of Columbia is one of 18 jurisdictions that have adopted the Revised
Uniform Arbitration Act (RUAA) (1990) to replace the Uniform Arbitration Act (1955): the others
are Alaska, Arizona, Arkansas, Colorado, Florida, Hawaii, Michigan, Minnesota, Nevada, New
Jersey, New Mexico, North Carolina, North Dakota, Oklahoma, Oregon, Utah, Washington and
West Virginia.[19] Section 23 of the act specifies the circumstances under which a court “shall”
vacate an award, but does not explicitly state whether these circumstances are an exclusive list of
those upon which a court “may” vacate an award, if the parties otherwise agree.[20]
The National Conference of Commissioners on Uniform State Laws, which approved the RUAA in
2000, actively debated having an explicit provision allowing parties to “opt-in” to more searching
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Session Materials ARIAS•U.S. 2017 Fall Conference
Writing Arbitration Clauses To Get The Arbitration You Want - Law360 https://www.law360.com/articles/826544/print?section=aerospace
review of awards. At the time, the commissioners declined to include such a provision because (1)
they disagreed among themselves about whether judicial review was consistent with the idea of
arbitration; and (2) they were uncertain whether states would permit parties to “contract” for
judicial review.[21] They decided instead to leave “the issue of the legal propriety of this means
for securing review of awards to the developing case law under the FAA and state arbitration
statutes,” recognizing that the “parties remain free to agree to contractual provisions for judicial
review of challenged awards, on whatever grounds and based on whatever standards they deem
appropriate …”[22] Presumably, parties so agreeing would then test the issue by arguing that
Section 23 does not prevent enforcement of their agreement.
Today, the argument for permitting such agreements (either by legislation or judicial
interpretation) seems stronger than it was in 2000. To begin with, there is now more precedent
for legislatures and courts to enforce the parties’ choice to have judicial review.
Also, at least at the state level, the pendulum may be in a different place than it was in 2000. In
2000, the main challenge to using arbitration appeared to be the need to eliminate the vestiges of
the “bad old days when judges were hostile to arbitration and ingenious about hamstringing
it.”[23] In 1997, for example, a major survey of representatives at Fortune 1000 companies
showed that they overwhelmingly viewed arbitration very favorably as a less-expensive
alternative to litigation — so long as arbitration could resolve the dispute.[24]
A 2014 follow-up survey showed that this same group now views arbitration as almost as
expensive as litigation, and more risky.[25] Given these concerns, the cure — of presuming that
finality is the only goal — starts to look worse than the disease. If arbitration decisions essentially
cannot be vacated for being wrong, but can conceivably be reversed based on refusals to consider
evidence, the law seems to be incentivizing arbitrators to consider everything any party would
want to offer and to be less concerned about getting the decision right. The new challenge is to
have arbitrations be sufficiently final to save money, while sufficiently flexible to work for those
who use them.
Indeed, the RUAA is sensitive at least to the cost concern. Under the act, parties “can decide to
eliminate or limit discovery as best suits their needs,” and, if they make no decision, the act
affords arbitrators broad discretion to “permit such discovery as the arbitrator decides is
appropriate in the circumstances, taking into account the needs of the parties to the arbitration
proceeding and other affected persons and the desirability of making the proceeding fair,
expeditious, and cost effective.”[26] This diminishes the incentive to let all the evidence in, as a
means of avoiding reversal.
First, you need to be explicit about what your chosen law will govern. While Hall addressed what
the Federal Arbitration Act does and does not do, other Supreme Court cases have addressed
when and to what extent the Federal Arbitration Act preempts states from doing something
different. When it applies, federal preemption is quite broad. For example, the Supreme Court has
now ruled that, where it applies, the Federal Arbitration Act not only preempts states from
enforcing a public policy barring consumer agreements that waive class action rights,[27] but also
preempts state courts from construing an arbitration agreement not to waive class action rights,
where the construction relies on assuming the viability of the public policy.[28]
The Supreme Court has also ruled that parties, who want to avoid the Federal Arbitration Act (and
its preemption), need to say so very specifically. In Mastrobuono v. Shearson Lehman Hutton,[29]
the court ruled that a provision stating that a contract was governed “by the laws of the State of
New York,” merely applied “New York’s substantive rights and obligations,” and did not mean that
the parties had chosen to apply a New York law that “allocate[ed] of power between alternative
tribunals” by preventing arbitration panels (as opposed to courts) from awarding punitive
damages.[30]
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One message from Mastrobuono is that if you want to have a state’s arbitration act govern appeal
rights, you should not just say “this contract shall be governed by the law of X state.” Instead,
say something like “this agreement will be governed by X’s substantive laws and the X Arbitration
Act as it may be amended and construed by its courts.” Otherwise, at least where your contract
involves interstate commerce, a court may well presume you wanted your arbitration to be
governed by the Federal Arbitration Act.
Another message from Mastrobuono is that substantive law and procedural law can come from
different sources. Particularly in international arbitration, it is very common to have different law
govern the substance of the contract and the procedure by which the arbitration award is
confirmed. Parties can agree that the substance of their contract is governed by one state’s law,
but that confirmation or vacatur of the arbitration decision will be governed by the procedures of a
different state.
Second, parties may need to have a basis for choosing the law of a state that otherwise has no
connection with the contract. Some states, like California, Delaware and New York, have statutes
explicitly allowing parties (provided that the contract meets a monetary threshold) to have their
law govern contracts regardless of whether the parties have a connection to the state.[31] Other
states, like Texas, require that parties seeking to apply its law have some kind of reasonable
relationship to the state.[32] Section 187 of Restatement (Second) of Conflict of Laws provides
that courts will enforce parties; agreement to have specified law apply to their contract provided
(1) it does not contravene a fundamental public policy of the forum state, and (2) the state
chosen has a reasonable relationship to the transaction.[33]
None of this is a problem if the state whose arbitration law you choose has a reasonable
relationship to the parties or the contract. (If, for example, one of the parties is incorporated or
has its principal place of business, negotiated the contract from, or quite likely other more
remote, but reasonable, connections with New Jersey, likely any court will honor the parties’
choice to use New Jersey’s arbitration act). But if there is no connection, the need for a
“reasonable relationship” may depend on the law of the forum where the dispute is brought.
For example, Pinela v. Neiman Marcus Group Inc.[34] dealt with a choice of law provision in an
employment contract between Neiman Marcus and its employees providing that all disputes would
be governed by Texas law. A group of California employees filed a class action in California state
court alleging various violations of the California Labor Code. The court found that the arbitration
agreement and its choice of law clause was “plainly obnoxious to public policy in California” and
amounted to a waiver of the plaintiff’s substantive rights. Neiman Marcus cited approvingly to
Restatement Section 187.[35] Similarly, Federal courts apply the choice of law rules of the state
in which they sit.[36]
In theory you may be able to solve this problem through creative (though, as far as we know,
untested) efforts to create a “reasonable relationship” with the state whose arbitration act you
want. (E.g., flying to Newark Airport to sign the contract?). But, if you have no apparent
connection with the state whose arbitration law you want, a safer solution would be to select not
only the arbitration law that governs but also the forum that will decide whether to confirm or to
vacate an award.
If You Can’t Be With the Law You Love, Love the One You’re With
Another (again, we caution, largely untested) possibility that even Hall would appear to leave
open is to be creative about delimiting the arbitrator’s powers. One of the grounds under which
courts “shall” vacate arbitration awards under the federal and both state uniform acts is where “an
arbitrator exceeded the arbitrator’s powers.”[37] In some circumstances, parties have been able
to obtain judicial review by circumscribing what the arbitration could do in the first place. For
example, a California case vacated an arbitrator’s decision to overturn a tenure decision because
the arbitration agreement, as relevant to the case, limited the arbitrator’s power to instances
where the decision was “not based on reasoned judgment,” and the arbitrator had exceeded his
authority by substituting his judgment for that of the university.[38]
Of course, most parties will not want to limit an arbitrator to deciding whether one party took
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action “based on reasoned judgment.” But there does not appear to be any reason why parties
could not specify other things they do not want their arbitrator to do. Would it be possible for
parties to direct an arbitrator to follow specified law and to declare that any failure to follow that
law would be presumed not just to be a mistake, but a failure to conform to the terms of the
arbitration agreement? Uncertain. But some creativity may be better than no chance.
Another alternative is to have an appeal as part of the arbitration itself. The American Arbitration
Association (AAA) and the International Institute for Conflict Prevention and Resolution (CPR),
have responded to Hall by adopting rules for appellate arbitration.[39] In principle, it would also
be possible to establish a method of appeal in an ad hoc arbitration (one that does not use an
administering organization like AAA or CPR) — by agreeing to a two-stage appellate procedure,
with one arbitrator (or panel), for example, reviewing the initial decision for legal error or lack of
substantial evidence much like a court might review an adjudication by a government agency.
That is not a court, but the parties can specify qualifications for the arbitrators (e.g., former
appellate judges), or even agree in advance on a list of acceptable candidates.
Delaware’s recently enacted Rapid Arbitration Act[40] uses a hybrid approach. This act is a
business-to-business arbitration statute that cannot be used in consumer arbitrations.[41] If
businesses using its terms do not contract for an appellate arbitration, actions to enforce or to
vacate arbitration awards go the Delaware Supreme Court. Under this route, the Hall review
standard appears to govern because the act specifies that the Delaware Supreme Court vacates,
modifies, or corrects the final award in conformity with the Federal Arbitration Act.[42] However,
the act also gives the parties the power to contract for appellate review of a final award by one or
more arbitrators who may be appointed by Delaware Court of Chancery. And, in that case,
appellate review proceeds as provided in the agreement.[43]
Merril Hirsh is a partner at the Washington, D.C., office of Troutman Sanders. He is a fellow of the
Chartered Institute of Arbitrators and has been a litigator for over 33 years, with experience in the
courts of over 40 states. Nicholas Schuchert is an associate at the Orange County, California,
office of Troutman Sanders, where he is in the business litigation practice.
The opinions expressed are those of the author(s) and do not necessarily reflect the views of the
firm, its clients, or Portfolio Media Inc., or any of its or their respective affiliates. This article is for
general information purposes and is not intended to be and should not be taken as legal advice.
[1] Henry Ford and Samuel Crowther, My Life and Work at 72 (1922).
[2] Dean Witter Reynolds Inc. v. Byrd, 470 U. S. 213, 220 (1985). See also DIRECTV Inc. v.
Imburgia, 136 S. Ct. 463, 473 (2015).
[8] Iowa Code § 679A.12(1)(f) (2009) (Also specifying that the “court shall not vacate an award
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on this ground if a party urging the vacation has not caused the arbitration proceedings to be
reported, if the parties have agreed that a vacation shall not be made on this ground, or if the
arbitration has been conducted under the auspices of the American arbitration association”).
[9] N.H. Rev. Stat. Ann. § 542:8 (Granting courts the power to correct or modify an award for
plain mistake.)
[10] See Finn v. Ballentine Partners LLC, 2016 N.H. LEXIS 60, at *10 (N.H. June 14, 2016) (“We
have construed this statute to grant a court the authority to vacate an award for plain mistake if it
‘determine[s] that an arbitrator misapplied the law to the facts’”) (citation omitted).
[12] Cable Connection Inc. v. DIRECTV Inc., 44 Cal. 4th 1334, 1355 (2008). See also Mave
Enterprises Inc. v. Travelers Indemnity Co., 219 Cal. App. 4th 1408, 1432 (2013) (suggesting the
defendant could have contracted for judicial review of the arbitration award for errors of law if it
included the appropriate language in the parties stipulations). See also Dotson v. Amgen Inc., 181
Cal. App. 4th 975, 987 (2010) (upholding arbitration agreement providing for the same standard
review as that applied by an appellate court reviewing a decision of a trial court sitting without a
jury.)
[13] See Nafta Traders Inc. v. Quinn, 339 S.W.3d 84, 101 (Tex. 2011) (“We hold that the FAA
does not preempt enforcement of an agreement for expanded judicial review of an arbitration
award enforceable under the TAA.”)
[14] See Raymond James Fin. Servs. v. Honea, 55 So. 3d 1161, 1169 (Ala. 2010) (Alabama law
allows a court to conduct a de novo review of an award so long as the agreement provides for
such a review.)
[15] Garrity v. McCaskey, 612 A.2d 742, 745 (Conn. 1992) (the arbitration agreement is limited if
it “contains express language restricting the breadth of issues, reserving explicit rights, or
conditioning the award on court review”). See also Maluszewski v. Allstate Ins. Co., 640 A.2d 129,
132 (Conn. App.) (“[i]f the parties engaged in voluntary, but restricted, arbitration, the trial
court's standard of review would be broader depending on the specific restriction,” and if the
restriction is that the arbitrator's award must conform to the law, the court would be bound to
enforce the restriction), app. denied, 642 A.2d 1214 (Conn. 1994).
[16] NAB Constr.Corp. v. Metro. Trans. Auth., 579 N.Y.S.2d 375 (1992) (approving application of
a contractual provision permitting judicial review of an arbitration award “limited to the question
of whether or not the [designated decision maker under an alternative dispute resolution
procedure] is arbitrary, capricious or so grossly erroneous to evidence bad faith”).
[18] A1 Team USA Holdings, LLC v. Bingham McCutchen LLP, 998 A.2d 320, 326 (D.C. 2010)
(“We see nothing in the legislative history to support A1’s argument that under the revised
Arbitration Act, this court ‘can now vacate an arbitral award on any ‘reasonable’ basis’”).
[19] Laura A. Kaster, “The Revised Uniform Arbitration Act at 15: The New Jersey Story,” Dispute
Resolution Magazine (Winter 2016).
[23] Glass, Molders, Pottery, Plastics & Allied Works Int’l U. v. Excelsior Foundry Co., 56 F.3d 844,
846 (7th Cir. 1995) (citation omitted).
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[24] See Ryan Lamare, “The Evolution of ADR Systems at Large US Corporations,” Dispute
Resolution Magazine (Spring 2014).
[25] Id.
[31] Del. C. Ann. tit. 6 § 2708; Cal. Civ. Code § 1646.5; N.Y. Gen. Oblig. Law § 5-1401.
[32] Tex. Bus. & Com. Code § 271.007; Tex. Bus. & Com. Code § 271.004(b)(1)(E) (defining a
transaction bearing a reasonable relation to a particular jurisdiction as one where “a substantial
part of the negotiations relating to the transaction occurred in or from that jurisdiction and an
agreement relating to the transaction was signed in that jurisdiction by a party to the
transaction…”)
[33] Restatement (Second) of Conflict of Laws § 187 (1989) (The law of the chosen state will not
be enforced where “(1) the chosen state has no substantial relationship to the parties or the
transaction and there is no other reasonable basis for the parties choice; and (2) application of
the law of the chosen state would be contrary to a fundamental public policy of a state which has
a materially greater interest than the chosen state in the determination of a particular issue and
which, under the rule of §188, would be the state of the applicable law in the absence of an
effective choice of law by the parties.”)
[34] 238 Cal. App. 4th 227 (2015), review denied, 2015 Cal. LEXIS 6186 (Sept. 16, 2015).
[35] Id. at 257 (California had a materially greater interest in “ensuring that its statutory
protections for California-based workers are not selectively disabled by out-of-state companies
wishing to do business in [California]”).
[36] AWH Inv. P’Ship v. Citigroup, 806 F.3d 695, 699 (2d. Cir. 2015); First Intercontinental Bank
v. Ahn, 798 F.3d 1149, 1153 (9th Cir. 2015).
[37] Rev. Unif. Arb. Act §23(a)(4). See also Section 10(a)(4) of the Federal Arbitration Act, 9
U.S.C. §10(a)(4); Unif. Arb. Act §12(a)(3).
[38] Cal. Faculty Ass’n v. Superior Ct., 63 Cal. App. 4th 935 (1998). See also Chin v. Advanced
Fresh Concepts Franchise Corp., 194 Cal. App. 4th 704, 711-712 (2011) (finding that a provision
stating any award shall be based on established law and shall not be made on broad principles of
justice and equity is “an accepted way of limiting the arbitrator’s broad powers and allowing
judicial review on the merits of an arbitration award”); Garrity, n.16, above, 612 A.2d at 745
(noting the parties’ ability to restrict the arbitrator’s powers).
[39] See American Arbitration Association “Optional Appellate Arbitration Rules” which can easily
be included in any arbitration agreement and provide for additional grounds for review, available
at http://go.adr.org/AppellateRules; CPR Arbitration and Appeal Procedure and Commentary,
available at http://www.cpradr.org/Portals/0/CPRArbitrationAppealProcedure2015.pdf
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PRESENTED BY:
Alex Furth, Resolute Management, Inc.
Ana Francisco, Foley & Lardner LLP
Ken Gorenberg, Barnes & Thornburg LLP
26
Session Materials
[noting that ‘‘(t)hose decisions apparently Superior Court, New Castle County, Sil-
no longer mean all that they say’’] ), we verman, J., 2014 WL 1305003, ruled that
plunge ahead into greater confusion, creat- under New York law, insured’s alleged
ing a constitutional violation and recoiling successors were obligated to horizontally
from the consequences. exhaust all triggered primary and umbrel-
For the foregoing reasons, I dissent and la insurance layers before tapping any of
would affirm the Appellate Division order. insured’s excess coverage. On appeal, the
Delaware Supreme Court, Holland, J., –––
Judges RIVERA, STEIN and FAHEY A.3d ––––, 2015 WL 3618924, certified
concur; Judge GARCIA dissents and questions to the New York Court of Ap-
votes to affirm in an opinion in which peals as to how to allocate losses among
Judges PIGOTT and ABDUS–SALAAM insurers for injuries potentially triggering
concur. coverage across multiple policy periods.
Order reversed and a new trial ordered. Holdings: The Court of Appeals, Stein, J.,
held that:
,
(1) existence of non-cumulation and prior
insurance provisions in excess insur-
ance policies mandated use of the all
sums allocation method, and
(2) insureds were required to vertically ex-
haust all triggered primary and um-
27 N.Y.3d 244 brella excess layers before tapping into
In the Matter of VIKING PUMP, INC., any of the additional excess policies.
et al., Insurance Appeals. Certified questions answered.
1. Insurance O2112
Viking Pump, Inc., et al., Appellants,
2. Insurance O1805
pump manufacturer, who were potentially
subject to significant liability in connection
with asbestos exposure claims, brought ac- In determining a dispute over insur-
tion in a Delaware state court against in- ance coverage, courts first look to lan-
surers, seeking to recover under policies guage of the policy.
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Session Materials ARIAS•U.S. 2017 Fall Conference
4. Insurance O1817, 1820, 1822 la excess layers before tapping into any of
When construing insurance policies, the additional excess policies.
the language of the contracts must be in-
terpreted according to common speech and
consistent with the reasonable expectation
of the average insured.
5. Insurance O1810, 1828
Kirkland & Ellis LLP, Chicago, Illinois
(Michael P. Foradas, of the Illinois bar,
Courts must construe an insurance admitted pro hac vice, Lisa G. Esayian of
policy in a way that affords a fair meaning the Illinois bar, admitted pro hac vice, and
to all of the language employed by the William T. Pruitt of the Illinois bar, admit-
parties in the contract and leaves no provi- ted pro hac vice, of counsel), and Kirkland
sion without force and effect; significantly, & Ellis LLP, New York City (Peter A.
surplusage is a result to be avoided. Bellacosa of counsel), for Viking Pump,
28
Session Materials
S 251I.
Lowenstein Sandler LLP, New York
City (David L. Elkind and Eric Jesse of
counsel), for New York State Electric & The facts and procedural history of the
Gas Corporation, amicus curiae. underlying litigation are explained in
Anderson Kill P.C., New York City more detail in decisions of the Delaware
(Robert M. Horkovich and Edward J. courts (see In re Viking Pump, Inc., –––
Stein of counsel), and Amy Bach, United A.3d ––––, 2015 WL 3618924 [June 10,
Policyholders, San Francisco, California, 2015]; Viking Pump, Inc. v. Century In-
for United Policyholders and others, amici dem. Co., 2014 WL 1305003, 2014 Del.Su-
curiae. per. LEXIS 707 [Feb. 28, 2014, C.A. No.
10C–06–141 FSS CCLD]; Viking Pump,
Jenner & Block LLP, Chicago, Illinois
Inc. v. Century Indem. Co., 2013 WL
(Craig C. Martin, of the Illinois bar, admit-
7098824, 2013 Del.Super. LEXIS 615 [Oct.
ted pro hac vice, and Peter J. Brennan of
31, 2013, C.A. No. 10C–06–141 FSS
counsel), for Olin Corporation, amicus curi-
CCLD]; Viking Pump, Inc. v. Century
ae.
Indem. Co., 2 A.3d 76 [Del.Ch.2009] ). As
Morgan, Lewis & Bockius LLP, Wash- relevant here, Viking Pump, Inc., and
ington, D.C. (Randall M. Levine, Gerald P. Warren Pumps, LLC, acquired pump
Konkel, Stephanie Schuster and Christo- manufacturing businesses from Houdaille
pher M. Popecki of counsel) and Morgan, Industries, Inc. in the 1980s. Those ac-
Lewis & Bockius LLP, Los Angeles, Cali- quisitions later subjected Viking and War-
fornia (David S. Cox of counsel), for ITT ren to significant potential liability in con-
Corporation, amicus curiae. nection with asbestos exposure claims.
Houdaille had extensive multilayer insur-
S 250OPINION OF THE COURT ance coverage spanning from 1972 to 1985
that included coverage for such claims.
STEIN, J. More specifically, Liberty Mutual Insur-
In this complex insurance dispute, we ance Company provided Houdaille with
have accepted two certified questions from primary insurance (totaling approximately
the Delaware Supreme Court asking us to $17.5 million) and umbrella excess cover-
determine (1) whether ‘‘all sums’’ or ‘‘pro age (totaling approximately $42 million)
rata’’ allocation applies where the excess through successive annual policies. Be-
insurance policies at issue either follow yond that, Houdaille obtained additional
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Session Materials ARIAS•U.S. 2017 Fall Conference
layers of excess insurance through annual stantially the same general conditions TTT
policies issued by various excess insurers shall be considered as the result of one and
(totaling over $400 million in coverage), the same occurrence.’’ The excess policies
including a number of policies issued by issued by the Excess Insurers either fol-
defendants, designated herein as ‘‘the Ex- low form to (i.e., incorporate) these provi-
cess Insurers.’’ sions, or provide for substantively identical
Viking and Warren sought coverage un- coverage.
der the Liberty Mutual policies, and the The majority of the excess policies at
Delaware Court of Chancery determined issue also follow form to a ‘‘non-cumula-
that both companies were entitled to exer- tion’’ of liability or ‘‘anti-stacking’’ provi-
cise rights as insureds under those policies sion in the Liberty Mutual umbrella poli-
(see generally Viking Pump, Inc. v. Liber- cies, which provides that
ty Mut. Ins. Co., 2007 WL 1207107, 2007
‘‘[i]f the same occurrence gives rise to
Del.Ch. LEXIS 43 [Apr. 2, 2007, C.A. No.
personal injury, property damage or ad-
1465–VCS] ). As the Liberty Mutual cov-
vertising injury or damage which occurs
erage neared exhaustion, litigation arose
partly before and partly within any an-
regarding whether Viking and Warren
nual period of this policy, the each oc-
were entitled to coverage under the addi-
currence limit and the applicable aggre-
tional excess policies issued to Houdaille
gate limit or limits of this policy shall be
by the Excess Insurers and, if so, how
reduced by the amount of each payment
indemnity should be allocated across the
made by [Liberty Mutual] with respect
triggered policy periods.
to such occurrence, either under a previ-
Central to the underlying litigation, the ous policy or policies of which this is a
Liberty Mutual umbrella policies provide replacement, or under this policy with
that the insurer respect to previous annual periods
‘‘will pay on behalf of the insured all thereof.’’
sums in excess of the retained limit
Those excess policies that do not follow
S 252legally obligated to pay, or with the
which the insured shall become
form to the Liberty Mutual non-cumula-
consent of the [insurer], agrees to pay, tion provision contain a similar two-part
as damages, direct or consequential, be- ‘‘Prior Insurance and Non[-]Cumulation of
cause of: Liability’’ provision, sometimes referred to
‘‘(a) personal injury TTT as ‘‘Condition C,’’ as follows:
‘‘with respect to which this policy applies ‘‘It is agreed that if any loss covered
and caused by an occurrence’’ (emphasis hereunder is also covered in whole or in
added). part under any other excess Policy is-
‘‘Occurrence’’ is defined, in relevant part, sued to the Insured prior to the incep-
as ‘‘injurious exposure to conditions, which tion date hereof[,] the limit of liability
results in personal injury’’ which, in turn, hereon TTT shall be reduced by any
is defined as ‘‘personal injury or bodily amounts due to the Insured on account
of such loss under such prior insurance.
S 253‘‘Subject to the foregoing paragraph
injury which occurs during the policy peri-
od ’’ (emphasis added). The policies also
state that, ‘‘[f]or the purpose of determin- and to all the other terms and conditions
ing the limits of the [insured’s] liability: of this Policy in the event that personal
(1) all personal injury TTT arising out of injury or property damage arising out of
continuous or repeated exposure to sub- an occurrence covered hereunder is con-
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Session Materials
tinuing at the time of termination of this sions would not apply if liability was ap-
Policy the Company will continue to pro- portioned on a pro rata basis because,
tect the Insured for liability in respect of according to that court, such an interpreta-
such personal injury or property dam- tion would—contrary to New York princi-
age without payment of additional pre- ples of contract interpretation—render the
mium.’’ non-cumulation and prior insurance provi-
In the underlying litigation, the parties sions surplusage (see id. at 124–126). The
cross-moved for summary judgment with Court of Chancery also observed that,
respect to the availability of coverage and
S 254‘‘the only substantial extrinsic evidence
even if the policy language was ambiguous,
the allocation of liability under the excess
policies. The Delaware Court of Chancery offered by the parties weighs in favor of
granted Viking and Warren summary the use of the all sums method’’ because,
judgment on those issues, and denied the
the court asserted, Liberty Mutual had, in
Excess Insurers’ cross motions (2 A.3d at
the past, routinely allocated its liability
130). As a threshold matter, the Court of
under its own policies—to which the excess
Chancery held that New York law applied
policies followed form—in accordance with
to the dispute and that Viking and Warren
the all sums method (id. at 119, 127–129).
were each entitled to coverage under the
excess policies (see id. at 90).1 The Court of Chancery further noted that,
to the extent the policies are ambiguous,
With regard to the allocation issue, the
any ambiguity must be resolved in favor of
Court of Chancery agreed with Warren
the Insureds (see id. at 129–130).
and Viking (hereinafter, collectively, the
Insureds) that the proper method of allo- The matter was transferred to the Dela-
cation was the all sums approach, as com- ware Superior Court (Viking Pump, Inc.
pared with the pro rata allocation method v. Century Indem. Co., 2010 WL 2989690,
propounded by the Excess Insurers (see 2010 Del.Ch. LEXIS 301 [June 11, 2010,
id. at 119–127). The Court of Chancery C.A. No. 1465–VCS] ), where a trial was
acknowledged that this Court had previ- ultimately held (2013 WL 7098824, *6–7,
ously applied the pro rata method in Con-
2013 Del.Super. LEXIS 615, *21–22). A
solidated Edison Co. of N.Y. v. Allstate
verdict was returned largely in the In-
Ins. Co., 98 N.Y.2d 208, 222, 746 N.Y.S.2d
sureds’ favor, and the parties made post-
622, 774 N.E.2d 687 (2002), where the poli-
judgment motions. As relevant here, the
cy language similarly provided that the
Superior Court rejected the Excess Insur-
insurer would pay ‘‘all sums’’ for an occur-
ers’ renewed arguments that pro rata allo-
rence happening ‘‘during the policy period’’
(see 2 A.3d at 120–121). However, the cation applied. The Superior Court also
Court of Chancery distinguished the policy determined that, as a matter of New York
language at issue here from that interpret- law, the Insureds were obligated to hori-
ed in Consolidated Edison on the ground zontally exhaust (i.e., deplete) every trig-
that the non-cumulation and prior insur- gered primary and umbrella layer of insur-
ance provisions in the policies here evinced ance before accessing the excess policies.
a clear and unambiguous intent to use all While the Superior Court agreed with the
sums allocation (see id. at 119–127). The Insureds that policy language supported
Court of Chancery rejected the argument vertical exhaustion, in the court’s view,
of the Excess Insurers that these provi- New York law required that horizontal
31
Session Materials ARIAS•U.S. 2017 Fall Conference
2. The Superior Court subsequently limited 3. After the Delaware Court of Chancery held
that ruling to the primary/umbrella layers, that the policies were triggered upon an inju-
holding that horizontal exhaustion did not ry-in-fact that occurred upon asbestos expo-
apply among additional layers of excess cov- sure (2 A.3d 76, 110–111 [Del.Ch.2009] ), the
erage (see Viking Pump, Inc. v. Century Indem. trigger issue was litigated at trial, and the
Co., 2014 WL 1305003, 2014 Del.Super. LEX- Superior Court declined to alter the jury’s
IS 707 [Feb. 28, 2014, C.A. No. 10C–06–141 verdict on this point (see 2013 WL 7098824,
FSS CCLD] ). The propriety of that holding *17–18, 2013 Del.Super. LEXIS 615, *55–58
is not before us. [Super.Ct., Oct. 31, 2013, C.A. No. 10C–06–
141 FSS CCLD] ).
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Session Materials
er against whom the insured S 256recovers to 491 [Del.2001]; American Physicians Ins.
seek contribution from the insurers that Exch. v. Garcia, 876 S.W.2d 842, 855 [Tex.
issued the other triggered policies (see 1994]; J.H. France Refractories Co. v. All-
Consolidated Edison, 98 N.Y.2d at 222, state Ins. Co., 534 Pa. 29, 39, 626 A.2d 502,
746 N.Y.S.2d 622, 774 N.E.2d 687). 507 [1993]; Keene Corp. v. Insurance Co.
[1] The Excess Insurers, by contrast, of N. Am., 667 F.2d 1034, 1047 [D.C.Cir.
advocate for pro rata allocation. Under 1981] ). Others have, instead, utilized the
this method, an insurer’s liability is limited pro rata method, emphasizing language in
to sums incurred by the insured during the the insurance policies that may be inter-
policy period; in other words, each insur- preted as limiting the ‘‘all sums’’ owed to
ance policy is allocated a ‘‘pro rata’’ share those resulting from an occurrence ‘‘during
of the total loss representing the portion of the policy period,’’ or public policy reasons
the loss that occurred during the policy supporting pro rata allocation, or a combi-
period (see Roman Catholic Diocese of nation of the two (see e.g. EnergyNorth
Brooklyn, 21 N.Y.3d at 154, 969 N.Y.S.2d Nat. Gas, Inc. v. Certain Underwriters at
808, 991 N.E.2d 666; Consolidated Edison, Lloyd’s, 156 N.H. 333, 344, 934 A.2d 517,
98 N.Y.2d at 223, 746 N.Y.S.2d 622, 774 526 [2007]; Public Serv. Co. of Colorado v.
N.E.2d 687).4 Generally, ‘‘[p]roration of lia- Wallis & Cos., 986 P.2d 924, 940 [Colo.
bility among the insurers acknowledges
Co., 138 N.J. 437, 473, S 257650 A.2d 974, 992
1999]; Owens–Illinois, Inc. v. United Ins.
the fact that there is uncertainty as to
what actually transpired during any partic- [1994]; Insurance Co. of N. Am. v. Forty–
ular policy period’’ in claims alleging a Eight Insulations, Inc., 633 F.2d 1212,
gradual and continuing harm (Consolidat- 1225 [6th Cir.1980], decision clarified on
ed Edison, 98 N.Y.2d at 224, 746 N.Y.S.2d reh. 657 F.2d 814 [6th Cir.1981], cert. de-
622, 774 N.E.2d 687). nied 454 U.S. 1109, 102 S.Ct. 686, 70
Courts of different states and federal L.Ed.2d 650 [1981] ).
jurisdictions are divided on the issue of
allocation in relation to long-tail claims. We first confronted the question of pro
Some jurisdictions have expressed a pref- rata versus all sums allocation in Consoli-
erence for the all sums method, usually dated Edison, 98 N.Y.2d at 222, 746
relying on language in policies obligating N.Y.S.2d 622, 774 N.E.2d 687. In that
an insurer to pay ‘‘all sums’’ for which an case, we applied the pro rata method to
insured becomes liable (see e.g. State of claims involving environmental contamina-
California v. Continental Ins. Co., 55 tion over a number of years and insurance
Cal.4th 186, 199, 145 Cal.Rptr.3d 1, 281 policy periods. Significantly, we did not
P.3d 1000, 1007 [2012], as mod. [Sept. 19, reach our conclusion in Consolidated Edi-
2012]; Plastics Eng’g Co. v. Liberty Mut. son by adopting a blanket rule, based on
Ins. Co., 315 Wis.2d 556, 583, 759 N.W.2d policy concerns, that pro rata allocation
613, 626 [2009]; Goodyear Tire & Rubber was always the appropriate method of di-
Co. v. Aetna Cas. & Sur. Co., 95 Ohio St.3d viding indemnity among successive insur-
512, 515, 769 N.E.2d 835, 840 [2002]; Her- ance policies. Rather, we relied on our
cules, Inc. v. AIU Ins. Co., 784 A.2d 481, general principles of contract interpreta-
4. Courts have devised different methods of 622, 774 N.E.2d 687 [2002] ). Again, we
fixing losses between policy periods (see Con- have no occasion to discuss these methods in
solidated Edison Co. of N.Y. v. Allstate Ins. this case.
Co., 98 N.Y.2d 208, 224–225, 746 N.Y.S.2d
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Session Materials ARIAS•U.S. 2017 Fall Conference
tion, and made clear that the contract lan- cantly, ‘‘surplusage [is] a result to be
guage controls the question of allocation. avoided’’ (Westview Assoc. v. Guaranty
Natl. Ins. Co., 95 N.Y.2d 334, 339, 717
[2, 3] We emphasized in Consolidated
Edison, and have reiterated thereafter, N.Y.S.2d 75, 740 N.E.2d 220 [2000] ).
that ‘‘ ‘[i]n determining a dispute over in- Moreover, while ‘‘ ‘ambiguities in an insur-
surance coverage, [courts] first look to the ance policy are to be construed against the
language of the policy’ ’’ (Roman Catholic insurer’ ’’ (Dean, 19 N.Y.3d at 708, 955
Diocese of Brooklyn, 21 N.Y.3d at 148, 969 N.Y.S.2d 817, 979 N.E.2d 1143, quotSing258
N.Y.S.2d 808, 991 N.E.2d 666, quoting Breed v. Insurance Co. of N. Am., 46
Consolidated Edison, 98 N.Y.2d at 221, N.Y.2d 351, 353, 413 N.Y.S.2d 352, 385
746 N.Y.S.2d 622, 774 N.E.2d 687; see N.E.2d 1280 [1978]; see Federal Ins. Co. v.
Selective Ins. Co. of Am. v. County of International Bus. Machs. Corp., 18
Rensselaer, 26 N.Y.3d 649, 655, 27 N.Y.3d 642, 650, 942 N.Y.S.2d 432, 965
N.Y.S.3d 92, 47 N.E.3d 458 [2016] ). We N.E.2d 934 [2012] ), a contract is not am-
did not adopt a strict rule mandating ei- biguous ‘‘if the language it uses has a
ther pro rata or all sums allocation be- definite and precise meaning, unattended
cause insurance contracts, like other by danger of misconception in the purport
agreements, should ‘‘be enforced as writ- of the [agreement] itself, and concerning
ten,’’ and ‘‘parties to an insurance arrange- which there is no reasonable basis for a
ment may generally ‘contract as they wish difference of opinion’’ (Selective Ins. Co. of
and the courts will enforce their agree- Am., 26 N.Y.3d at 655, 27 N.Y.S.3d 92, 47
ments without passing on the substance of N.E.3d 458 [internal quotation marks and
them’ ’’ (J.P. Morgan Sec. Inc. v. Vigilant citation omitted] ).
Ins. Co., 21 N.Y.3d 324, 334, 970 N.Y.S.2d In Consolidated Edison, we applied the
733, 992 N.E.2d 1076 [2013], quoting New foregoing principles to the parties’ argu-
England Mut. Life Ins. Co. v. Caruso, 73 ments in support of, and in opposition to,
N.Y.2d 74, 81, 538 N.Y.S.2d 217, 535 pro rata allocation. The arguments pre-
N.E.2d 270 [1989] ).
sented in that case, and our resulting de-
[4–6] When construing insurance poli- cision, turned exclusively upon the inter-
cies, the language of the ‘‘contracts must pretation of two phrases in the insurance
be interpreted according to common policies that were before us: (1) that an
speech and consistent with the reasonable insurer agreed to indemnify the insured
expectation of the average insured’’ (Dean for ‘‘all sums’’ for which the insured was
v. Tower Ins. Co. of N.Y., 19 N.Y.3d 704, liable and which were caused by or arose
708, 955 N.Y.S.2d 817, 979 N.E.2d 1143 out of an ‘‘occurrence’’; and (2) that the
[2012], quoting Cragg v. Allstate Indem. ‘‘policies provide[d] indemnification for lia-
Corp., 17 N.Y.3d 118, 122, 926 N.Y.S.2d bility incurred as a result of an accident
867, 950 N.E.2d 500 [2011] ). Furthermore, or occurrence during the policy period,
‘‘we must construe the policy in a way that not outside that period ’’ (Consolidated
affords a fair meaning to all of the lan- Edison, 98 N.Y.2d at 224, 746 N.Y.S.2d
guage employed by the parties in the con- 622, 774 N.E.2d 687 [emphasis added] ).
tract and leaves no provision without force The Court concluded that ‘‘[p]ro rata allo-
and effect’’ (Roman Catholic Diocese of cation under th[o]se facts, while not ex-
Brooklyn, 21 N.Y.3d at 148, 969 N.Y.S.2d plicitly mandated by the policies, [was]
808, 991 N.E.2d 666 [internal quotation consistent with the language of the poli-
marks and citations omitted] ). Signifi- cies,’’ whereas the mere use of the phrase
34
Session Materials
‘‘all sums’’ was insufficient to establish a been in place during the period of the loss’’
contrary view (98 N.Y.2d at 224, 746 (12 Couch on Insurance 3d § 169:5; see 1
N.Y.S.2d 622, 774 N.E.2d 687 [emphasis Barry R. Ostrager & Thomas R. Newman,
added] ). To be sure, we also suggested Handbook on Insurance Coverage Dis-
that, in the absence of language weighing putes § 11.02[e] [16th ed. 2013] ). Such
in favor of a different conclusion, pro rata clauses originated during the shift from
allocation was the preferable method of ‘‘accident-based’’ to ‘‘occurrence-based’’ lia-
allocation in long-tail claims in light of the bility policies in the 1960s and 1970s, and
inherent difficulty of tying specific injuries were purportedly designed to prevent any
to particular policy periods. Neverthe- attempt by policyholders to recover under
less, we recognized that ‘‘different policy a subsequent policy—based on the broader
language’’ might compel all sums alloca- definition of occurrence—for a loss that
tion (98 N.Y.2d at 223, 746 N.Y.S.2d 622, had already been covered by the prior
774 N.E.2d 687), citing, as a point of com- ‘‘accident-based’’ policy (see Jan M. Mi-
parison, to the Delaware Supreme Court’s chaels et al., The ‘‘Non–Cumulation’’
decision in Hercules, Inc. v. AIU Ins. Co., Clause: Policyholders Cannot Have Their
wherein the Delaware Court adopted the Cake and Eat It Too, 61 U. Kan. L. Rev.
all sums method (784 A.2d 481). 701, 717 [2013]; Christopher C. French,
The policy language at issue here, by The ‘‘Non–Cumulation Clause’’: An ‘‘Oth-
inclusion of the non-cumulation clauses and er Insurance’’ Clause by Another Name,
the two-part non-cumulation and prior in- 60 U. Kan. L. Rev. 375, 386 [2011] ). More
surance provisions, is substantively distin- recently, courts have been called upon to
guishable from the language that we inter- analyze the impact of these clauses on the
preted in Consolidated Edison, and the allocation question. Significantly, we have
arguments that were made to us in that enforced non-cumulation clauses in accor-
case were, likewise, different.5 Indeed, dance with their plain language (see Nes-
the excess policies before us here present mith v. Allstate Ins. Co., 24 N.Y.3d 520,
523, 2 N.Y.S.3d 11, 25 N.E.3d 924 [2014];
might compel all S 259sums allocation in Con-
the very type of language that we signaled
Hiraldo v. Allstate Ins. Co., 5 N.Y.3d 508,
solidated Edison. Inasmuch as the ques- 513, 806 N.Y.S.2d 451, 840 N.E.2d 563
tion is now squarely before us, we must [2005] ), despite the limiting impact that
determine whether the presence of a non- such clauses may have on an insured’s
cumulation clause or a non-cumulation and recovery (and, by extension, that of an
prior insurance provision mandates all injured plaintiff). However, we have nev-
sums allocation. er addressed the interplay between non-
cumulation/prior insurance provisions and
B. allocation.
[7] Generally, non-cumulation clauses Courts in other states that have ad-
prevent stacking, the situation in which dressed this issue—both those that have
‘‘an insured who has suffered a long term adopted all sums allocation and a few that
or continuous loss which has triggered cov- have followed a pro rata approach—have
erage across more than one policy period concluded that non-cumulation clauses can-
TTT wishes to add together the maximum not be reconciled with pro rata allocation.
limits of all consecutive policies that have For example, in Chicago Bridge & Iron
5. While such provisions were included in Edison, there was no reference in our deci-
some of the policies at issue in Consolidated sion to their existence.
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36
Session Materials
spite the fact that the injuries may not that all sums—not pro rata—allocation
actually be capable of being confined to was intended in such policies. The con-
specific time periods. The non-cumulation tinuing coverage clause expressly extends
clause negates that premise by presuppos- a policy’s protections beyond the policy
ing that two policies may be called upon to period for continuing injuries. Yet, under
indemnify the insured for the same loss or a pro rata allocation, no policy covers a
occurrence. Indeed, even commentators loss that began during a particular policy
who have advocated for pro rata allocation period and continued after termination of
and propounded the complications that can that period because that subsequent loss
be caused by all sums allocation have rec- would be apportioned to the next policy
ognized that non-cumulation clauses can- period as its pro rata share. Using the
not logically be applied in a pro rata alloca- pro rata allocation would, therefore, ren-
tion (see Jan M. Michaels et al., The der the continuing coverage clause irrele-
Avoidable Evils of ‘‘All Sums’’ Liability vant. Thus, presence of that clause in the
for Long–Tail Insurance Coverage Claims, respective policies further compels an in-
64 U. Kan. L. Rev. 467, 489 [2015] [‘‘Provi- terpretation in favor of all sums allocation
sions such as the non-cumulation clause (see Hercules, Inc., 784 A.2d at 493–494;
(do) not even apply and need not be ana- Dow Corning Corp. v. Continental Cas.
lyzed under pro rata allocation’’] ). In a Co., Inc., 1999 WL 33435067, *7–8, 1999
pro rata allocation, the non-cumulation Mich.App. LEXIS 2920, *23–24 [Oct. 12,
clauses would, therefore, be rendered sur- 1999, No. 200143 et al.], lv. denied 463
plus-age—a construction that cannot be Mich. 854, 617 N.W.2d 554 [2000]; Boston
countenanced under our principles of con- Gas Co. v. Century Indem. Co., 454 Mass.
tract interpretation (see Roman Catholic 337, 362, 910 N.E.2d 290, 309 [2009]; Lib-
Diocese of Brooklyn, 21 N.Y.3d at 148, 969 erty Mut. Ins. Co. v. Those Certain Under-
N.Y.S.2d 808, 991 N.E.2d 666; Consolidat- writers at Lloyds, 650 F.Supp. 1553, 1559
ed Edison, 98 N.Y.2d at 221–222, 746 [W.D.Pa.1987] ).
N.Y.S.2d 622, 774 N.E.2d 687; Westview The Excess Insurers contend that a con-
Assoc., 95 N.Y.2d at 339, 717 N.Y.S.2d 75, clusion that all sums allocation is required
740 N.E.2d 220), and a result that would would be inconsistent with the Second Cir-
conflict with our previous recognition that cuit’s holding in Olin Corp. v. American
such clauses are enforceable (see Nesmith, Home Assur. Co., 704 F.3d 89, 95 (2d
24 N.Y.3d at 523, 2 N.Y.S.3d 11, 25 N.E.3d Cir.2012) (Olin III ) and those cases that
924; Hiraldo, 5 N.Y.3d at 513, 806 have followed in its stead (see Liberty
N.Y.S.2d 451, 840 N.E.2d 563).6
S 262Several of the excess policies here
Mut. Ins. Co. v. Fairbanks Co., –––
F.Supp.3d ––––, ––––, 2016 WL 1169511,
also contain continuing coverage clauses *7 [S.D.N.Y., Mar. 22, 2016, Nos. 13–CV–
within the non-cumulation and prior insur- 3755 (JGK) & 15–CV–1141 (JGK) ]; Liber-
ance provisions, reinforcing our conclusion ty Mut. Fire Ins. Co. v. J. & S. Supply
6. Notably, the Insurers originally argued to can be given effect with pro rata allocation.
the Delaware courts that the non-cumulation Indeed, according to the Delaware Superior
clauses should not be given effect in a pro Court, even the Excess Insurers’ own witness,
rata allocation. Apparently recognizing that an insurance law professor, conceded that
this would conflict with our principles of con- non-cumulation clauses were inconsistent
tract interpretation—as the Delaware Court of with pro rata allocation (see 2013 WL
Chancery concluded—the Insurers now take 7098824, *12, 2013 Del.Super. LEXIS 615,
the position that the non-cumulation clauses *39).
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Session Materials ARIAS•U.S. 2017 Fall Conference
Corp., 2015 U.S. Dist. LEXIS 177124, *24– sion required that the losses allocated to
25 [S.D.N.Y., June 29, 2015, No. 13–CV– subsequent years be swept back into the
4784 (VSB) ] ). We discern no such imped- policy periods covering the earlier years.
iment to our holding. The excess insurer, by contrast, argued, as
In Olin I, the Second Circuit held that relevant here, that pro rata allocation was
pro rata allocation applied to distribute the inconsistent with the non-cumulation and
insured’s liability to insurance policies trig- continuing coverage clauses and, conse-
gered by soil and groundwater contamina- quently, those provisions could not be en-
tion resulting from Olin Corporation’s pes- forced in conjunction with pro rata alloca-
ticide manufacturing operations (see Olin tion.
Corp. v. Insurance Co. of N. Am., 221 F.3d The Second Circuit held that the plain
307 [2d Cir.2000] [Olin I ] ). There, the language of the continuing coverage clause
38
Session Materials
earlier holding in Olin I imposing pro which would allow the Insureds to access
rata allocation—and the fact that the re- each excess policy once the immediately
sulting allocation apportioning numerous underlying policies’ limits are depleted,
years of liability outside the policy period even if other lower-level policies during
7. While, in some situations, horizontal ex- neither method necessarily militates in favor
haustion may be beneficial to excess insurers, of insurers or insureds, with much depending
particularly where the underlying layers of on the specifics of the underlying policies and
insurance contain a non-cumulation clause, their limits.
we note that—like with the allocation issue—
39
Session Materials ARIAS•U.S. 2017 Fall Conference
vide that the insurer will pay ‘‘all sums in N.Y.S.2d 584, 684 N.E.2d 14 [1997]; State
excess of the retained limit,’’ which is de- Farm Fire & Cas. Co. v. LiMauro, 65
fined as the relevant limit of liability of N.Y.2d 369, 372, 492 N.Y.S.2d 534, 482
underlying policies, ‘‘plus all amounts pay- N.E.2d 13 [1985]; Lumbermens Mut. Cas.
able under other insurance, if any.’’ An Co. v. Allstate Ins. Co., 51 N.Y.2d 651, 435
‘‘underlying policy’’ is ‘‘a policy listed as an N.Y.S.2d 953, 417 N.E.2d 66 [1980]; Bovis
underlying policy in the declarations,’’ Lend Lease LMB, Inc. v. Great Am. Ins.
which, as already stated, includes only pol- Co., 53 A.D.3d 140, 855 N.Y.S.2d 459 [1st
icies spanning the same policy period as Dept.2008] ). Moreover, our conclusion in
the respective excess policy. Other insur- Consolidated Edison that other insurance
ance, in turn, ‘‘means any other valid and clauses are not implicated in situations in-
collectible insurance (except under an un- volving successive—as opposed to concur-
derlying policy) which is available to the rent—insurance policies finds support in
Insured, or would be available to the In- other jurisdictions (see Ohio Cas. Ins. Co.
sured in the absence of this policy.’’ The v. Unigard Ins. Co., 268 P.3d 180, 184
excess policies have similar clauses provid- [Utah 2012]; Century Indem. Co. v. Liber-
ing for such policies to be excess to other ty Mut. Ins. Co., 815 F.Supp.2d 508, 516
insurance.
S 266The Excess Insurers contend that the
[D.R.I.2011]; Westport Ins. Corp., 327
Wis.2d at 168–169, 787 N.W.2d at 919;
‘‘other insurance’’ available to the Insureds Boston Gas Co., 454 Mass. at 361, 910
includes coverage provided by successive N.E.2d at 308 [the ‘‘other insurance’’ claus-
insurance policies. Their argument in this es simply reflect a recognition of the many
regard is not completely baseless (see Dow situations in which concurrent, not succes-
Corning Corp., 1999 WL 33435067, *9, sive, coverage would exist for the same
1999 Mich.App. LEXIS 2920, *26–29; loss]; LSG Tech., Inc. v. United States
United States Gypsum Co. v. Admiral Ins. Fire Ins. Co., 2010 WL 5646054, *12, 2010
Co., 268 Ill.App.3d 598, 653, 205 Ill.Dec. U.S. Dist. LEXIS 140879, *33–35
619, 643 N.E.2d 1226, 1261 [1994], lv. de- [E.D.Tex., Sept. 2, 2010, No. 2:07–CV–399–
nied 161 Ill.2d 542, 649 N.E.2d 426 DF]; Owens–Illinois, Inc. v. United Ins.
[1995] ). However, we stated in Consoli- Co., 138 N.J. 437, 470, 650 A.2d 974, 991
dated Edison that ‘‘other insurance’’ claus- [1994] ).
es ‘‘apply when two or more policies pro-
vide coverage during the same period, and Here, the Insureds are not seeking mul-
they serve to prevent multiple recoveries tiple recoveries from different insurers un-
from such policies,’’ and that such clauses der concurrent policies for the same loss,
‘‘have nothing to do’’ with ‘‘whether any and the other insurance clause does not
coverage potentially exist[s] at all among apply to successive insurance policies (see
certain high-level policies that were in Consolidated Edison, 98 N.Y.2d at 223,
force during successive years’’ (Consoli- 746 N.Y.S.2d 622, 774 N.E.2d 687). Thus,
dated Edison, 98 N.Y.2d at 223, 746 in light of the language in the excess poli-
40
Session Materials
,
Sex Offender Registration Act (SORA),
the hearing court weighs the aggravating
or mitigating factors alleged by the depar-
ture-requesting party to assess whether,
under the totality of the circumstances, a
departure is warranted. McKinney’s Cor-
rection Law § 168–n(3).
41
Session Materials ARIAS•U.S. 2017 Fall Conference
PRESENTED BY:
Steve Kennedy, Clyde & Co.
Diane Nergaard, ARIAS•U.S. Certified Arbitrator
Jane Parker, W. R. Berkley Corporation
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Session Materials
1. INTRODUCTION
1.1 These procedures shall be known as the ARIAS • U.S. Streamlined Rules for
the Resolution of U.S. Insurance and Reinsurance Disputes (“Rules”) and
shall apply only to claims for monetary relief and where the amount in dispute
is $1,000,000 or less or in any other cases where the parties agree. For
purposes of calculating the amount in dispute, the affirmative claims of both
Parties to the arbitration, as of the time of the Organizational Meeting, not
including interest, will be considered separately and independently of one
another and will not be combined together to arrive at the total amount in
dispute. After the Organizational Meeting, the Umpire has the discretion to
permit a party to increase its affirmative claim in excess of the $1,000,000
limit up to a total amount of $2 million upon a showing of good cause.
1.2 Any dispute concerning the interpretation of these Rules shall be determined
by the Umpire.
1.3 The Umpire shall have all powers and authority not inconsistent with these
Rules, the agreement of the Parties, or applicable law.
2. DEFINITIONS
2.1 The definitions in Rule 2 of the ARIAS • U.S. Rules for the Resolution of
U.S. Insurance and Reinsurance Disputes in effect at the time the Parties adopt
these Rules are incorporated by reference into these Rules.
3.1 Rule 3 (Notice and Time Periods) of the ARIAS • U.S. Rules for the
Resolution of U.S. Insurance and Reinsurance Disputes in effect at the time
the Parties adopt these Rules is incorporated by reference into these Rules.
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Session Materials ARIAS•U.S. 2017 Fall Conference
4.2 The arbitration is commenced under these Rules on the date the Respondent,
or its designated representative, receives the Notice of Arbitration.
5. RESPONSE BY RESPONDENT
5.1 Parties who receive a Notice of Arbitration shall respond to it, in writing,
within thirty (30) days, and such Response shall contain (1) the identification
of the entities on whose behalf the Response is sent and the name of the
contact person to whom all communications are to be addressed (including
telephone and e-mail information); (2) a short and plain response to the
Petitioner’s statement of the nature of its claims and/or issues; and (3) a short
and plain statement of any claims and/or issues asserted by Respondent
against Petitioner, including the amount in dispute.
6.1 The arbitration shall be conducted by a single umpire. The Parties may
mutually agree on a single umpire. If the Parties are unable to do so within
thirty (30) days of the response by the respondent referred to in ¶ 5.1, each
Party will select four (4) Umpire candidates from the list of the ARIAS • U.S.
Certified Arbitrators. The Parties will jointly send Umpire questionnaire
forms (ARIAS • U.S. form, unless otherwise agreed) to the eight (8) selected
Umpire candidates for completion and simultaneous return to the Parties
within ten (10) days. Within seven (7) days after receipt of completed
questionnaires, each Party will strike three (3) names from the other Party’s
list and simultaneously exchange the name of the remaining candidates. The
Parties will select the Umpire from among the remaining two (2) candidates
by drawing lots or another method acceptable to both Parties.
6.2 Unilateral contact between a Party or its representative(s) on the one hand,
and an individual considered for appointment as an Umpire on the other hand,
shall not be permitted.
6.4 Unless otherwise awarded by the Umpire pursuant to ¶ 8.2 or ¶ 11.7, each
Party shall share equally the cost of the Umpire.
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Session Materials
7. CONFIDENTIALITY
7.1 Unless otherwise agreed by the Parties, or ordered by the Umpire upon the
motion of a Party and a showing of good cause, all meetings and hearings
with the Umpire are private and confidential to the Parties. Only the Umpire,
the Parties, the duly authorized representatives of the Parties and others
participating in the proceedings may be admitted to meetings and hearings. If
the Parties agree that any meeting or hearing is to be non-confidential, they
shall inform the Umpire of their agreement as soon as reasonably practical
after reaching it.
7.2 Unless otherwise agreed by the Parties, or ordered by the Umpire upon the
motion of a Party and a showing of good cause, the Umpire and the Parties
shall use their best efforts to maintain the confidential nature of the arbitration
proceedings and any Decision, including the hearing and any written
explanation of any Decision, except (a) as necessary in connection with a
judicial proceeding relating to the arbitration or any Decision; (b) as otherwise
required by law, regulation, independent accounting audit or judicial decision;
(c) if the arbitration proceedings relate to a direct insurance dispute, then to
support the insurer's reinsurance recoveries; (d) if the arbitration proceedings
relate to a reinsurance dispute, then to support the reinsurer's retrocessional
recoveries; or (e) as otherwise agreed by the Parties. The Parties shall use
their best efforts to maintain this confidentiality when pursuing any of the
exceptions set forth in this paragraph, including the filing of pleadings under
seal when permitted.
8. INTERIM DECISIONS
8.1 The Umpire may issue Decisions for interim relief. Consistent with ¶¶ 9.7
and 10.4, respectively, the Parties are not permitted to make motions on the
merits or formal discovery motions.
8.2 The Umpire shall have the power to impose sanctions for failure to comply
with an interim Decision by the Umpire or for discovery-related abuse. Such
possible sanctions may include but are not limited to: striking a claim or
defense; excluding evidence on an issue; drawing an adverse inference against
a Party; and imposing costs, including attorneys’ fees, associated with such
abuse or failure to comply.
9. PRE-HEARING PROCEDURE
9.1 The Umpire shall conduct an Organizational Meeting with the Parties and any
authorized representatives of the Parties for the purposes of clarifying the
focus of the arbitration hearing, resolving any outstanding issues relating to
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Session Materials ARIAS•U.S. 2017 Fall Conference
the conduct of the hearing and establishing a schedule for the conduct of the
proceedings in general.
9.2 The Organizational Meeting shall be held as soon as possible after the
selection of the Umpire but in no event shall it be held later than thirty (30)
days after the selection of the Umpire. The Umpire shall take into
consideration this and other scheduling requirements set forth in these Rules
when accepting appointments. The parties will jointly advise umpire
candidates either in the umpire questionnaire or some other communication of
the scheduling requirements that must be taken into consideration when
accepting appointments. Unless the Umpire orders otherwise, the
Organizational Meeting shall be conducted by video conference or
telephonically.
9.3 Prior to the Organizational Meeting, the Parties shall confer and seek
agreement on all issues that are expected to be considered at the
Organizational Meeting, with a focus on those items identified in ¶ 9.7.
9.4 Five (5) days prior to the Organizational Meeting, each Party shall submit a
position statement to the Umpire. The position statement shall not exceed five
double-spaced pages in length using 12 point font of the Times New Roman,
Courier or similar business-oriented type face variety. With the exception of
the insurance or reinsurance contract(s), exhibits to the position statement
shall not be permitted, unless expressly requested by the Umpire or agreed by
the Parties. If requested by the Umpire, permissible exhibits may include, as
applicable, only: (a) the billing(s) and documents provided specifically in
support of the billing(s) or, where the dispute does not concern a billing, such
documents that specifically relate and succinctly capture the disputed issue;
(b) correspondence between the Parties specifically relating to the matter in
dispute; and (c) depending upon the nature of the dispute, the category or
categories of documents determined by the Umpire or as mutually agreed by
the Parties to be relevant to the specific matter in dispute.
9.5 At the Organizational Meeting, the Umpire shall reveal on the record his or
her past, present and any known future business and personal relationships
with the Parties, the Parties’ counsel, and with potential witnesses if identified
in documents provided to the Umpire. Once disclosures have been made by
the Umpire, Parties may be asked by the Umpire to accept his or her service as
Umpire in the arbitration. The Umpire shall have a continuing obligation to
disclose such information to the Parties.
9.6 At the Organizational Meeting, and prior to any request that the Parties accept
the Umpire's service in the arbitration, the Umpire shall disclose whether any
Party representative, or counsel contacted him or her regarding any work done
in return for compensation (e.g., service on a Panel, expert work, consulting
work) to the extent not already disclosed in his or her completed ARIAS•U.S.
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Session Materials
9.7 At the Organizational Meeting, the Umpire shall set a schedule for the
arbitration. The schedule shall include: (1) a date certain for the hearing on
the merits; and (2) a date for the exchange of documents based on the
categories outlined in ¶ 10.1 and as determined by the Umpire at the
Organizational Meeting. At the Organizational Meeting, the Umpire may
address any other matters relating to scheduling, discovery and the
administration of the arbitration, including Hold Harmless or indemnification
agreements from the Parties flowing to the Umpire and whether the ARIAS •
U.S. form agreement should be used as well as confidentiality agreements to
ensure the confidentiality provided in Article 7.
9.9 The Umpire may allow the Parties to present a brief overview of the matters
set forth in ¶ 9.4, whether or not written submissions were requested or
received by the Umpire.
10. DISCOVERY
10.2 The Umpire shall have additional discretion regarding document discovery on
the following categories of documents: (a) documents relating to other
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10.3 Documents required under ¶ 10.1 shall be exchanged by the Parties no later
than sixty (60) days after the Organizational Meeting. If any document is
withheld from production under ¶ 10.1 pursuant to a claim of attorney-client
privilege, work product, or other applicable privilege or protection, the Party
asserting such claim shall, contemporaneously with its document production,
serve upon the other Party a privilege log meeting the requirements of Fed. R.
Civ. P. 26(b)(5). If a Party does not have a particular category of documents,
then they shall so state to the other Party and the Umpire. The Parties may
mutually agree to expand or restrict the categories of documents to be
produced. Any such agreement shall be in writing and communicated to the
Umpire. If a Party fails to produce documents in one of the predetermined
categories, or to state the non-existence of such documents, the Umpire may
make an adverse inference against the non-producing Party.
10.5 Depositions shall not be permitted without leave of the umpire, which will be
granted for good cause shown. No more than two (2) depositions will be
permitted per side and no deposition shall last more than seven (7) hours.
Depositions will be completed no later than ninety (90) days after the
Organizational Meeting.
11.1 The hearing on the merits shall be set no later than one hundred and eighty
(180) days after the Organizational Meeting. The hearing shall be scheduled
for one (1) day and shall be held in the location specified in the Arbitration
Agreement or as otherwise agreed by the Parties; if the Arbitration Agreement
is silent on the location and the Parties cannot otherwise agree, the location
shall be selected by the Umpire, after consultation with the Parties. The
Parties may agree with the Umpire to conduct the hearing by video conference
or telephonically. If the hearing is to be held in person, the Umpire shall
permit the Parties or witnesses so choosing, if any, to appear at the hearing by
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video conference or telephonically. The hearing shall last for no longer than
eight (8) hours, excluding breaks, and no live testimony shall be given at the
hearing, unless mutually agreed by the Parties or requested by the Umpire.
The remainder of the rules and procedures governing the hearing shall be
established by the Umpire, provided said rules and procedures do not
contravene these Rules.
11.2 All principal briefs, documents in support, and deposition transcripts shall be
provided to the Umpire no later than twenty (20) days prior to the hearing.
Principal briefs shall be limited to ten (10) double-spaced pages in length
using 12 point font of the Times New Roman, Courier or similar business-
oriented type face variety. Documents in support of a Party’s position shall be
limited to documents exchanged in discovery. The entirety of a deposition
video or transcript shall be provided to the Umpire. No later than fifteen (15)
business days prior to the hearing, a Party may, but is not required to, submit a
reply brief to the Umpire. The reply brief, if any, shall be limited to three (3)
double-spaced pages in length.
11.3 No evidence from expert witnesses shall be submitted by the parties to the
Umpire.
11.4 After receiving the Parties’ submissions, the Umpire shall decide whether an
in-person hearing is required and if so, whether live testimony shall be
permitted. If the Umpire decides that an in-person hearing is not required, he
or she shall inform the Parties at least ten (10) business days prior to the
scheduled hearing.
11.5 Within three (3) business days prior to the hearing, the Umpire may, but is not
required to, submit questions or topics that any he or she would like the
parties to address at the hearing. Notwithstanding a request from the Umpire
for certain questions or topics to be addressed at hearing, no additional
briefing shall be permitted.
11.6 The decision or award by the Umpire shall not have any res judicata or
collateral estoppel effect.
11.7 The Umpire is authorized to award monetary damages, pre- or post award
interest, costs of arbitration and attorneys’ fees. The Umpire may not award
declaratory relief, injunctive relief, rescission or any other equitable relief.
The Umpire may not make findings of bad faith or award punitive damages.
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The AIRROC Dispute Resolution Procedure (the “Procedure”) was developed in 2008 and 2009
by a subcommittee of AIRROC’s Legislative and Amicus Committee. The Procedure is intended
especially for less-complicated disputes, or those that would be cost-prohibitive to submit to
plenary industry arbitration practices. It is expected that the Procedure will be of interest and
serve as a valuable tool to parties able to agree on a more expedited method of resolution. The
parties must agree on what specific disputes will be submitted for resolution under these rules.
Below is the September 2014 Edition of the Procedure, which will be amended from time to
time.
I. Arbitrator List
A. AIRROC shall maintain and periodically update a list of arbitrators (the “List”), which
together with arbitrator resumes will be available on its website. To be considered for
inclusion, an applicant must complete an Arbitrator Application (Form 1) and submit it to
AIRROC’s Executive Director, along with a current resume. The required qualifications
are: (1) certification in good standing by ARIAS*U.S. to serve as an arbitrator; or (2) at
least ten years’ employment by one or more insurance or reinsurance companies or other
entities in an insurance group, including companies in run-off or receivership and risk-
bearing syndicates. ARIAS-certified arbitrators will be designated with an asterisk on the
List.
B. AIRROC reserves the right at any time to: (1) approve or disapprove a candidate’s
application for inclusion on the List; (2) remove an arbitrator’s name from the List; or (3)
amend the criteria for inclusion (including retroactive application to persons who qualified
under previous criteria).
C. Notwithstanding the above, AIRROC relies on the information provided by applicants and
makes no representations whatsoever regarding the accuracy or completeness thereof.
D. Commencing January 1, 2015, AIRROC will periodically contact all of its approved
arbitrators to certify/update contact information. As part of that process, arbitrators will be
asked to state how many times in the last calendar year he/she was appointed as an
arbitrator pursuant to the Procedures.
A. To initiate use of the Procedure, the parties must jointly complete an Initiation of
Proceedings Form (“IOPF”) (Form 2). The IOPF requires the parties, among other things,
to identify the contract or contracts at issue in the arbitration; to stipulate to the claim(s)
and any counterclaim(s) to be arbitrated; and to state the principal amount sought in respect
of each claim and any counterclaim to the extent possible. The IOPF will thus define the
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parameters of the dispute, the subject matter of the arbitration, and the scope of the
arbitrator’s authority. In agreeing to be bound by the Procedure, the parties stipulate that
the arbitration will be strictly limited to the subject matter identified in the IOPF, absent
their written agreement to an extension or change.
B. The parties are encouraged to discuss at the outset their respective views and expectations
on significant issues, including: (1) the substantive issues in dispute; (2) the contemplated
need for documents or other discovery (especially important given the consensual nature of
discovery under these rules); (3) whether any party expects to submit its case via in-house
or outside counsel; and (4) the need, length, and form of any evidence to be presented at a
hearing. It is recommended that the parties shall have discussed each of these points before
agreeing to use the Procedure.
D. The parties are encouraged to reach agreement on the arbitrator without AIRROC’s
involvement. Where the parties can agree on the arbitrator at the outset of the proceeding,
they should proceed with arbitration under these rules without informing AIRROC or
submitting the documents described in Paragraph C, above. An alternative Arbitrator
Referral & Disclosure Form designed to assist the parties in selecting an arbitrator by
consent is attached as Form 3B. No party shall have ex parte communications with any
prospective arbitrator.
E. The parties shall send the completed IOPF to the arbitrator no later than the time of his or
her selection.
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remaining in contention and provide copies of such candidates’ completed statements and
resumes.
B. Next, not later than one week after the above notification from AIRROC, the parties will
simultaneously exchange their respective choices of just over half of the remaining names
as acceptable arbitrator candidates. For example, if 11 of the original 15 candidates remain
in contention, each party will select six names. This process will result in at least one match
among the parties’ selections. If there is just one match, then that person shall be the
arbitrator. If there is more than one match, then the parties will notify
AIRROC’s Executive Director, and AIRROC will have the arbitrator chosen by lot from
the parties’ matched selections.
D. No party shall have ex parte communications with any prospective arbitrator during the
selection process described herein.
C. Preliminary Relief: There shall be no motions or applications for preliminary relief, unless
the parties agree otherwise.
D. Hearing: The dispute shall be submitted to the arbitrator on briefs and documentary
evidence only (i.e., no live witness testimony), unless the parties agree otherwise. Oral
argument or presentations on the briefs and documents submitted may be directed by the
arbitrator in his or her discretion, or when requested jointly by the parties. The duration of
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any argument or presentations, together with any live witness testimony agreed to by the
parties (all of which shall be referred to collectively as the “Hearing”), shall not exceed one
day, unless the parties agree otherwise, or the arbitrator considers additional oral
presentations or additional live witness testimony necessary for the proper resolution of the
dispute.
E. Affidavits: The arbitrator will have authority to determine whether affidavits will be
permitted and, if so, what rules will be followed as to such affidavits regarding their
subject matter, scope, timing, rebuttal, and the like.
F. Award: The arbitrator shall render a written award not later than 30 days after the
submission of briefs or the conclusion of the Hearing, if any. Such award will set forth the
disposition of the claims(s) and any counterclaim(s) asserted and the relief granted,
if any. However, the arbitrator will not issue a “reasoned” award, unless the parties agree
otherwise.
G. Communications: No party shall at any time from the commencement of the arbitrator
selection process have ex parte communications with the arbitrator concerning any aspect
of the proceeding.
V. Fees
A. Arbitrator Fees: The arbitrator shall charge an hourly rate of $150, which will be
apportioned equally among the parties. In addition, each party shall bear an equal share of
the arbitrator’s reasonable expenses. Upon the arbitrator’s initial selection, each party shall
pay a $2,000 retainer to the arbitrator. Half of the retainer ($1,000 per party) will be non-
refundable to the parties and kept by the arbitrator as minimum compensation regardless of
the length of the proceeding. The retainer will be applied to the arbitrator’s final statement
for services rendered at the conclusion of the proceeding, with any balance returned at that
time, subject to the above minimum. All fees of the arbitrator will be paid directly to the
arbitrator.
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VI. Confidentiality
A. Unless the parties agree otherwise in writing, the parties and arbitrator (including all
prospective arbitrators) agree to maintain the confidentiality of all papers, communications,
statements, submissions, materials, processes, orders, and awards (“Information”) in
connection with the arbitration. Confidentiality of the Information will remain in effect after
conclusion of the arbitration. Disclosure of any Information may be made only to the extent
necessary:
(iii) to seek recovery from retrocessionaires regarding the subject matter of the arbitration;
or
(iv) to comply with lawful subpoenas or orders of any court or other arbitration panel.
B. The parties will make good faith efforts to limit the extent of any disclosure of the
Information and will cooperate with each other in resisting or limiting disclosure to the
extent reasonable and appropriate.
B. The arbitrator agrees not to assert any claim, file any suit, or initiate any action of any kind
against AIRROC or its officers, principals, directors, employees, agents, representatives,
and affiliates concerning any matter arising from the Procedure or an arbitration
thereunder, including any derivative claim for a suit or action brought against the arbitrator
or any claim by the arbitrator to collect unpaid fees.
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D. Nothing in this section shall abridge any right that a party may have with respect to another
party to seek to enforce, confirm, vacate, or modify any order or award that the arbitrator
may render, or any right of the arbitrator to collect fees due from a party.
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PRESENTED BY:
Don Frechette, Locke Lord LLP
Christopher Bello, General Re Life Corporation
Jonathan Rosen, Arbitration, Mediation and Expert Witness Services
Aimee Hoben, The Hartford
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PRESENTED BY:
Patricia Fox, AIG
Chuck Ehrlich, ARIAS•U.S. Certified Arbitrator
Nick Cramb, Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
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1. Federal Rule of Evidence 501 provides, "in a civil case, state law governs
privilege regarding a claim or defense for which state law supplies the rule
of decision.”
2. "The lawyer-client privilege rests on the need for the advocate and
counselor to know all that relates to the client’s reasons for seeking
representation if the professional mission is to be carried out.” Trammel v.
United States, 445 U.S. 40, 51 (1980).
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3. “The privilege applies only if (1) the asserted holder of the privilege is or
sought to become a client; (2) the person to whom the communication was
made (a) is a member of the bar of a court, or his subordinate and (b) in
connection with this communication is acting as a lawyer; (3) the
communication relates to a fact of which the attorney was informed (a) by
his client (b) without the presence of strangers (c) for the purpose of
securing primarily either (i) an opinion on law or (ii) legal services or (iii)
assistance in some legal proceeding, and not (d) for the purpose of
committing a crime or tort; and (4) the privilege has been (a) claimed and
(b) not waived by the client.” U.S. v. United Shoe Machinery Corp., 89
F.Supp. 357, 358-59 (D. Mass. 1950); see also People v. Mitchell, 58
N.Y.2d 368, 373 (1983).
7. The test when the communication involves a mixture of legal and business
considerations is whether the legal character of the communication is
“predominant.” Rossi v. Blue Cross and Blue Shield of Greater New York,
73 N.Y.2d 588, 594 (1989); United States v. Davis, 131 F.R.D. 391, 401
(S.D.N.Y. 1990); In re Currency Conversion Fee Antitrust Litig., 2002
U.S.Dist.LEXIS 21196, at *5-6 (S.D.N.Y. Nov. 1, 2002).
9. The mere delivery of a document to the attorney does not make it privileged.
King v. Ashley, 96 A.D. 143, 146 (1904).
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2. the party seeking discovery shows that it (i) has a “substantial need” for the
materials and cannot obtain their equivalent without “undue hardship”
3. BUT, even if this showing (substantial need and undue hardship) is made,
in ordering discovery, the court “must protect against disclosure of the
mental impressions, conclusions, opinions, or legal theories of a party's
attorney or other representative concerning the litigation.”
FRCP 26(b)(3)(B)
III. Waiver
1. “‘At issue’ waiver of privilege occurs where a party affirmatively places the
subject matter of its own privileged communication at issue in litigation, so
that invasion of the privilege is required to determine the validity of a claim
or defense of the party asserting the privilege, and application of the
privilege would deprive the adversary of vital information.” Deutsche Bank
Trust Co. of Americas v. Tri-Links Inv. Trust, 43 A.D.3d 56, 63-64 (1st
Dept. 2007).
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b. A party does not put its privileged communications "at issue" merely
by alleging that it was, for instance, not negligent, or that it did not
engage in willful misconduct. See Bank of New York v. River
Terrace Associates, LLC, 23 A.D.3d 308, 311 (1st Dept. 2005);
American Re-Insurance Co. v. U.S. Fidelity & Guar. Co., 40 A.D.3d
486, 492 (1st Dept. 2007) (Ceding insurer does not put privileged
communications at issue merely by alleging that its settlement was
reasonable and in good faith, nor are the communications put in
issue by reinsurer’s contention that a portion of the payment was
made in settlement of bad faith claims).
4. A cedent does not waive the privilege by seeking coverage under its
reinsurance. AIU Insurance Company v. TIG Insurance Co., 2008 WL
5062030, *12-13 (S.D.N.Y. 2008).
2. Exceptions
a. Inadvertent disclosure
b. Common Interest
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(2) The New York Court of Appeals recently held that the
common interest doctrine permits a limited disclosure of
confidential communications only to parties who share (i) “a
common legal (as opposed to business or commercial)
interest” (ii) “in pending or reasonably anticipated
litigation.” Ambac Assur. Corp. v Countrywide Home
Loans, Inc., 27 N.Y. 3d 616, 622 (2016).
(3) In light of Ambac and other courts finding that cedents and
reinsurers do not share a common interest, cedents risk
waiving the attorney-client privilege by sharing privileged
communications with reinsurers. See, e.g., Mass. Bay Ins.
Co. v. Stamm, 700 N.Y.S.2d 707, 708 (App. Div. 2000)
(“the insurers waived any attorney-client privilege with
respect to documents transmitted to the reinsurers”);
Progressive Casualty Insurance Co. v. Federal Deposit
Insurance Corp, 49 F. Supp. 3d 545 (N.D. Iowa Oct. 3,
2014) (“Progressive also failed to establish that an
agreement between it and its reinsurers established a
'cooperative and common enterprise towards an identical
legal strategy.’”); Bancinsure, Inc. v. McCaffree (D. Kan.
Oct. 4, 2013) (same).
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(5) Even where there is a common interest, the doctrine does not
provide a means for one party to force production of the
privileged documents of another. See, e.g., Am. Re-
Insurance Co. v. United States Fid. & Guar. Co., 40 A.D.3d
486, 491 (App. Div. 1st Dept. 2007) (“the parties' interests
in the present action are indisputably adverse, and the mere
fact that they shared an interest in the eventual outcome of
the underlying coverage litigation is not sufficient to create
a common interest so as to defeat USF & G's claimed
privileges.”)
C. Audit Rights
b. "Paragraphs four and five of the arbitration award discuss the access
to records arguments, stating in part: 'The Access to Records clause
does not grant Respondents access to Petitioners' documents
protected by the attorney-client privilege or the work product
doctrine (hereinafter "Confidential Material"). Petitioners have sole
discretion to determine the extent to which access to and copies of
Confidential Material will be provided.'" Liberty Mut. Ins. Co. v.
Nationwide Mut. Ins. Co. 87 Mass.App.Ct. 1127, fn. 4 (2015)
(affirming arbitration award denying access to privileged
documents).
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IV. Conclusion
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PRESENTED BY:
Nina Caroselli, RiverStone Resources, LLC
John F. Chaplin, Compass Reinsurance Consulting LLC
Catherine Isely, Butler Rubin Saltarelli & Boyd LLP
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In Breakout Session #1, panelists will present participants with a series of evidentiary disputes
that arise in a hypothetical arbitration between a policyholder and its insurer. Participants will
then rule anonymously through live e-polling.
Panelists will presume participants are familiar with the attached hypothetical, which provides
background facts necessary to make considered rulings on the evidentiary disputes. To simulate
the speedy rulings arbitrators must make at hearing, the actual evidentiary disputes will not be
presented in advance. The outline below provides guidance that participants may find useful in
preparing to rule.
Following a review of voting results on the evidentiary disputes, panelists and participants will
discuss how a court hearing a motion to vacate might consider challenges to participants’ rulings.
Sample Clause: The Arbitration Panel shall not be obligated to follow the strict
rules of law or evidence.
1
These written materials, and any associated commentary as part of Breakout Session #1, are provided for general
educational purposes. They are not intended to be, and should not be taken as, legal advice. Positions described in
these materials or by the presenters during Breakout Session #1 are offered for discussion purposes, and do not
necessarily reflect those of the presenters or their organizations or clients.
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* * *
14.2 The Panel may decide whether and to what extent there should be oral
or written evidence or submissions.
14.3 The Panel shall not be obligated to follow the strict rules of law or
evidence.
* * *
14.4 Subject to the control of the Panel, the Parties may question any
witnesses who appear at the hearing. Panel members may also question
such witnesses.
* * *
14.6 The Panel shall require that witnesses testify under oath, unless
waived by all Parties. The Panel shall have the discretion to permit
testimony by telephone, affidavit, or recorded by transcript, videotape, or
other means, and may rely upon such evidence as it deems appropriate.
Where there has been no opportunity for cross examination by the other
Party, such evidence may be permitted by the Panel only for good cause
shown. The Panel may limit testimony to exclude evidence that would be
immaterial or unduly repetitive, provided that all Parties are afforded the
opportunity to present material and relevant evidence.
* * *
14.8 When the Panel decides that all relevant and material evidence and
arguments have been presented, the Panel shall declare the evidentiary
portion of the hearing closed.
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for each party shall also submit to questions from the arbitrator and the
adverse party. The arbitrator has the discretion to vary this procedure,
provided that the parties are treated with equality and that each party has
the right to be heard and is given a fair opportunity to present its case.
(b) The arbitrator, exercising his or her discretion, shall conduct the
proceedings with a view to expediting the resolution of the dispute and
may direct the order of proof, bifurcate proceedings and direct the parties
to focus their presentations on issues the decision of which could dispose
of all or part of the case.
(c) When deemed appropriate, the arbitrator may also allow for the
presentation of evidence by alternative means including video
conferencing, internet communication, telephonic conferences and means
other than an in-person presentation. Such alternative means must afford a
full opportunity for all parties to present any evidence that the arbitrator
deems material and relevant to the resolution of the dispute, and, when
involving witnesses, provide an opportunity for cross-examination.
(d) The parties may agree to waive oral hearings in any case and may also
agree to utilize the Procedures for Resolution of Disputes Through
Document Submission, found in Rule E-6.
R-34. Evidence
(a) The parties may offer such evidence as is relevant and material to the
dispute and shall produce such evidence as the arbitrator may deem
necessary to an understanding and determination of the dispute.
Conformity to legal rules of evidence shall not be necessary. All evidence
shall be taken in the presence of all of the arbitrators and all of the parties,
except where any of the parties is absent, in default, or has waived the
right to be present.
(b) The arbitrator shall determine the admissibility, relevance, and
materiality of the evidence offered and may exclude evidence deemed by
the arbitrator to be cumulative or irrelevant.
(c) The arbitrator shall take into account applicable principles of legal
privilege, such as those involving confidentiality of communications
between a lawyer and client.
(d) An arbitrator or other person authorized by law to subpoena witnesses
or documents may do so upon the request of any party or independently.
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CANON II
FAIRNESS: Arbitrators shall conduct the dispute resolution process in a fair
manner and shall only serve in those matters in which they can render a just
decision. If at any time the arbitrator is unable to conduct the process fairly or
render a just decision, the arbitrator should withdraw.
CANON VII
ADVANCING THE ARBITRAL PROCESS: Arbitrators shall exert every
reasonable effort to expedite the process and to promptly issue procedural
communications, interim rulings, and written awards.
* * *
Comment 5. Arbitrators may question fact witnesses or experts during the hearing
for explanation and clarification to help them understand and assess the testimony;
however, arbitrators should refrain from assuming an advocacy role and should
avoid interrupting counsel’s examination unless clarification is essential at the time.
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RULE 611. Mode and Order of Examining Witnesses and Presenting Evidence
(a) Control by the Court; Purposes. The court should exercise reasonable
control over the mode and order of examining witnesses and presenting evidence
so as to:
(1) make those procedures effective for determining the truth;
(2) avoid wasting time; and
(3) protect witnesses from harassment or undue embarrassment.
(b) Scope of Cross-Examination. Cross-examination should not go beyond
the subject matter of the direct examination and matters affecting the witness’s
credibility. The court may allow inquiry into additional matters as if on direct
examination.
(c) Leading Questions. Leading questions should not be used on direct
examination except as necessary to develop the witness’s testimony. Ordinarily,
the court should allow leading questions:
(1) on cross-examination; and
(2) when a party calls a hostile witness, an adverse party, or a witness
identified with an adverse party.
A. RELEVANCE
Advisory Committee Notes: “. . . The fact to which the evidence is directed need
not be in dispute. While situations will arise which call for the exclusion of
evidence offered to prove a point conceded by the opponent, the ruling should be
made on the basis of such considerations as waste of time and undue prejudice
(see Rule 403), rather than under any general requirement that evidence is
admissible only if directed to matters in dispute. Evidence which is essentially
background in nature can scarcely be said to involve disputed matter, yet it is
universally offered and admitted as an aid to understanding. . .”
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Advisory Committee Notes: “The case law recognizes that certain circumstances
call for the exclusion of evidence which is of unquestioned relevance. These
circumstances entail risks which range all the way from inducing decision on a
purely emotional basis, at one extreme, to nothing more harmful that merely
wasting time, at the other extreme. Situations in this area call for balancing the
probative value of and need for the evidence against the harm likely to result from
its admission. . . . While it can scarcely be doubted that claims of unfair surprise
may still be justified despite procedural requirements and instrumentalities of
discovery, the granting of a continuance is a more appropriate remedy than
exclusion of evidence. . . .”
B. RELIABILITY
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RULE 801. Definitions That Apply to This Article; Exclusions from Hearsay
* * *
(c) Hearsay. “Hearsay” means a statement that:
(1) the declarant does not make while testifying at the current trial or
hearing; and
(2) a party offers in evidence to prove the truth of the matter asserted
in the statement.
* * *
RULE 803. Exceptions to the Rule Against Hearsay – Regardless of Whether the
Declarant Is Available as a Witness
* * *
(5) Recorded Recollection. A record that:
(A) is on a matter the witness knew about but now cannot recall well
enough to testify fully and accurately;
(B) was made or adopted by the witness when the matter was fresh in
the witness’s memory; and
(C) accurately reflects the witness’s knowledge.
If admitted, the record may be read into evidence but may be received as
an exhibit only if offered by an adverse party.
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Petroleum Separating Co. v. Interamerican Ref. Corp., 296 F.2d 124 (2d Cir. 1961)
(affirming district court’s denial of motion to vacate award, explaining that arbitrators
were entitled to accept hearsay evidence from both parties and cautioning that parties
who “wish to rely on such technical objections . . . should not include arbitration clauses
in their contracts”).
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In re Compudyne Corp., 255 F. Supp. 1004 (E.D. Pa. 1966) (denying motion to vacate
award, despite arbitrator’s exclusion of other project testimony as irrelevant and alleged
admission as hearsay, explaining that “[m]ere errors on points of evidence have never
been considered adequate grounds for the vacation of an award”).
Barker v. Gov’t Emps. Ins. Co., 339 F. Supp. 1064 (Dist. D.C. 1972) (denying motion to
vacate award, finding that party’s assertion that arbitrator abused his authority in
admitting certain hospital records into evidence was “entirely lacking in merit”).
Farkas v. Receivable Fin. Corp., 806 F. Supp. 84 (E.D. Va. 1992) (enforcing arbitration
award, holding that “as a matter of law, the arbitrators did not exceed their power by
considering hearsay evidence”).
Warnes, S.A. v. Harvic Int’l, Ltd., No. 92 Civ. 5515(RWS), 1995 WL 261522 (S.D.N.Y.
May 4, 1995) (denying motion to vacate award, where party failed to show that
arbitrator’s refusal to hear rebuttal testimony resulted in fundamentally unfair trial).
Areca, Inc. v. Oppenheimer & Co., 960 F. Supp. 52 (S.D.N.Y. 1997) (denying motion to
vacate award for refusal to permit CFO’s testimony, because testimony would have been
either cumulative of other evidence or documentary evidence or simply irrelevant and
scope of inquiry afforded petitioners was sufficient to enable the arbitrators to make an
informed decision and to provide petitioners a fundamentally fair hearing).
Nationwide Mut. Ins. Co. v. First State Ins. Co., 213 F. Supp. 2d 10 (D. Mass. 2002)
(denying petition to vacate, finding that cedent had received a full and adequate hearing
on aggregation issue following two years of discovery, briefing and three days of
evidence, and panel’s denial of motion to reopen discovery was reasonable).
Commercial Risk Reinsurance Co. v. Sec. Ins. Co. of Hartford, 526 F. Supp. 2d 424
(S.D.N.Y. 2007) (denying motion for reconsideration of court’s order denying motion to
vacate award, where party argued panel improperly excluded testimony and related
documents of damages witness).
OneBeacon Am. Ins. Co. v. Swiss Reinsurance Am. Corp., No. 09-CV-11495-PBS, 2010
WL 5395069 (D. Mass. Dec. 23, 2010) (denying motion to vacate award where party had
“had plentiful opportunities to present evidence, and what limitations the Panel did place
on witness testimony were entirely within the bounds of its discretion”).
Century Indem. Co. v. AXA Belgium, No. 11 Civ. 7263(JMF), 2012 WL 4354816
(S.D.N.Y. Sept. 24, 2012) (denying motion to vacate award, finding that “[t]he fact that
respondent declined to call certain witnesses or present certain evidence within the time
allotted . . . did not constitute fundamental unfairness”).
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pertinent and petitioners had not shown that they were unfairly prejudiced by panel’s
refusal to hear evidence).
Amerisure Mut. Ins. Co. v. Everest Reinsurance Co., 109 F. Supp. 3d 969 (E.D. Mich.
2015) (granting motion to confirm award, where reinsurer failed to show that any
evidentiary and procedural errors deprived it of a fair arbitration hearing, explaining that
“‘evidentiary decisions of arbitrators should be viewed within unusual deference’”).
Harvey Aluminum v. United Steelworkers of Am., AFL-CIO, 263 F. Supp. 488 (C.D. Cal.
1967) (granting petition to vacate award because arbitrator’s preclusion of pertinent and
material testimony as not proper rebuttal evidence reflected unfair hearing, in the absence
of any warning by the arbitrator as to the evidentiary rules to be followed).
Hoteles Condado Beach, La Concha and Convention Ctr. v. Union de Tronquistas Local
901, 763 F.2d 34 (1st Cir. 1985) (affirming district court’s vacatur of award, where
arbitrator accepted trial transcript into evidence but refused to give any weight to
unquestionably relevant evidence, effectively denying the party an opportunity to present
any evidence in the proceedings).
Westvaco Corp. v. Local 579, United Paperworkers, Int’l Union, No. 90-30091-F, 1992
WL 121372 (D. Mass. Mar. 5, 1992) (adopting magistrate judge’s recommendation to
vacate award where arbitrator seeking to decrease disputes between the parties decided to
accept contract interpretation of arbitrator in prior proceeding as long as it was not clearly
erroneous, but then excluded evidence offered by party as to whether that prior
interpretation was clearly erroneous).
Tempo Shain Corp. v. Bertek, Inc., 120 F.3d 16 (2d Cir. 1997) (vacating award, finding
that panel’s refusal to continue the hearings to allow testimony of former president,
temporarily unavailable due to wife’s illness, amounted to fundamental unfairness and
misconduct where there was no reasonable basis for the panel to determine that omitted
testimony would be cumulative).
• Ronald S. Gass, Panel Limits on Depositions and Hearing Testimony Did Not Amount to
Arbitral Misconduct, ARIAS-U.S. Quarterly, First Quarter 2011, Vol. 18, No. 1, at 25-26.
• Patricia Taylor Fox and Wm. Gerald McElroy, Jr., Evidentiary Rules in Reinsurance
Arbitrations, ARIAS-U.S. Quarterly, Second Quarter 2009, Vol. 16, No. 2, at 2-7.
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• Robert M. Hall, Late Named Witnesses: What’s a Panel to Do?, ARIAS-U.S. Quarterly,
Second Quarter 2008,
• John M. Nonna, The Power of Arbitrators, ARIAS-U.S. Quarterly, Winter 1997, Vol. 3, No.
5, at 1, 3-5.
In the Matter of the Arbitration between WidgetKicks and ACME Insurance Company
WidgetKicks is an emerging online athletic shoe retailer founded by Chase Hollywood, a former
child actor and husband of heiress and acclaimed humanitarian, Alotta Fortune. WidgetKicks’
online-only platform is “the” destination for must-have, celebrity-designed footwear, ranging in
price from $1,000 to $5,000 per pair. Each year on New Year’s Day, WidgetKicks announces
three A-list celebrities who have created portfolios, or limited edition shoe designs, in exchange
for WidgetKicks’ donation of a share of the sales to their chosen charity. Through a massive
public relations campaign at year end, WidgetKicks builds consumer excitement in anticipation
of its New Year’s Day announcement, and WidgetKicks’ customers race to be the first to buy the
latest releases before a portfolio sells out. The footwear has both artistic and celebrity
memorabilia appeal among high-end collectors, and successful purchasers have been able to
resell the footwear for two or three times the original sales price. In 2015, 60% of WidgetKicks
$30 million annual revenue was generated in the first week of the calendar year.
Due to exploding sales growth, Patrick Pushover, WidgetKick’s Executive Vice President (and a
childhood friend of Fortune), asked broker, Justin Between, to review WidgetKicks’ insurance
program and obtain robust coverage for the 2016 renewal. On Between’s recommendation,
WidgetKicks purchased a specialty risk policy issued by ACME Insurance Company, including
first party computer security coverage, for the period from June 1, 2016 to June 30, 2017. The
declaration page listed a policy aggregate limit of $10 million and a sublimit for cyber extortion
loss of $1,000,000 each threat and in the aggregate.
The ACME policy included the following provisions under Insuring Agreements:
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Extortion Threat and resulting from a Cyber Extortion Threat that first occurs during the
policy period.
“Business Interruption Loss” means the actual income loss and expense incurred during
restoration, and shall not include loss arising out of liability to a third party, legal
expenses, or loss resulting from unfavorable business conditions.
“Cyber Extortion Threat” means any threat or related series of threats to intentionally
attack a computer system for the purpose of coercing an Insured into a Payment. A
related series of threats, or a continuing threat, shall be considered a single Cyber
Extortion Threat and deemed to have occurred at the time of the first Cyber Extortion
Threat.
WidgetKicks’ staff worked at a fever pitch throughout the 2016 holiday season in a buildup to
the 2017 Portfolio Reveal, scheduled to go live online at 12:17 a.m, Eastern, on January 1, 2017.
Then, at 10:00 p.m., Eastern, on December 31, 2016, WidgetKicks’ computer systems froze.
Access to internal files and customer access to the online store were both blocked. Hollywood
received a panicked call from Pushover, who told Hollywood he didn’t know what was wrong
with the network, but that he was trying to reach WidgetKick’s brilliant, if odd, Technology
Specialist, Ima Hacker.
With Pushover screaming into the phone (“We’re gonna lose millions! We’ve got to get back
online! The press is gonna have a field day! We’ll never recover! No celeb will touch us after
this, if we lose the reveal! AHHH!”), Hollywood received a text at 11:15 p.m., Eastern, from an
unknown number that read:
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Distracted by Pushover’s screaming, and confused by the text, Hollywood told Pushover to try
again to reach Hacker, then hung up and paced the floor, waiting for an update. At 12:01 a.m.,
Eastern, Hollywood got a call from another unknown number. Hollywood later explained that he
answered and heard a computerized voice say:
As soon as Hollywood hung up, Pushover called with an update, explaining that he had gotten
ahold of Hacker, and Hacker was heading up WidgetKicks’ efforts to get the system up and
running in time for the 2017 Portfolio Reveal. Pushover said Hacker thought it could be a cyber
ransom attack, but was telling Pushover not to pay any ransom demanded, because “once you
pay once, they won’t stop.” Hollywood told Pushover about the call demanding the bitcoin
transfer. Pushover told Hollywood: “Just do it! Pay it fast! We’ve only got moments until the
Reveal!” Reeling at the thought of the financial loss WidgetKicks was facing (and of explaining
this PR nightmare to his wife’s publicist), Hollywood raced to his laptop and transferred $1
million in bitcoin at 12:10 a.m., Eastern.
Hollywood waited. Finally, at noon on New Year’s Day, Pushover called to tell Hollywood that
the system was operational again. WidgetKick’s 2017 Portfolio Reveal went live moments later.
Exhausted, Pushover and Hacker headed home to sleep.
Meanwhile, Alotta Fortune’s publicist had finally located her at an “off-the-grid” glamping
resort and think tank. He alerted her that, last night, comedian Johnny Cimmel had interviewed
action film megastar Ashley Terrick (one of the 2016 celebrity designers to be “revealed”) on his
late night talk show. Terrick, who appeared intoxicated, launched into a profanity-laden rant
against baseball and apple pie, and boasted of hunting endangered wildlife with an infamous
foreign dictator. Alotta Fortune immediately and publicly distanced herself from WidgetKicks,
which she described in the press as “Chase’s little hobby,” noting that the couple had “different
interests” and she was focused on her charitable endeavors.
WidgetKicks’ January 2017 sales were 10% of its January 2016 sales.
Hacker never returned to work. The FBI considers Hacker a person of interest, but has yet to
locate him.
WidgetKicks gave timely notice of a claim to ACME and submitted a statement of loss. After its
claim investigation, ACME denied WidgetKicks’ claim. Business personnel at WidgetKicks and
ACME were unable to resolve the coverage dispute. Eager to avoid publicity that would follow
a court case, WidgetKicks and ACME agreed to arbitrate under the following terms:
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Umpire pursuant to the ARIAS-U.S. Umpire Selection Procedure. The arbitrators and
umpires shall be ARIAS-U.S. certified, shall not be under the control of either party, and
shall have no financial interest in the outcome of the arbitration. The parties shall
execute an ARIAS-U.S. Form Confidentiality Agreement, and the Arbitration Panel shall
not be obligated to follow the strict rules of law or evidence. The decision of a majority
of the Arbitration Panel shall be final and binding, except to the extent otherwise
provided by the Federal Arbitration Act. The Arbitration Panel shall issue its award in
writing. Judgment upon the award may be entered in any court having jurisdiction,
pursuant to the Federal Arbitration Act.
The parties accepted the panel at the Organizational Meeting, and engaged in document and
deposition discovery over the next six months. The hearing is scheduled for November 2, 2017.
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Reinsurance Commutation
PRESENTED BY:
Mitch Harris, Day Pitney LLP
Kathleen Perlman, BerkleyRe
Jodi Ebersole, Travelers
Bryce Friedman, Simpson Thacher & Bartlett LLP
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I. INTRODUCTION
and between insurers and reinsurers. While many arbitrators certified by ARIAS•U.S. have
handled reinsurance disputes relating to workers’ compensation, fewer certified arbitrators have
experience handling direct insurance arbitrations under workers’ compensation policies. This
program discusses the key issues that are commonly the source of disputes in the direct insurance
The vast majority of employers in all states (except Texas) are required by law to carry
state-mandated, no-fault system under which an employer provides benefits to an employee for
injuries sustained on the job. Premiums vary by state and by each employee’s job classification.
In exchange for obtaining this insurance, employers generally are not subject to tort claims by
employees for workplace injuries. Workers’ compensation benefits are the employee’s exclusive
The standard Insurance Services Office Workers’ Compensation and Employers Liability
policy is well-understood. While the vast majority of insurance policies are guaranteed cost
policies (e.g., a policy where the insured’s costs are guaranteed to remain at a stated manual
rate), a larger, qualified employer may negotiate loss sensitive policies with its insurer where the
employer shares in the risk associated with the losses through a large deductible, retrospective
premium, self-insured retention or other like loss-sharing policy. In those instances, many
insurers use a separate agreement to document how the employer will guarantee payment of, and
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actually pay for, its loss sensitive obligations in a separate agreements referred to as a “program
“PA”).1 PAs are more common with large employers than with small ones, and unlike the
standard form workers’ compensation policy, PAs often contain arbitration clauses in their
dispute resolution clauses.2 The workers’ compensation insurance contract and the PA operate in
parallel, but the PA often is not an endorsement or attachment to the workers’ compensation
policy.
Premium rates for workers’ compensation insurance vary depending on the employer’s
business, loss history (or experience modification) and the job function of each employee.
Employees’ functions correspond to “job classification codes,” also called “class codes.” 3 States
that set workers’ compensation insurance premium rates, have a rate that corresponds to each
employee’s class code. Where the state does not set the rates, insurers have rates that correspond
to class codes. Premium rates are expressed in terms of dollars per $100 of payroll. An
experience modifier (which is a multiplier) based on the employer’s loss experience is applied to
the basic premium rate. The last element the calculation is the employer’s annual payroll, which
is estimated for the policy period. The standard policy language requires, the insurer to audit the
employer’s actual payroll after the expiration of the policy and adjust the premium based on the
actual payroll, number and class of employees and experience modifier. In guaranteed costs
1
Policyholders seeking to invalidate PAs call them “side agreements.”
2
Workers’ compensation policyholders are not limited to individual employers. Consortia of
employers or Professional Employee Organizations (“PEO”) also purchase workers’
compensation insurance. (A PEO is an independent business that assumes a separate company’s
employment obligations for a fee.)
3
Job classification codes are very specific. See https://classcodes.com/numerical-ncci-code-list/
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policies, an insured employer only pays estimated premiums and whatever premiums, if any,
become due after an audit. Under loss sensitive programs, the insured employer usually pays an
initial premium and thereafter will also pay retrospective premiums or its share of losses as
bargained for when the policy was purchased, calculated periodically after the policy incepts.4
Workers’ compensation policies have a “long tail” in that they cover losses that can continue to
develop over an extended period of years. Consequently, the adjustments for loss sensitive
- Premium financing – PAs often operate as vehicles to finance premium payments. This
is often done in two ways. First, a PA may provide for installment payments of basic premiums.
Second, retrospective premiums and other loss sensitive payments, discussed below, often are
included. Unlike other financing transactions, in which the lender may repossess the item that is
financed, the workers’ compensation insurance itself cannot return lost value to the insurer. This
is why PAs often include collateral provisions, which are discussed below.
- Collateral – Some PAs require that the policyholder post collateral to secure the
policyholder’s premium payment obligation. PAs often provide that the insurer has exclusive
and unilateral right to establish and adjust the amount of collateral the policyholder must post.
4
PAs may be used in connection with multi-line insurance programs as well. We focus here
only on PAs used in workers’ compensation insurance programs.
5
All of these features may be incorporated into a workers’ compensation insurance policy, as
long as the policy form containing these features is approved by the insurance regulator of the
state in which the policy is issued.
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- Initial premiums – PAs generally provide that the policyholder must pay an initial
premium when the policy incepts. This initial premium usually is the absolute minimum the
premiums are usually calculated periodically after the policy incepts. For example, a PA may
provide that retrospective premiums will be calculated annually for three years following the
policy’s inception.
- Deductibles – Some PAs provide for high deductibles under which the policyholder
- Audits – Workers’ compensation policies provide that the insurer may audit the
policyholder’s books and records and interview the policyholder’s management, to determine the
actual exposure base, which is a function of number of employees the policyholder has and those
employees’ job classifications. PAs can set out more fulsome audit requirements (or a different
audit schedule) than would otherwise apply under the policy. Review of the financial condition
of the insured is also contemplated within PAs given the collateral requirements within many
PAs. Accurate and complete audits are particularly critical for policyholders that perform task-
based or seasonal work because the number of employees often fluctuates significantly.
that the policyholder must pay in connection with a workers’ compensation policy.
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factors” and claim handling charges to be applied based on the losses incurred or paid for the
policy term.
- Attorneys’ fees – A PA may provide that the policyholder must pay the fees an insurer
- Interest - The PA may also provide that the policyholder must pay interest on any
amounts the policyholder does not pay when they become due.
- Cancellation – Some PAs provide that the insurance program may be cancelled if the
loss-sensitive charges – are worse than expected, policyholders often seek to escape the liability
regulator. For example, at least one court has held that California bars PAs to the extent that
they are not filed and approved by the California Department of Insurance. See Am. Zurich Ins.
Co. v. Country Villa Serv. Corp., 2015 U.S. Dist. LEXIS 89452, **695-**696 (C.D. Cal. 2015);
Cal. Code Regs., tit. 10, § 2268(b) (An insurer shall not use a policy form, endorsement form, or
ancillary agreement except those filed and approved by the Commissioner in accordance with
these regulations.”)
Although some policyholders have taken the same position in other jurisdictions, they
have generally not fared as well. For example, a bankruptcy court concluded that it would be
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unjust to allow a policyholder to escape its obligation to pay premiums under a PA after having
received the benefit of the insurance, including workers’ compensation coverage. In re Stone &
Webster, Inc., 547 B.R. 588, 603 (Bankr. D. Del. 2016); see also Reliance Ins. Co. v. Woodward-
Clyde Consultants, 243 F. App’x 674, 675 n.3 (3d Cir. 2007); In re Ionosphere Clubs, Inc., 85
Further, most courts have declined to deliver the policyholder a windfall by invalidating
PAs on the ground that they are not regulatorily-approved. See Stone & Webster, 547 B.R. at
603 – 604. Those courts rely on the longstanding rule that failing to file a form does not render a
contract unenforceable as between the parties. “The majority of jurisdictions addressing the
effect of an insurer’s failure to file an insurance policy form as required by a state statute have
concluded that the failure to file . . . does not render it invalid.” John Beaudette, Inc. v. Sentry
Ins., 94 F. Supp. 2d 77, 140 (D. Mass. 1999) (internal quotation omitted); id. at 140-41 (noting
that the insurance commissioner, and not a private party, has the right to enforce the filing
requirements, and therefore, the insurer’s “apparent failure to file” the forms at issue did not
render them “null and void” (emphasis in original)); see also FDIC v. Am. Cas. Co., 975 F.2d
677 (10th Cir. 1992); Highlands Ins. Co. v. Am. Marine Corp., 607 F.2d 1101 (5th Cir. 1979);
Cananwill, Inc. v. Emar Grp., Inc., 250 B.R. 533 (M.D.N.C. 1999).
propriety as a matter of a particular state’s insurance law must be arbitrated. Home Quality
Mgmt. v. Ace Am. Ins. Co., 381 F. Supp. 2d 1363, 1366-1367 (S.D. Fla. 2005) (question of
6
The State of Washington prohibits arbitration provisions in insurance contracts. RCW
48.18.200(1)(b). A Washington appellate court has held that PAs are “part and parcel” of a
workers’ compensation insurance policy and, therefore, may not require arbitration. Oak Harbor
Freight Lines, Inc. v. XL Ins. Am., Inc., 2017 Wash. App. LEXIS 1549 at *13 (Wash. Ct. App.
2017).
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whether PA is enforceable under Florida law must be arbitrated); accord, Matter of Argonaut
Insurance Company v Grove Lumber & Building Supply Inc., 2008 N.Y. Misc. LEXIS 9418, 5-6
(N.Y. Misc. 2008); and see, Buckeye Check Cashing, Inc. v. Cardegna, 546 U.S. 440, 445-46
(2006) (“[U]nless the challenge is to the arbitration clause itself, the issue of the contract's
validity is considered by the arbitrator in the first instance.”). While the validity of a PA is a
question for the arbitration panel, a policyholder’s challenge to the existence of an agreement to
arbitrate is for the court. Cont’l Cas. Co. v. Staffing Concepts, Inc., 2011 U.S. Dist. LEXIS
workers’ compensation premiums. Obviously, the classifications with lower risks of employee
injury yield lower premiums. Classification is a major area of dispute from several different
perspectives. See Premium Assignment Corp. v Utopia Home Care, Inc., 2010 N.Y. Misc.
LEXIS 3107, *7-*8 (N.Y. Misc. 2010). The employer may claim that the insurer mis-classified
its employees and, therefore, charged an inflated premium. The insurer may claim that the
employer mis-identified the job functions of its employees and, therefore, paid too little
premium. As most premium adjustments are primarily based on audits of the employer’s records
and interviews of the employer’s management, unscrupulous employers may misrepresent the
number of people they employed during the audit period and the functions those employees
performed, among other things. Employers also may attempt to classify employees as
“independent contractors,”7 who are not subject to workers’ compensation. As these audits are
7
Whether an individual qualifies as an independent contractor generally depends on the degree
to which the employer could control an individual’s performance of his or her work.
See Travelers Prop. Cas. Co. of Am. v. Universal Drywall, LLC, 85 Mass. App. Ct. 1125, 1125
(2014).
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retrospective, employers who had few or no losses during audit period often bristle at paying for
- Claim payment – Claim payment frequently is the subject of disputes in the workers’
compensation context because claims drive retrospective premiums and the employer’s
experience modification factor. Employers often argue that insurers paid claims that should not
have been paid or were overpaid, usually contending that the insurer failed to investigate the
claims properly or was otherwise negligent in evaluating the claims. See, e.g,. Northwinds
Abatement v. Employers Ins., 69 F.3d 1304, 1306 (5th Cir. 1995). These types of disputes are
receive deferential treatment under follow-the-fortunes clauses, little or no deference may apply
to the same decisions in a dispute between the insurer and a policyholder -- though the
policyholder alleging negligent claim-handling will likely bear the burden of proving that
- Collateral – Policyholders often contend that the insurer is holding more collateral than is
necessary to satisfy the policyholder’s obligations. These cases also are very fact specific. The
degree of deference accorded to the insurer’s assessment of its collateral needs will usually
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- Familiar issues – Almost all of the issues one encounters in connection with property-
occurrences/accidents/events; follow the fortunes; and compliance with the duty of utmost good
faith, may arise in a workers’ compensation reinsurance dispute. There are, however, two
mandatory commutation clauses that require the cedent and reinsurer to commute existing claims
or all claims (i.e., projected to ultimate). (These clauses are most prevalent in high-layer
workers’ compensation contracts.) These provisions offer benefits to the cedent and the
reinsurer. The reinsurer limits or terminates its going-forward liability and hedges against
potentially catastrophic losses. The ceding company benefits by receiving cash up-front, which
Mandatory commutation clauses are simple in concept but often complex in application.
Fundamentally, the clauses generally require that the reinsurer pay the present value of existing
losses and, in cases of total commutations, IBNR. As with most things, the devil is in the details.
Better commutation clauses often specify in detail: the losses to be commuted; the discount rate;
the medical escalation rate; mortality factors; the formula governing the commutation
calculation; and other key inputs. Some clauses contain dispute resolution provisions under
which an actuary or panel of actuaries will determine the amount the reinsurer must pay.
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Notwithstanding detailed and specific commutation clauses, disputes over: the scope of
such clauses (some may arguably address commutation of known claims only); the manner in
which the commutation calculation must be performed (including the order of operations to be
applied); the collection and calculation of the data inputs for the commutation formula including
- Sunset clauses – Sunset clauses, depending on their wording, may bar claims that are not
reported to the reinsurer by a specified date. The most notable decisions are sunset clauses are a
series from the United States District Court for the District of New Jersey, in which Munich
Reinsurance America, Inc. (“Munich”) was the cedent and American National Insurance
In Munich line of cases, Munich reinsured the workers compensation liabilities of Everest
National Insurance Company (“Everest”) from 1998 to 2001. Munich retroceded some of this
risk to ANICO under two agreements. Munich sued ANICO, claiming ANICO improperly
Seven years after the expiry of this Agreement, the Company shall advise the Reinsurer
of all claims for said annual period, not finally settled which are likely to result in a claim
under this Agreement. No liability shall attach hereunder for any claim or claims not
reported to the Reinsurer within this seven year period.
Munich I at __. The agreements contained the following loss notice provisions:
A. The Company [ (Munich) ] agrees to advise the Reinsurer [ (ANICO) ] promptly of all
8
See Munich Reinsurance Am., Inc. v. Am. Nat’l Ins. Co., 893 F. Supp. 2d 686 (D.N.J. 2012)
(“Munich I”); Munich Reinsurance Am., Inc. v. Am. Nat’l Ins. Co.,936 F.Supp.2d 475 (D.N.J.
2013) (“Munich II”); and Munich Reinsurance Am., Inc. v. Am. Nat’l Ins. Co., 999 F. Supp. 2d
690 (D.N.J. 2014) (“Munich III”).
9
ANICO counterclaimed for rescission, arguing that Munich withheld material facts from
ANICO when the agreements were underwritten.
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claims coming under this Agreement on being advised by the Original Ceding Company,
and to furnish the Reinsurer with such particulars and estimates regarding same as are in
the possession of the Company. An omission on the part of the Company to advise the
Reinsurer of any loss shall not be held to prejudice the Company’s rights hereunder.
Id. at 701.
Everest notified Munich of the workers’ compensation claims at issue beginning in 2003,
but Munich did provide notice to ANICO until 2008. When it did, Munich sent ANICO a
lengthy spreadsheet that “listed all of the claims submitted by Everest to Munich,” not only the
claims that fell under the Munich-ANICO agreements (the “Omnibus Notice”). Munich II at
493. The Omnibus Notice “included the name of each insured, the date of loss, and the
attachment point, however, the . . . [Omnibus Notice] did not delineate which of the claims were
likely to result in a claim under the retrocessional agreements.” Id. The Omnibus Notice also
“was overbroad, and included claims arising from years outside the” scope of the applicable
agreement.” Munich III at 173. In response, the intermediary claimed that the Omnibus Notice
“is not considered adequate notice of loss.” Munich II at 492. Munich agreed. Id. This
exchange did not, however, address whether the Omnibus Notice was sufficient for the reporting
10
Discussing the sunset clause’s purpose, the court said:
On its face, the sunset provision here is straightforward: it prevents Munich from
reporting claims in perpetuam, by excluding from coverage those claims not noticed
within seven years following the expiration of each retrocessional agreement. . . . The
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Munich III followed a trial on the merits. It contains the court’s ultimate conclusions
about whether the Omnibus Notice sufficed for sunset reporting purposes. Distinguishing sunset
reporting from everyday loss reporting, the court reasoned that sunset reporting must provide
information that allows the reinsurer “to determine which claims appeared likely to impact . . .
[its] coverage.” Id. at 173. In the court’s view, the Omnibus Notice did not contain sufficient
The Munich cases show (at least in that court’s view): (1) reporting losses and providing
loss information for sunset purposes are distinct; and (2) reporting for sunset purposes must
contain sufficient information to show whether that loss may reach the reinsurer’s coverage.
likely impetus behind . . . [the sunset clause] is to ensure that both parties have an
accurate understanding of ANICO’s exposure at the seven-year mark. Such an accurate
appreciation of ANICO’s economic liability would undoubtedly inform each party’s
position on commutation.
Id. at 495.
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PRESENTED BY:
Peter A. Halprin, Anderson Kill
Robert M. Horkovich, Anderson Kill
Larry Zelle, L. Zelle LLC
Sandra J. Sutton, MCIC Vermont LLC
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Fine Print
A
s companies increasingly look to captive insurance claims. According to commentators, the only proper inquiry
structures as an alternative to traditional insurance under the doctrine is whether the cedent’s determination
policies, they should be aware that a captive’s resolution was reasonable and in good faith. As set forth by the United
of its insurance disputes (which are disputes in the reinsurance States District Court for the Southern District of Ohio in
forum) will involve reinsurance issues that may be new to those International Surplus Lines Ins. Co. v. Certain Underwriters
with only direct insurance experience. & Underwriting Syndicates Lloyd’s of London, 868 F. Supp.
There are three issues that captive insurance companies 917, 921 (S.D.Ohio 1994):
should be prepared to address in their reinsurance disputes with “This standard is purposefully low. Were the court to conduct
their captive’s reinsurance companies: a de novo review of [the cedent’s] decision-making process, the
1. Follow the fortunes and collusion allegations. The foundation of the cedent-reinsurer relationship would be forever
convention that a reinsurer will generally “follow damaged. The goals of maximum coverage and settlement that
the fortunes” of the primary insurance company’s have been long established would give way to a proliferation of
underwriting decisions is intended to limit disputes. litigation. Cedents faced with de novo review of their claims
Sometimes, however, reinsurers will argue that a cap- determinations would ultimately litigate every coverage issue
tive’s settlement with a policyholder was collusive and before making any attempt at settlement. Such a consequence
need not be covered. this court will not abide.”
2. Selection of arbitrators. For a captive, the requirement Assuming a captive insurance company finds itself in a rein-
that arbitrators in reinsurance disputes be former surance dispute, the reinsurance company may seek to avoid
or current reinsurance company executives can be payment by arguing that there was collusion between the policy-
troubling as such individuals may be used to traditional holder and the captive insurance company. As noted above, one
reinsurance that may not involve captive structures and exception to “follow the fortunes” is bad faith, and this can take
may be biased as a result. the form of collusion. In Hartford Accident & Indem. Co. v.
3. Relief from judicial formalities. As reinsurance arbitra- Columbia Cas. Co., the court found that bad faith was a possi-
tion provisions often relieve the arbitrators of following bility where the reinsured failed to follow its customary practice
judicial formalities, captives may find their disputes are of retaining an environmental expert before settling an asbestos
subject to equities rather than law. claim. (98 F. Supp. 2d 251 (D.Conn. 2000)). In Mentor Ins. Co.
(U.K.) Ltd. v. Norges Brannkasse, however, the United States
FOLLOW THE FORTUNES AND COLLUSION ALLEGATIONS Court of Appeals for the Second Circuit rejected the notion
In general, the “follow the fortunes” doctrine requires a rein- that there should be greater scrutiny of settlements between
surer to follow its cedent’s underwriting fortunes. Thus, where captive insurance companies and their policyholders due to a
a “follow the fortunes” clause is present, a reinsurer generally greater likelihood of collusion. (996 F.2d 506, 515 (2d Cir. 1993)).
must respect a cedent’s decision to pay or contest underlying The court ruled that the captive’s settlement with its parent
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Fine Print
company was not “tainted…by inbred corporate relationships” tors have wide discretion to order remedies they deem appropri-
as the reinsurers “were aware of those corporate relationships ate.” (See Banco de Seguros del Estado v. Mut. Marine Office,
from the outset” and failed to provide evidence that the settle- Inc., 344 F.3d 255, 261 (2d Cir. 2003).) Indeed, in the reinsurance
ment was tainted, fraudulent, collusive, or made in bad faith. industry, arbitrators often look to industry trade practices in
Given the high bar required to prove collusion, captive reaching their decision.
administrators can take some comfort. Scrupulously follow- Captive owners should regard the dispute resolution provi-
ing and documenting the captive’s established procedures sions in reinsurance contracts as negotiable, and be proactive
when handling claims should protect the captive from coverage about establishing procedures they are comfortable with in
defenses based on collusion. connection with the purchase of the reinsurance. Maintaining
a list of pre-vetted arbitrators, as suggested above, may render
ARBITRATOR SELECTION proceedings less of a risk.
While finding the right arbitrator for a dispute can present a
challenge in the best of circumstances, provisions in some insur- CONCLUSION
ance and reinsurance policies setting forth the required qualifi- Captives involved in reinsurance disputes should be aware of
cations for arbitrators can further tilt the playing field against the rarefied world that they are entering—and take proactive
a captive. In both the insurance and reinsurance context, for measures both to forestall disputes and to ensure that they
example, qualifications provisions may provide as follows: take place on a level playing field. The deferential standard
“The arbitrators shall be active or retired executive officers of of “follow the fortunes” can limit the grounds upon which a
insurance or reinsurance companies.” reinsurance company can challenge the claims decisions of a
Requiring all arbitrators to have served as executive officers captive insurance company. However, in a dispute, a captive
of an insurance or reinsurance company can be challenging for insurance company may need to fend off the argument that
captive insurance companies, as the arbitrators may be unfamil- a claim was resolved in a collusive matter—and should make
iar with captives or have some bias against them. sure that its claims-handling procedures will position them to
That said, given the abundance of captives, there should do so, keeping in mind that the notion that a captive-policy-
be directors or officers of captives who are willing to serve. holder relationship inherently is collusive has been rejected. In
Developing relationships within the industry and preparing a the advance of a dispute and in the event of a dispute, a captive
list of potential arbitrators in advance of any conflict can offset insurance company will also need to find arbitrators who will
any inherent advantage that might otherwise fall to the reinsur- give it a fair hearing—including, if necessary, in proceedings in
ance company. which judicial formalities may be relaxed, and where a decision
may be made in equity. n
RELIEF FROM JUDICIAL FORMALITIES
Some reinsurance policies contain a so-called “Honorable Robert M. Horkovich is managing partner and shareholder in the
Engagement” clause permitting equitable rather than legal con- New York office of Anderson Kill. He is a trial lawyer who has
siderations, with language such as the following: obtained more than $5 billion in settlements and judgments for
“The arbiters shall consider this agreement an honorable policyholders from insurance companies.
engagement rather than merely as a legal obligation and they are Peter A. Halprin is an attorney in Anderson Kill’s New York office.
relieved of all judicial formalities and may abstain from follow- His practice concentrates in commercial litigation and insurance
ing the strict rules of law.” recovery, exclusively on behalf of policyholders, and he also acts
It has been noted that such clauses “have [been] read gener- as counsel for U.S. and foreign companies in domestic and inter-
ously [by courts], [with courts] consistently finding that arbitra- national arbitrations.
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After a year’s hiatus for a strategic review, the Captive Insurance Companies Association (CICA) again
engaged Veris Consulting to conduct a newly focused, confidential survey of captive insurance
company owners from September 9, 2015 to November 2, 2015. The following presents highlights
of the results from 255 survey participants. CICA members can access the full, compiled results,
including open-ended responses and a breakout for single parent captives, on the members-only
section at www.cicaworld.com.
Survey Objectives
x To encourage the discovery, or reconsideration, of how a captive can add increasing value
x To better understand how CICA can support this continued value proposition
Key Findings
x While single parent captive owners still represent more than three quarters of the
participants, the respondents to this year’s survey represent a broader cross section of
industries and domiciles than in previous surveys. That said, the survey responses were
similar across captive types, industries and domiciles.
x Nearly 30% of the ‘Other’ industry sector is comprised of captive managers who own
captives in order to assist existing and prospective clients with their risk management
needs. They present a unique set of captive owner issues not previously captured by the
survey.
x Cyber risk, mentioned by slightly more than three-quarters of respondents, is the number one
emerging risk and the number one non-traditional risk that the survey participants are
currently grappling with, with the more specific cyber issues from emerging technologies
(drones, Internet of Things, etc.) mentioned by a quarter of respondents. In the ‘Other’
category, the issues arising from the sharing economy (Uber, Airbnb, etc.) are just beginning
to emerge as risk management concerns.
x Health insurance (employee medical stop loss) is the number two non-traditional risk in
captives, also mentioned by more than two-thirds of respondents. It is the number three
emerging risk in captives.
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x Captive owners are planning to use captives more frequently for non-traditional insurance
solutions.
x About 50% of the survey participants are considering putting one or more new coverages in
their captive in the next 12-24 months, while the other 50% are either already insuring non-
traditional risk in their captive or are satisfied that the traditional coverage(s) in their captive
meet their current risk financing needs.
x According to the survey participants, the top five ways that their captive currently creates
value are (1) plugging holes in their insurance program (73.7%); (2) recapturing premiums
that would otherwise be spent in the commercial insurance market (67.4%); (3) providing
unique coverage solutions (59.4%); (4) accessing reinsurance market (54.9%); and (5)
funding retentions / centralizing buying (54.3%).
x To enhance their ability to maximize the value their captive can create 25.8% of the survey
respondents thought they would need a consistent, supportive regulatory environment,
25.1% reported that they would need an aligned partnership with their fronting carriers,
reinsurers and service providers, 23.2% felt they would need greater senior management
support, 18.7% said they would need a supportive tax code and 7.1% cited other things they
would need to enhance their ability to get the most value from their captive.
x By far the biggest challenge cited by the survey participants in doing more with their captive
was resources (30.1%); lack of management support (21.5%); ongoing use of capital
(12.0%); upfront costs of new programs (11.4%); and lack of knowledge about other, new
ways to use their captive (10.8%).
x When asked how they might overcome these challenges, the participants used many
different words. However, the message was clear that the keys to overcoming the challenges
were twofold: (1) effective communication by and among all stakeholders as respects the
value and benefit of a captive, especially in quantitative terms that senior management at
the parent company can relate to, and (2) enhanced partnerships/alignments among all
stakeholders regarding the vision, goals, objectives and expectations throughout the life
cycle of the captive.
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Participant Profile
Financial Institution
1.3% 0.6% Owner Industry Sector Other
1.3% 1.3% Manufacturing
0.6%
0.6% Healthcare
1.3%
1.9% Technology
3.2%
Education
3.2% 15.4% Retail/Wholesale
Construction
3.2% Food & Beverage
Transportation & Trucking
3.2% Agriculture
3.8% 15.4% Chemical
Hospitality & Gaming
3.8% Real Estate
3.8% Energy
Automotive
4.5% 11.5% Life Sciences
5.1% Marine
Media
6.4% 8.3%
Aviation & Aerospace
Forestry & Wood Products
Power & Utilities
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Result Highlights
76.3%
42.5%
39.1% 37.2%
28.5% 25.6%
17.9% 15.0% 15.0% 13.5%
9.2%
48.0%
43.3%
17.3% 13.4% 11.8% 11.0%
19.7%
36.4% 12.6%
25.6% 25.6% 26.4% 26.4% 33.1% 15.0% 7.1%
22.3% 19.0% 14.9% 4.7%
8.3%
2.5%
Current Planned
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28.6%
8.6%
Aligned interest of
service providers, 7.7% Other,
7.1%
Stable regulatory
Aligned partnership environment, 25.8%
with
insurers/reinsurers,
17.4%
Sr Mgmt support,
23.2%
Supportive tax
code, 18.7%
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Lack of knowledge
about creative uses of Other,
captives, 10.8% 8.2%
Resources, 36.1%
Upfront costs of new
program(s), 11.4%
Management
Ongoing use of capital disinterest, 21.5%
to maintain program,
12.0%
Contacts
For more information about the CICA 15th Annual Captive Insurance Market Study, contact Dennis
Harwick, President, Captive Insurance Companies Association at dharwick@cicaworld.com.
About CICA
CICA is the only global domicile-neutral captive insurance association. CICA is committed to providing
the best source of unbiased information, knowledge, and leadership for captive insurance decision
makers. CICA is your advocate around the world, key to the captive industry and the resource for
captive best practices.
About Veris
Veris Consulting, Inc. was formed in 2000 and consists of technology-based survey and research services
(such as CICA’s market study), forensic accounting and litigation support, outsourced internal auditing
and accounting, and information technology consulting. It serves a diverse clientele throughout the United
States, as well as clients in Europe and the Caribbean. Services are provided from its headquarters in
Reston, Virginia. Further information is available at www.verisconsulting.com.
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Kentucky Captive Association, the Montana Captive Insurance Association, the Texas Captive Insurance
Association, and the Vermont Captive Insurance Association. CICA also acknowledges those clients of
Aon and Marsh that participated via the link sent to them by their captive manager.
The survey results are only representative of this year’s participants and may, or may not, reflect all
constituencies within the captive insurance industry. Anyone that wishes to participate in future studies
should contact Dennis Harwick, President, Captive Insurance Companies Association at
dharwick@cicaworld.com.
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PRESENTED BY:
Mark Gurevitz, MG Re Arbitrator & Mediator Services
Peter Gentile, ARIAS•U.S. Certified Arbitrator
Jeanne Kohler, Carlton Field
Steve Schwartz, Chaffetz Lindsey LLP
Mark Megaw, ARIAS•U.S. Certified Arbitrator
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INTRODUCTION
ARIAS·U.S. is a not-for-profit corporation organized principally as an educational society dedicated to promoting the integrity of the
arbitration process in insurance and reinsurance disputes. Through seminars and publications, ARIAS·U.S. trains knowledgeable and
reputable professionals for service as panel members in industry arbitrations. The ARIAS·U.S. Board of Directors certifies as
arbitrators individual members who are qualified in accordance with criteria and procedures established by the Board.
The continued viability of arbitration to resolve industry disputes largely depends on the quality of the arbitrators, their understanding of
complex issues, their experience, their good judgment and their personal and professional integrity. In order to properly serve the parties
and the process, arbitrators must observe high standards of ethical conduct and must render decisions fairly. The provisions of the Code
of Conduct should be construed to advance these objectives.
PURPOSE
The purpose of the Code of Conduct is to provide guidance to arbitrators in the conduct of
insurance and reinsurance arbitrations in the United States, whether conducted by a single
arbitrator or a panel of arbitrators, whether or not certified by ARIAS•U.S. and regardless
of how appointed. Comments accompanying the Canons explain and illustrate the meaning
and purpose of each Canon. These Canons are, however, not intended to override the
agreement between the parties in respect to arbitration and do not displace applicable laws
or arbitration procedures. Though these Canons set forth considerations and behavioral
standards only for arbitrators, the parties and their counsel are expected to conform their
own behavior to the Canons and avoid placing arbitrators in positions where they are
unable to sit or are otherwise at risk of contravening the Canons. Parties and counsel
should provide prospective arbitrators and umpires with sufficient information concerning
the dispute and all of its potential participants so that they may fairly consider whether to
serve.
DEFINITIONS
1.Affiliate: an entity whose ultimate parent owns a majority of both the entity and the party to the
arbitration and whose insurance and/or reinsurance disputes, as applicable, are managed by the same
individuals that manage the party’s insurance and/or reinsurance disputes;
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CANON I
INTEGRITY: Arbitrators should uphold the integrity of the arbitration process and conduct the
proceedings diligently.
COMMENTS:
1. The foundation for broad industry support of arbitration is confidence in the fairness and
competence of the arbitrators.
2. Arbitrators owe a duty to the parties, to the industry, and to themselves to be honest; to act in good
faith; to be fair, diligent, and objective in dealing with the parties and counsel and in rendering their
decisions, including procedural and interim decisions; and not to seek to advance their own interests
at the expense of the parties. Arbitrators should act without being influenced by outside pressure,
fear of criticism or self-interest.
3. The parties’ confidence in the arbitrator’s ability to render a just decision is influenced by many
factors, which arbitrators must consider prior to their service. There are certain circumstances where
a candidate for appointment as an arbitrator must refuse to serve:
a) where the candidate has a material financial interest in a party that could be
substantially affected by the outcome of the proceedings;
b) where the candidate does not believe that he or she can render a decision based on the
evidence and legal arguments presented to all members of the panel;
c) where the candidate currently serves as a lawyer for one of the parties (where the
candidate’s law firm, but not the candidate, serves as lawyer for one of the parties the
candidate may not serve as an arbitrator unless the candidate derives no income from the
firm’s representation of the party and there is an ethical wall established between the
candidate and the firm’s work for the party);
d) where the candidate is nominated for the role of umpire and is currently a
consultant or expert for one of the parties;
e) where the candidate is nominated for the role of umpire and the candidate was
contacted prior to nomination by a party, its counsel or the party’s appointed arbitrator
with respect to the matter for which the candidate is nominated as umpire; or
f) where the candidate sits as an umpire in one matter and the candidate is solicited to serve
as a party-appointed arbitrator or expert in a new matter involving a new matter by a party to
the matter where the candidate sits as an umpire.
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4. Consistent with the arbitrator’s obligation to render a just decision, before accepting an
appointment as an arbitrator the candidate should consider whether any of the following factors
would likely affect their judgment and, if so, should decline the appointment:
b) whether the candidate currently serves in a non-neutral role on a panel involving a party
and is now being proposed for an umpire role in an arbitration involving that party;
c) whether the candidate has previously served as a consultant (which term includes service
on a mock or shadow panel) or expert for or against one of the parties;
d) whether the candidate has involvement in the contracts or claims at issue such that the
candidate could reasonably be called as a fact witness;
e) whether the candidate has previously served as a lawyer for either party;
f) whether the candidate has previously had any significant professional, familial or personal
relationships with any of the lawyers, fact witnesses or expert witnesses involved such that it
would prompt a reasonable person to doubt whether the candidate could render a just
decision;
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7. Consistent with the arbitrator’s obligation to render a just decision, an arbitrator should consider
whether accepting an appointment as a consultant or expert in a new matter by a party to the
arbitration where the person sits as an arbitrator would likely affect his or her judgment in the matter
where he or she sits as an arbitrator.
CANON II
FAIRNESS: Arbitrators shall conduct the dispute resolution process in a fair manner and shall
serve only in those matters in which they can render a just decision. If at any time the arbitrator is
unable to conduct the process fairly or render a just decision, the arbitrator should withdraw.
COMMENTS:
2. Arbitrators should refrain from offering any assurances, or predictions, as to how they will decide
the dispute and should refrain from stating a definitive position on any particular issue. Although
party-appointed arbitrators may be initially predisposed toward the position of the party who
appointed them (unless prohibited by the contract), they should avoid reaching a judgment on any
issues, whether procedural or substantive, until after both parties have had a full and fair opportunity
to present their respective positions and the panel has fully deliberated on the issues. Arbitrators
should advise the appointing party, when accepting an appointment, that they will ultimately decide
issues presented in the arbitration objectively. Party-appointed arbitrators are obligated to act in good
faith and with integrity and fairness, should not allow their appointment to influence their decision on
any matter before them, and should make all decisions justly.
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CANON III
COMMENTS:
1. Candidates should provide up-to-date information regarding their relevant training, education and
experience to the appointing party (or parties if nominated or selected to serve as the umpire) to
ensure that their qualifications satisfy the reasonable expectations of the party or parties.
2. Individuals who serve on arbitration panels have a responsibility to be familiar with the practices
and procedures customarily used in arbitration that promote confidence in the fairness and efficiency
of the process as an accessible forum to resolve industry disputes.
CANON IV
COMMENTS:
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b) the extent of previous appointments as an arbitrator by either party, either party’s counsel
or either party’s third party administrator or manager; while it may be true in some
circumstances that only the party technically appoints the arbitrator, the purpose of this rule
is to require disclosure of the relationships between the candidate and the parties as well as
the candidate and either parties’ counsel or third party administrator or manager; such
relationships that must be disclosed include appointments as an arbitrator where the party’s
counsel and/or the party’s third party administrator or manager acted as counsel or third party
administrator or manager for a party making the appointment; and
3. No later than when arbitrators first meet or communicate with both parties, arbitrators should
disclose the information in paragraphs 1 and 2 above to the entire panel and all parties. When
confronted with a conflict between the duty to disclose and the obligation to preserve confidentiality,
an arbitrator should attempt to reconcile the two objectives by providing the substance of the
information requested without identifying details, if that can be done in a manner that does not breach
confidentiality and is not misleading. An arbitrator who decides that it is necessary and appropriate
to withhold certain information should notify the parties of the fact and the reason that information
has been withheld.
4. It is conceivable that the conflict between the duty to disclose and some other obligation, such as a
commitment to keep certain information confidential, may be irreconcilable. When an arbitrator is
unable to meet the ethical obligations of disclosure because of other conflicting obligations, the
arbitrator should withdraw from participating in the arbitration, or, alternatively, obtain the informed
consent of both parties before accepting the assignment.
5. After the Panel has been accepted by the parties, an arbitrator should recognize the consequences
to the parties and the process of a decision to withdraw and should not withdraw at his or her own
instigation absent good reason, such as serious personal or family health issues. In the event that an
arbitrator is requested by all parties to withdraw, the arbitrator must do so. In the event that an
arbitrator is requested to with-draw by less than all of the parties, the arbitrator should withdraw only
when one or more of the following circumstances exist.
a) when procedures agreed upon by the parties for resolving challenges to arbitrators have
been followed and require withdrawal;
b) if the arbitrator, after carefully considering the matter, - determines that the reason for the
challenge is substantial and would inhibit the arbitrator’s ability to act and decide the case
fairly; or
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6. The duty to disclose all interests and relationships is a continuing obligation throughout the
proceeding. If any previously undisclosed interests or relationships described in -paragraphs 1 and
2 above are recalled or arise during the course of the arbitration, they should be disclosed
immediately to all parties and the other arbitrators together with an explanation of why such
disclosure was not made earlier.
CANON V
COMMENTS:
1. If an agreement between the parties or applicable arbitration rules establish the manner or content
of communications among arbitrators and the parties, those procedures should be followed.
2. Party-appointed arbitrators may communicate with the party who is considering appointing them
about their fees and, excepting those who by contract are required to be “neutral” or the equivalent,
may also communicate about the merits of the case prior to acceptance of the appointment until the
date determined for the cessation of ex parte communications.
3. A party-appointed arbitrator should not review any documents that the party appointing him or her
is not willing to produce to the opposition. A party-appointed arbitrator should, once all members of
the Panel are selected, disclose to the other members of the Panel and the parties all documents that
they have examined relating to the proceeding. Party-appointed arbitrators may consult in
confidence with the party who appointed them concerning the acceptability of persons under
consideration for appointment as the umpire.
4. Except as provided above, party-appointed arbitrators may only communicate with a party
concerning the dispute provided all parties agree to such communications or the Panel approves such
communications, and then only to the extent and for the time period that is specifically agreed upon
or ordered.
5. When party-appointed arbitrators communicate in writing with a party concerning any matter as
to which communication is permitted, they are not required to send copies of any such written
communication to any other party or arbitrator.
6. Where communications are permitted, a party-appointed arbitrator may (a) make suggestions to
the party that appointed him or her with respect to the usefulness of expert evidence or issues he or
she feels are not being clearly presented; (b) make suggestions about what arguments or aspects of
argument in the case to emphasize or abandon; and
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(c) provide his or her impressions as to how an issue might be viewed by the Panel, but may
not disclose the content or substance of communications or deliberations among the Panel
members. An arbitrator should not edit briefs, interview or prepare witnesses, or preview
demonstrative evidence to be used at the hearing.
7. Whenever the umpire communicates in writing with one party on subjects relating to the conduct of
the arbitration or orders, the umpire should at the same time send a copy of the communication to
each other arbitrator and party. Whenever the umpire receives any written communication concerning
the case from one party on subjects relating to the conduct of the arbitration that has not already been
sent to every other party, the umpire should promptly forward the written communication to the other
arbitrators and party.
a) Discussions may be had with a single arbitrator, party or counsel concerning ministerial
matters such as setting the time and place of hearings or making other arrangements for the
conduct of the proceedings. However, the umpire should promptly inform the other arbitrator,
party or counsel of the discussion and should not make any final determination concerning the
matter discussed before giving each arbitrator, party or counsel an opportunity to express its
views.
b) If all parties request or consent to it, such discussion may take place.
c) If a party fails to be present at a hearing after having been given due notice, the panel
may discuss the case with any party or its counsel who is present and the arbitration may
proceed.
CANON VI
COMMENTS:
1. Arbitrators are in a relationship of trust with the parties and should not, at any time, use
confidential information acquired during the arbitration proceeding to gain a personal advantage or
advantage for others, or to affect adversely the interest of another.
2. Unless otherwise agreed by the parties, or required or allowed by applicable rules or law,
arbitrators should keep confidential all matters relating to the arbitration proceedings and decision.
3. Arbitrators shall not inform anyone of an arbitration decision, whether interim or final, in advance
of the time it is given to all parties, or assist a party in post-arbitral proceedings,
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except as is required by law. An arbitrator shall not disclose contents of the deliberations of
the arbitrators or other communications among or between the arbitrators. Notwithstanding
the previous sentence, an arbitrator may put such deliberations or communications on the
record in the proceedings (whether as a dissent or in a communication to all parties and panel
members) to the extent (but only to the extent) reasonably necessary to expose serious
wrongdoing on the part of one or more panel members, including actions that are
contemplated by Section 10(a) of the Federal Arbitration Act.
4. Unless otherwise agreed by the parties or by applicable rules, arbitrators are not obligated to return
or retain notes taken during the arbitration. Notes, records and recollections of arbitrators are
confidential and shall not be disclosed to the parties, the public, or anyone else, unless (1) all parties
and the panel agree to such disclosure, or (2) a disclosure is required by law.
CANON VII
ADVANCING THE ARBITRAL PROCESS: Arbitrators shall exert every reasonable effort to
expedite the process and to promptly issue procedural communications, interim rulings, and written
awards.
COMMENTS:
1. When the agreement of the parties sets forth procedures to be followed in conducting the
arbitration or refers to rules to be followed, it is the obligation of the arbitrators to comply with such
procedures or rules unless the parties agree otherwise.
2. Individuals should only accept arbitration appointments if they are prepared to commit the time
necessary to conduct the arbitration process promptly.
3. Arbitrators should make all reasonable efforts to prevent delaying tactics, harassment of parties
or other participants, or other abuse or disruption of the arbitration process.
4. Arbitrators should be patient and courteous to the parties, to their lawyers and to the
witnesses, and should encourage (and, if necessary, order) similar conduct of all participants in
the proceedings.
5. Arbitrators may question fact witnesses or experts during the hearing for explanation and
clarification to help them understand and assess the testimony; however, arbitrators should refrain
from assuming an advocacy role and should avoid interrupting counsel’s examination unless
clarification is essential at the time.
CANON VIII
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JUST DECISIONS: Arbitrators should make decisions justly, exercise independent judgment and
not permit outside pressure to affect decisions.
COMMENTS:
1. When an arbitrator’s authority is derived from an agreement between the parties, arbitrators
should neither exceed that authority nor do less than is required to exercise that authority
completely.
2. Arbitrators should, after careful review, analysis and deliberation with the other members of the
panel, fairly and justly decide all issues submitted for determination. Arbitrators should decide no
other issues.
3. Arbitrators should not delegate the duty to decide to any other person. Arbitrators may,
however, use a clerk or assistant to perform legal research or to assist in reviewing the record.
4. In the event that all parties agree upon a settlement of issues in dispute and request arbitrators to
embody that agreement in an award, they may do so, but are not required to do so, unless satisfied
with the propriety of the terms of settlement. Whenever arbitrators embody a settlement by the
parties in an award, they should state in the award that it is based on an agreement of the parties.
CANON IX
COMMENTS:
1. It is inconsistent with the integrity of the arbitration process for persons to solicit a particular
appointment for themselves. However, a person may indicate a general willingness to serve as
an arbitrator.
2. Arbitrators shall make only accurate and truthful statements about their skills or
qualifications. A prospective arbitrator shall not promise results.
CANON X
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FEES: Prospective arbitrators shall fully disclose and explain the basis of compensation, fees and
charges to the appointing party or to both parties if chosen to serve as the umpire.
COMMENTS:
1. Information about fees should be addressed when an appointment is being considered. The
better practice is to confirm the fee arrangement in writing at the time an arbitration appointment is
accepted.
2. Arbitrators shall not enter into a fee agreement that is contingent upon the outcome of the
arbitration process. Arbitrators shall not give or receive any commission, rebate or similar
remuneration for referring a person for alternative dispute resolution services.
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Marc L. Abrams, Mintz Levin Cohn Ferris, Glovsky and Popeo P.C.
Alysa B. Wakin, Odyssey Re
Scott Birrell, Travelers
Brad Rosen, Berkshire Hathaway Group
Jeffrey Burman, AIG
Josh Schwartz, Chubb
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One the best ways in which pre-hearing stop and a time-consuming hearing thereon
delays can be avoided is for parties to be is avoided. If no material misrepresentation
very involved in the discovery requested by is found, the dispute is in a better posture for
counsel in order to focus on important wit- settlement.
nesses and documents and to be efficient in
Another means by which hearing time can
the way that information is sought. I have
be saved is for the panel, after it has
received requests (I am not making this up) reviewed the briefs, to give counsel direction
for 90 depositions and copies of each and as to the issues and witnesses of most inter-
every one of tens of thousands of policy and est to the panel. Counsel are often grateful
claim files plus all documents related to pay- for this because it helps them prioritize their
ment and reporting of premiums and losses. efforts and decide which witnesses are need-
Parties who allow their counsel to make ed for live testimony. While consensus may
such punitive requests are not interested in be difficult to achieve absent an all-neutral
a quick and efficient resolution of the dis- panel (see Section VII., infra), it is a worth-
pute. Parties know how to focus requests to while tactic in an effort to achieve an effi-
get maximum result from modest amounts cient and focused hearing.
of information. For instance, if the issue is
the reason for entering and exiting a line of Whatever their familiarity with the arbitra-
business, focusing on the business plans for tion process, it is difficult for counsel to resist
the years in question will reveal more con- giving extensive opening statements. It is
cise and useful information than a vague their first opportunity to argue the merits of
request for all documents related to a com- the case live before the panel and their expe-
pany’s involvement in a line of business rience with litigation suggests that this is an
(every piece of paper and electronic file?). important opportunity to shape the issues in
their favor. However, by the time the hearing
If the cedent
V. Saving Time and Money at has arrived, the panel has spent many hours is found to have
the Hearing reviewing the issues and the counsels’ dis-
Hearings are very expensive. Teams of
parate view of them. What is more useful to
the panel at the outset is a list of the wit-
misrepresented
lawyers and arbitrators are billing by the
hour. Executives are taken away from other
nesses, their areas of testimony and a time
table for counsel’s case. This helps the panel
the business in
duties to testify. Hotels charge considerable
amounts to provide space, room, board and
understand how the case is to be presented
and to keep the hearing on track from a tim-
material fashion,
equipment for the event. To the extent that
a hearing cannot be completed within the
ing standpoint. discovery
time allowed, more expenses are incurred. For major witnesses at the hearing, consider-
Therefore, a reduction in hearing time is able time can be saved by the use of British- on administration
directly responsive to common criticisms of style direct testimony, i.e., written statements
reinsurance arbitrations. submitted to the panel prior to the hearing. can stop
Cross and re-direct is handled live. In this
In some disputes, there are threshold issues fashion, direct testimony is more organized and a
which might be decided on a summary and concise and does not take up hearing
basis in that they have no or few disputed time. The panel has already absorbed the time-consuming
facts. For instance, a common defense of testimony and opposing counsel are better
reinsurers is that the cedent misrepresented prepared for cross. hearing thereon
the program on placement so as to justify
rescission and administered the program so For minor witnesses, deposition designations,
rather than live testimony, can save consider-
is avoided.
poorly as to violate the duty of utmost good
faith. The placement defense involves limit- able hearing time. They can be prepared by
counsel and read offline by the panel. This
If no material
ed players and documents and if successful,
will obviate the rest of the hearing. The may require somewhat more complete depo-
sitions of minor witnesses by both sides as
misrepresentation
administration defense involves many play-
ers, many transactions and time-consuming would ordinarily be the case. However, it
saves hearing time where the aggregate
is found,
audits. Panels and counsel should consider
bifurcating such a dispute to focus on the
costs are much higher.
the dispute is in
placement issue first and to allow the Technology has added a new dimension to
administration issue to follow on at its natu- the arbitration process, however, technology a better posture
rally slower pace. If the cedent is found to can add costs without real benefit. Written
have misrepresented the business in materi- deposition designations precludes segments for settlement.
al fashion, discovery on administration can of videotaped depositions of minor witness-
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elongated to little purpose. right to appeal the decision of a US which to pursue to an adversarial con-
Negotiations tend to be distributive in arbitration panel although its ruling clusion.
nature, i.e., working toward the middle may be vacated on very limited grounds
To lose an arbitration and not know
from outer parameters determined by focused on conflict of interest and lack
why causes parties and their counsel to
the positions of the parties. of due process. One might conclude disrespect the arbitration process itself.
Unfortunately, this tends to reward the that US arbitrators might be more When the process is disrespected, par-
party which takes the most extreme inclined to issue “reasoned awards” as ties and their counsel either turn away
position and tends not to consider that final rulings on the merits but this is from it or engage in some of the nega-
the proper answer may be within not the case. Many have a sincere tive behavior cited in earlier sections.
entirely different parameters. Hearings belief that “reasoned awards” may pro- Either is detrimental to the arbitration
may be longer than necessary to assure long the dispute, by providing fodder process.
that each counsel can present their for a motion to vacate, rather than con-
arguments in full, regardless of clude it. IX Conclusion
whether the panel finds all of such
For purposes of this discussion, I will The reinsurance arbitration process is
arguments useful. The reasoning
define a “reasoned award” as 2 - 3 pages legitimately criticized as having become
behind the panel’s ruling on the merits
of findings of fact and conclusions of too long, costly and contentious. In
may be mushy and poorly articulated.
law. No more is necessary to tell par- part, this results from marketplace
Common denominator approaches to
ties and their counsel why they won or changes i.e. larger disputes between
findings and remedies are easier to cob-
lost. parties with no continuing business
ble together than creative ones.
relationship. However the relevant
All-neutral panels may increase the effi- Reasoned awards contribute to better players (arbitrators, parties and their
ciency and quality of the arbitration arbitrations for several reasons. First, counsel) must also accept a share of
process significantly by eliminating the composing a reasoned opinion requires the responsibility. Such players must be
partisan element. Without party identi- clarity of thought concerning what the willing to adopt techniques to promote
fication, arbitrators can focus on obtain- panel decided and why. Mushy reason- efficiency and clarity, such as those
ing the right answer rather than posi- ing and “split-the-difference” approach- described above, if arbitration is to
tioning themselves with respect to es to damages can seldom survive this remain a viable alternative to litigation.
other arbitrators. Panels can act more process. Panels often render awards ▼
decisively and efficiently with less which do not match the reasoning or
lawyering. They can give more effective damages claimed by either party and
direction to counsel as to witnesses there is absolutely nothing wrong with
and the focus of issues at the hearing this. It is important, however, for the
which can result in a better hearing in panel to have a logical reason for doing
less time and with less cost. Finally, so and be able to express it in writing.
they are better able to produce clear This will provide better rulings by arbi-
and decisive answers which proceed tration panels. Such players
from the evidence rather than an inter-
nal negotiation process.
The second reason why reasoned
awards produce better arbitrations is
must be willing
There are several methods of obtaining
all-neutral panels. ARIAS•U.S. currently
feedback to the parties and their coun-
sel. Arbitrated disputes are becoming
to adopt
is studying the feasibility of providing a
program for all-neutral panels. A cross
very large in size and considerable legal
and other expenses are associated. If
techniques to
section of interested parties have pro-
duced a set of arbitration procedures
the parties choose to have their dispute
resolved by experienced senior mem-
promote efficiency
which includes a different method for
selecting all-neutral panels. This may
bers of the insurance community, they
have a right to know the basis upon
and clarity,
be accessed at www.arbitrationtask-
force.org. In addition, there is discus-
which the panel decided. This is not
merely an matter of idle curiosity. An
such as those
sion among arbitrators of offering
themselves as fixed, three-member
adverse decision by a panel may cause
a party to re-examine its position on
described above,
panels. similar disputes with the same party if arbitration is to
(due to failure to agree on consolida-
VIII. Reasoned Awards tion) or with other parties. The decision remain a viable
British arbitrators regularly issue rulings may cause the party to re-examine its
of 20 or more pages, notwithstanding decision-making process when prob- alternative
the ability to appeal the arbitration tri- lems with clients and markets arise so
bunal’s decision on the law pursuant to as to make better evaluations as to to litigation.
the Arbitration Act of 1996. There is no which matters to compromise and
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process later. Similarly, to resolve issues boils over into full-blown, "in-the- time to brief and entertain the motion,
quickly and less expensively, the parties trenches" warfare. Third, the mediator's accelerating the schedule even more.
could also designate a standing and role is designed to maintain the
alternate mediator, available quickly to standing umpire's strict neutrality,
help the parties resolve smaller disputes shielding him/her from the candid, Make the Schedule
without the need for arbitration. sometimes damaging, disclosures
parties make in private caucuses. And,
Fit the Dispute
At what point are the parties most Panels must affirmatively and
last but certainly not least, the mediator
agreeable? Most of the time, it's when proportionately streamline the length
can prevent the unnecessary time and
they successfully negotiate the terms and scope of the proceedings to the
expense of arbitrations that should
and execute the signature page of an amounts in dispute.
never have been filed.
agreement. Why not seize the moment
and have the parties discuss and agree Starting with communications with
upon a person whom they trust to act counsel before the OM, the panel
as a fair and impartial umpire (plus at Pre-Organizational Meeting should affirmatively announce that the
least one alternate of similar Disclosures, Panel Approval, parties, armed with as comprehensive
an evaluation of their case as possible,
reputation)? and Hold Harmless. must develop a schedule that fits the
This serves several purposes: first, it Panelists should make their disclosures, amount in dispute. Does a $250,000
eliminates the typical, multi-month and parties should accept and hold the case require eight depositions? Must
wrangling and gnashing of teeth to panel harmless, immediately after the the hearing in this case be two years
arrive at what many feel is the lopsided umpire is selected and before the away? Like the rule about running water
selection of one party's candidate for organizational meeting. following the course and filling the
umpire. Once the parties select their space available, the more time it takes
The weeks and months between umpire
arbitrators, the panel can immediately to get to hearings, the more that can be
selection and organizational meeting are
proceed with a qualified, acceptable plugged into the schedule, resulting in
the ''no man's land" of the arbitration
umpire. Second, it avoids potential "jury less focused, more costly, discovery.
process. Little if anything is
rigging" of the umpire selection process.
accomplished, other than the parties' The parties and their lawyers are smart,
And finally, the selected umpire and
submissions of position statements, and analytical problem solvers — if the
alternate must disclose any
discussion and occasional approval of a panel says "absent (really) good cause
subsequently accepted, potential
case schedule. The as yet unapproved shown, you're doing this in twelve
conflicts to the contracting parties,
and unprotected panel logically leaves months with three deps," they will
keeping them up to date on their
the drab and difficult issues for the figure out how to do it. If discovery
candidates' qualifications to serve in any
organizational meeting, typically reveals evidence that breaks the small
future dispute.
conducted in person regardless of the case open, the panel can address any
If, after disclosure of additional amount in dispute, often at significant necessary schedule adjustments at the
appointments, a standing umpire time and expense for parties, counsel, time. And a reduction in depositions
crosses the parties' comfort line, they and arbitrators. (which are not, by the way, as of right)
may move the alternate up and choose can still be accommodated: for example,
With the help of a standing, qualified
another alternate. Even if the parties the direct testimony of less important
panel, the parties can agree upon and
must obtain a replacement standing witnesses can be submitted in written
eliminate much of the organizational
umpire, the very act of recognizing the form, subject to cross-examination at
meeting agenda in advance, making
conflict and agreeing upon a the hearing, eliminating any "trial by
telephonic meetings (or even no
replacement, keeps the parties in ambush" arguments and allowing
meeting) the rule, not the exception. The
discussion mode, not aggression mode. opposing counsel to "pick their spots"
fully functioning, indemnified panel can and decide whether and to what extent
In fact, the parties may trust their
be available by phone to conduct status they wish to cross the witness at all.
nominee enough to have him or her
conferences and even entertain on the
serve solo in any subsequent dispute, From the beginning, ask the parties to
spot oral arguments to resolve logjams
especially if the amount at issue is ultimately prepare and agree upon
in the parties' search for a mutually
small. stipulations of fact. This avoids the
acceptable schedule. And if early motion
The parties could also designate a practice is necessary (e.g., motion for mindless repetition of duplicate
standing (and alternate) mediator. This pre-hearing security), a fully functioning information in future filings and makes
serves many important goals: first, once panel can help the parties set a pre-OM the parties focus and agree on certain
again, the mediator is easily selected at briefing schedule. If an in-person items in the record, further streamlining
the beginning of the business organizational meeting is unnecessary, future discovery and arguments to a
relationship when all is sweet. Second, the panel can rule on the papers; if more limited set of factual issues. If the
he or she is quickly available by email or needed, they are ready to hear oral parties can agree to the authenticity of
phone to help the parties address any argument and rule on the spot or soon
issue, large or small, before it festers and thereafter, saving the usual post-OM CONTINUED ON PAGE 4
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CONTINUED FROM PAGE 3 • free up the panel and counsel to handle
The parties and their other, non-discovery matters, especially if
documents one of them produced, counsel can delegate non-dispositive
lawyers are smart, depositions solely to authenticate such discovery work to other lawyers in their
documents become unnecessary. firms;
analytical problem
• come down harder than the panel on "last-
solvers — if the Separate Discovery Master
word-email syndrome" abusers, giving
them a second chance to mend their ways
panel says "absent Arbitrator without aggravating the panel;
Either the panel or the parties can appoint • report to the panel, as necessary, on the
(really) good cause one Discovery Master Arbitrator to decide all progress and resolution of discovery issues
non-dispositive, discovery motions. and coordination of the remaining
shown, you're doing • A perennial harangue is that discovery in discovery schedule.
this in twelve arbitration is out of control. How many
times in how many conferences have we
months with three discussed this topic? Simultaneous Depositions and
• But wherever your case falls on the "out-of- Questioning of Experts
deps," they will fig- control" meter, simple non-dispositive Truncate and expedite the deposition
discovery motions often cause complex schedule by simultaneously deposing
ure out how to do it. problems: competing experts.
• Even though submissions must follow In addition to the occasional questionable
approved motion protocols, some counsel need for them, expert witnesses seriously
fall prey to the addictive "last word" email complicate and extend the discovery
syndrome, continuing to sur-surreply to the schedule, which must accommodate the
last surreply to the original reply — despite identification of affirmative experts, filing of
the fact that such exchanges require panel their initial reports, depositions, identification
From the beginning, approval; of rebuttal experts, filing of their rebuttal
reports, depositions, and testimony. Counsel
ask the parties to • If oral argument is required and the
potential evidence is critical and time
must prepare for, take, and defend separate
depositions for each of them — if you have
ultimately prepare sensitive, you now must undo the Gordian
knot of coordinating the schedules of three
more than one affirmative/rebuttal expert in
the case, good luck! At the hearing, the
and agree upon panelists, two lawyers, and possibly two (or
more) client representatives;
availability of experts often complicates the
hearing schedule. Who goes on when, who
stipulations of fact. • A complex motion (e.g., over e-discovery) has to wait until tomorrow, who has been
can redirect the panel and parties' hanging around all day in the hall, etc. Also,
This avoids the attention for weeks away from other items given the length of an expert's direct and
on the often tight discovery calendar; cross-examination and the occasional need
mindless repetition • Deliberations on motions involving
to take them out of order, the panel may
hear petitioner's expert on Monday and
of duplicate infor- arguably privileged and confidential,
sometimes prejudicial, documents could
respondent's on Thursday, making it harder
to compare the substance and credibility of
mation in future fil- poison the umpire and/or arbitrators' view
of the case, even if the documents are
their respective testimony.
ings and makes the ultimately excluded. One answer: allow the two opposing experts
to testify at the same time, whether in
An independent Discovery Master Arbiter
parties focus and can:
depositions or at the hearing. With counsels'
input, the panel can develop a protocol for
agree on certain • reduce the schedule coordination problem
by two arbitrators. In fact, if the parties
this procedure in advance. The process is
simple: place opposing experts on the stand
items in the record, agree, the one Discovery Master Arbiter can
be freely and informally available for on the
simultaneously, ask them the same
questions and have them respond to each
further streamlining spot conference calls to resolve minor
discovery-related issues;
other's answers (subject to either a
determined limit or the umpire's discretion),
future discovery… • shield the entire panel from the potential
followed up by panel questions similarly
handled.
prejudice of reviewing disputed privileged
documents; If this is properly controlled, you now have a
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reasoned debate (monitored by the parties — knowing or not knowing • draft the mediation process into the
panel if done at the hearing stage) and before hearings that the three people to arbitration clause for new contracts or
a record of the experts' competing whom you will hand over your case amend the clause to include it in
arguments in one section of the recommend mediation? Isn't the existing contracts;
transcript. One major benefit is that the answer obvious?
panel can explore critical issues without
Protections can be built into the process
waiting days between opposing to avoid unfairness. For example: Conclusion
expert's testimonies. The consolidated
ARIAS's November 2011 meetings have
record reduces the time and cost of • parties can agree in advance to allow
set an excellent tone for improvements
finding and comparing the experts' discussion of the "M" word only if all
in the arbitration process. Collectively,
opinions. Simultaneous direct and cross panelists agree. A unanimous
arbitrators, counsel, and parties have the
of the experts avoids any actual or recommendation is a pretty strong,
opportunity to work together to address
perceived unfairness to the party very valuable hint to the parties (not
the rising tide of complaints — some
whose expert testifies first. Since the necessarily both of them) that a
unique, some long-standing — with all
parties had the benefit of analyzing mediated settlement offers better
phases of the process. The trick is not to
and reacting to their opponents' options for proper relief than an
hold on to the past for the past's sake,
experts' reports in advance, they don't arbitrated award;
but to keep what works and fix what's
need it again at the hearing. And finally, • following the panel's broken for the future.
though experienced counsel generally recommendation, the case can be
conduct effective cross-examinations, This article hopes to open a dialogue
referred to a third party mediator
this procedure affords the parties' with suggested changes to certain
selected either by the parties or the
experts — the true specialists — the elements of the process — but there are
panel in advance. This allows the
opportunity to ask the questions most more ideas and better suggestions out
parties to be more candid to the
important to them and the opinion there. Advance selection of umpires,
mediator and shields the panel from
they seek to defend. mediators, and the panel, making the
confidential disclosures made at the
case schedule fit the amount in dispute,
mediation, especially if it proves
using independent discovery arbiters,
unsuccessful and the disputants
conducting simultaneous expert
Permit the Panel to return.
testimony, and using mediation where
Suggest Mediation • in advance of the organizational appropriate — all of these have the
Since panels are dispute resolution meeting, parties and the panel can capacity to make arbitration more
experts with a seasoned sense for the insert dates into the schedule to efficient; it still is, and always will be,
good and bad case, allow either the discuss mediation, avoiding inferences arbitration.▼
umpire or the entire panel to suggest or fears of panel prejudgment when
mediation to the parties at any point in the topic is raised later in the case;
the case.
First and foremost, panelists are dispute
resolution experts. In some cases, they
have collectively participated in
hundreds of arbitrations, seen the rise
and fall of parties' cases, and judged the
probative/putative value of evidence
and solid/sinking credibility of dozens
of witnesses. They have a "gut" sense
for where a case may be heading. In DID YOU KNOW…?
fact, more and more arbiters are also …THAT SENDING A CHANGE OF ADDRESS TO ARIAS•U.S. FOR THE MEMBER
trained, experienced mediators who DATABASE AND QUARTERLY DOES NOT CHANGE AN ARBITRATOR’S PROFILE?
can see the right vs. wrong case for THE YELLOW BUTTON ON THE HOME PAGE LABELED “LOG IN TO
mediation a mile away, regardless of ARBITRATOR PROFILE DATA ENTRY SYSTEM” ALLOWS ARBITRATORS TO MAKE
any prediction of an ultimate winner or CHANGES TO ALL DATA IN THE PROFILE, INCLUDING CONTACT INFORMA-
loser at trial. TION. THE ARIAS WEBSITE IS AT WWW.ARIAS-US.ORG.
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PRESENTED BY:
John L. Jacobus, Steptoe & Johnson, LLP
Jonathan Goodman, General Electric
Leonard Romeo, Arch Bermuda
Mike Merlo, Aon (Bermuda) Ltd
Robin Saul, XL Bermuda Ltd/Insurance
Greg Hoffnagle, Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
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Selection of arbitrators is imperative that the chosen barrister has a ‘modern’ view of prac-
As explained above, Bermuda Form arbitrations create unique tice, and will engage with the client and the American lawyers as a
circumstances that set them apart from more traditional interna- full participant from the outset.
tional business arbitrations. In most business disputes, the players Many experienced practitioners believe that one of the most
have never been involved in prior arbitrations; namely, an arbitra- important decisions in an arbitration is the selection of the tribunal.
tion is a unique event for most businesses. Bermuda insurers, on the As discussed above, the policyholder has the right to choose an arbi-
other hand, may be involved in multiple arbitrations each year. This trator, and has input through that arbitrator in the selection of the
gives the Bermuda insurers an unparalleled advantage in choosing chair. Given that the chair will most probably be from the UK, an
an arbitrator. Because it arbitrates year in and year out, a Bermuda accessible and experienced barrister will be an invaluable resource
insurer can winnow its arbitrator choices to those few who share in the selection process.
its interpretation of the Bermuda Form in connection with similar
issues that have arisen in the past. The policyholder, on the other Prepare the case early and carefully
hand, does not have access to this same information because, more US practice permits American litigators to often sue first and develop
likely than not, the instant arbitration is the only one the policy- the facts and theories later. Most American jurisdictions permit notice
holder has experienced. Hence, it cannot determine the track record pleading, namely, describing generally what the dispute is about. The
of any potential arbitrator. Moreover, given the confidential nature specific facts and theories can be and are developed almost up to
of arbitrations, the policyholder cannot make a general inquiry to the first day of trial. The pleadings can be freely amended and the
uncover the experience of potential arbitrators. legal arguments can change daily. Your case is told through direct
Finally, the process for selecting arbitrators provides that each testimony of the witnesses during trial. Because they are governed
party selects an arbitrator and those two arbitrators, in turn, select by British procedural rules, the arbitrations have come to replicate
the third arbitrator. If the two arbitrators cannot agree on the selec- in large part British court trials and therefore this approach will not
tion of the third arbitrator, either party can petition the High Court work in a Bermuda Form arbitration.
of Justice of England and Wales to appoint the third arbitrator. This The first major difference compared with the American judicial
process means that, more often than not, the third arbitrator will be system is that pleadings take a central role in a Bermuda Form arbi-
a British barrister or former British jurist. Further, the third arbitra- tration. Rather than simply give notice in general of the dispute, the
tor, who is not appointed by either party unilaterally, is the chair of pleadings, which are exchanged shortly after the commencement of
the tribunal. the arbitration, set forth in detail each party’s legal and factual posi-
While this process does not appear to provide either side with an tion. If an argument is not laid out in these pleadings – which consist
advantage, the likely result is a majority British panel that will apply of a statement of claim by the claimant, a statement of defence by
New York law through an English law ‘prism’. On most insurance the respondent, and a reply by the claimant – the tribunal will be
issues, English law is more favourable to insurer positions than the reluctant to allow amendments as the date of hearing approaches.
law of most American jurisdictions, including New York. Insurers Additionally, a ‘directions order’ is negotiated among the tribunal
rely on this prism (and the abrogation of contra proferentem) to and the parties early in the proceedings. This order, similar to a case
advance aggressive, pro-insurer interpretations of New York law management order, sets forth the case calendar working backward
and arguments that can lack the commercial sense American courts from the hearing date, which is set in stone along with the length
require. of the hearing; a contrast to the often multiple changes in the trial
calendar one sees in American courts.
Levelling the playing field Another major difference between an American judicial pro-
While there is no doubt that the playing field is tilted toward the ceeding and a Bermuda Form arbitration that requires a party to
insurer at the outset of a Bermuda Form arbitration, there are steps prepare the case early and carefully is the manner in which witnesses
the policyholder can take that even the odds. In our experience are presented to the tribunal. The direct testimony of all witnesses is
the following steps can certainly assist in the successful outcome submitted to the tribunal and the opposing party months before the
described at the outset. hearing in the form of written witness statements or expert reports.5
Live testimony of both fact witnesses and experts is conducted only
Assemble the right team as cross-examination. This allows the insurer at the final hearing,
A Bermuda Form arbitration requires an international team of law- who will often have far fewer witnesses than the policyholder, the
yers. The events that are the subject of disputed coverage more than benefit of weeks of challenging the policyholder’s case before the
likely took place in the United States or, at the very least, did not take tribunal – without the benefits that accrue from presenting direct
place in the United Kingdom. In addition, New York is the govern- testimony.
ing law. Hence, American lawyers are needed to develop the facts Hence, the policyholder must make the tactical and strategic
and evidence under New York law. In our experience, however, it investment necessary to develop the legal theories and facts before
would be a mistake for an American lawyer to be the lead trial coun- invoking the arbitration provision in order to avoid being straitjack-
sel. George Bernard Shaw was reputed to have said that ‘England eted later by the contents of its early pleadings and direct testimony.
and America are two countries separated by a common language.’ Given the absence of direct testimony, the policyholder must also
That statement is amplified in how trials are conducted on either take great care in selecting which witnesses to present.
side of the Atlantic.
British counsel have a unique style that American attorneys can- Prepare and maintain a claim-cost analysis
not replicate, and, given that the chair of the arbitration tribunal is By prohibiting recovery for punitive damages against insurers in
invariably from the United Kingdom, the wise policyholder chooses their insurance policies, the insurers removed any financial incen-
a British barrister, who will speak the same language as the chair. tive to settle early or for a reasonable amount. If an insurer loses an
The search does not end there, however. While the UK is modern in arbitration, however, one recovery element remains for the policy-
almost all respects, legal representation remains determinedly less holder – attorneys’ fees, which can be significant. The losing party in
so. Barristers are the lead trial lawyers, who are ‘instructed’ by solici- a Bermuda Form arbitration is liable for the winning party’s costs,
tors. Traditionally, barristers seldom meet clients, do not interview which include legal fees and expenses, expert witness fees, the arbi-
witnesses, and become deeply involved in the case only in the last trators’ fees and expenses, and any other expenses associated with
few months before the hearing. Given today’s complex disputes, the conduct of the arbitration. The tribunal has almost unlimited
with key decisions made during the many months of preparation, it discretion to award costs as well as in the matter of the amount.
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In order to maximise an arbitration award, it is imperative 2 The Bermuda Form contains an arbitration provision, which
that meticulous records be kept of all expenditures, especially if replaces any underlying dispute resolution provision with a
the policyholder is engaged in multiple arbitrations with different lengthy provision specifying, among other things, that:
Bermuda insurers involving the same occurrence. In that situation,
Any dispute, controversy or claim arising out of or relat-
the policyholder can expect each insurer to attempt to pass its award
ing to this Policy or the breach, termination or invalidity
burden on to one of the other insurers or argue for an equal divi-
thereof shall be finally and fully determined in London,
sion of the award. To counter this argument and maximise the cost
England under the provisions of the Arbitration Act of
award, the policyholder should maintain separate expense records
1996 . . . by a Board composed of three arbitrators...
for each arbitration to the extent possible.
An additional provision specifies that ‘...any dispute, contro-
Conclusion versy or claim arising out of or relating to this Policy shall be
As should be obvious from the foregoing, Bermuda Form arbitra- governed by and construed in accordance with the internal laws
tions are very different from both American trials and arbitrations. of the State of New York.’ See, for example, FORM-AE02 Ed
Many of the differences are designed to give the insurer an advan- 9/08 (‘Excess Liability Insurance Policy Follow Form Claims
tage. What we have tried to do in this chapter is to provide some Made Policy Insuring Agreements’).
ideas about how policyholders can counter those inbuilt advantages. 3 Richard Jacobs, Lorelie Masters and Paul Stanley, Liability
These ideas are by no means the totality of steps a policyholder can Insurance in International Arbitration: the Bermuda Form
take to insure a fair hearing, but they should give policyholders an (Second edition, January 2011), paragraph 1 at 1-21; David
appreciation that they can vindicate their rights in spite of playing Scorey, Richard Geddes and Chris Harris, The Bermuda Form:
on the insurers’ custom-made playing field. Interpretation and Dispute Resolution of Excess Liability
Insurance (December 2011), paragraph 1 at 3-6.
Notes 4 Consolidation of the disputes is only by consent of the insurers,
1 For example, for most North American utilities the Bermuda which seldom happens.
policy purchased follows the form of the AEGIS primary policy, 5 For example, the authors submitted 21 fact witness statement
AEGIS being the industry mutual that provides much of the and seven expert reports in a current arbitration, as well as sub-
North American utility industry’s primary liability coverage. mitting supplemental statements in rebuttal of the respondent’s
witness statements and expert reports, several months before the
actual hearing.
www.gettingthedealthrough.com 9
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Financial institutions
Energy
Infrastructure, mining and commodities
Transport
Technology and innovation
Life sciences and healthcare
3. In this context, this Article explores some of the practical (3) are inconsistent with any provision of this Policy…”
issues that might arise in Bermuda Form arbitration (emphasis added).
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5. The standard Bermuda Form Policy will therefore engage England. I shall proceed on this basis for the purposes of
New York law, English law or Bermuda law, depending this Article.
on the selection of the parties. The normal selection is
New York law. It is rare for the parties to select English 9. There are two consequences of the juridical seat of the
or Bermuda law to be the governing law of the contract arbitration being that of London, England:
because of the perception of policyholders (who tend to be
North American) that English and Bermuda law tends to a. Firstly, the procedural law that is applicable to the
be more favourable to insurers than to policyholders. The arbitration will be that of the English Arbitration Act
Insurance Act 2015, which came into force in England in 1996.
August 2016, might change that perception to a degree so
far as English law is concerned but Bermuda has no such b. Secondly, the arbitration will be subject to the
law and there are no signs that it is considering enacting supervisory jurisdiction of the English High Court
any equivalent. under the Arbitration Act 1996.2
6. The arbitration provision in Condition N of the Policy B. Procedural Law Applicable to the Arbitration
provides, in relevant part, as follows:
10. The Arbitration Act 1996 confers expansive powers on
“Any dispute, controversy or claim arising out of or the parties and the Tribunal. The Tribunal is required to
relating to this Policy or the breach, termination or “act fairly and impartially as between the parties” and to
LQYDOLGLW\WKHUHRIVKDOOEHʸQDOO\DQGIXOO\GHWHUPLQHG “adopt procedures suitable to the circumstances of the
in London, England under the provisions of the particular case, avoiding unnecessary delay or expense, so
Arbitration Acts of 1950, 1975, 1979 and/or any as to provide a fair means for the resolution of the matters
VWDWXWRU\PRGLʸFDWLRQRUDPHQGPHQWVWKHUHWRIRU falling to be determined.”3
the time being in force, by a Board composed of three
arbitrators to be selected as follows…” 11. The Tribunal also has a broad discretion to determine “all
procedural and evidential matters, subject to the right of
7. This provision not only makes London, England the the parties to agree any matter.”4 This includes but is not
place where the arbitration will be held (although there limited to matters such as: (a) whether and if so, what
is a discretion in the arbitration tribunal exceptionally form of pleadings are to be used and when they should
to hold the arbitration elsewhere if the circumstances be served, (b) disclosure issues, (c) whether to apply strict
demand)1 but also makes England the juridical seat rules of evidence as to the admissibility, and relevance of
of the arbitration: in other words, the arbitration is an weight of materials.5
English arbitration and is subject to the supervision and
oversight of the English Courts in accordance with English 12. What this means is that a tribunal has the discretion to
OHJLVODWLRQ7KHJHQHUDOHʷHFWLVWKDWQRRWKHUFRXUWVLQDQ\ adopt procedures that are not generally applied in English
other jurisdiction may interfere with the tribunal or have Court (or any other country’s court) proceedings. For
jurisdiction in relation to the conduct of the arbitration example, a tribunal may determine that depositions,
and any challenges to its procedures or substance. which are not deployed in English proceedings, should be
deployed. That said, the tribunal would typically tend to
8. In general, therefore, the governing law of the substantive adopt English or international arbitration procedures for
rights and obligations of the parties will be New York the conduct of the arbitration.
law whilst the law of the arbitration will be English law
with the juridical seat of the arbitration being London,
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C. Supervisory Jurisdiction of the Arbitral Process with the lex fori, the law of the forum)10 would likely
conclude that New York law applies to all issues of
13. Issues that fall within the ambit of the English High Court’s substance between the parties, including therefore issues
powers include: (a) the removal or the appointment of misrepresentation and/or non-disclosure.
of arbitrators6 (see further section C(iii) below), (b) the
substantive jurisdiction of the tribunal,7 (c) challenges to 17. 7KHWZRH[SUHVVTXDOLʸFDWLRQVWRWKHDSSOLFDWLRQRI1HZ
an arbitral award on the basis that the tribunal did not York law are as follows:
have substantive jurisdiction or on the ground of serious
irregularity and appeals.8 a. Firstly, the application of New York’s regulatory
law is excluded. The reference to “regulation under
D. Applicable Substantive Law the New York Insurance law” is likely a reference to
regulatory statutes and not to New York’s Insurance
14. As noted above, the express law governing substantive Law that pertains to issues of misrepresentation and/
legal issues is that of the internal law of New York. As a or material non-disclosure. Indeed, as noted above,
result, it is unlikely that New York’s choice of law rules the general practice is that New York Insurance Law
would apply. applies to issues of misrepresentation and material
non-disclosure.
15. Disputes have sometimes arisen as to whether New York
law governs issues of misrepresentation and/or non- b. Secondly, punitive damages are not, as a matter
disclosure. Parties have purported to assert that New of public policy under New York law, insurable. It
York law applies solely to matters of construction and IROORZVWKDWWKHPRGLʸFDWLRQWRWKHDSSOLFDWLRQRI
interpretation, and that misrepresentation and/or non- New York law that relates to “punitive damages” is
disclosure issues are not disputes that arise out of or relate likely intended to provide for the recoverability of
to the policy. punitive damages under the Bermuda Form Policy so
that a tribunal may award an indemnity in respect of
16. Under English law, disputes regarding: (a) the contractual punitive damages.
interpretation of the contract, as well as (b) the validity
of the contract including issues of misrepresentation or ( ɢ0RGLʸHGɣ1HZ<RUN
material non-disclosure are governed by the law chosen
by the parties as applicable to the substance of the 18. Condition O of the Bermuda Form Policy also provides
dispute.9 If the policy provides for English arbitration insofar as is material as follows:
in London, a tribunal applying English law (as would
normally be the case in London arbitrations where choice “[T]he provisions, stipulations, exclusions and conditions
of law clauses are ordinarily interpreted in accordance of this Policy are to be construed in an evenhanded
fashion as between the Insured and the Company; without
limitation, where the language of this Policy is deemed
to be ambiguous or otherwise unclear, the issue shall be
resolved in the manner most consistent with the relevant
provisions, exclusions and conditions (without regard
to authorship of language, without any presumption or
arbitrary interpretation of construction in favor of either
6 See sections 18, 19 and 24 of the Arbitration Act 1996.
7 See section 32(1) of the 1996 Act which provides that the court may, on the
application of a party to arbitral proceedings (upon notice to the other parties),
determine any question as to the substantive jurisdiction of the Tribunal. Such
an application will not be considered, however, unless it is made with the 10 8QGHU(QJOLVKFRQʹLFWRIODZVSULQFLSOHVZKLFKDSSO\WRDQDUELWUDWLRQVHDWHG
agreement of all the parties to the arbitration or the permission of the Tribunal in London under an arbitration agreement governed by the English Arbitration
(see section 32(2) of the Arbitration Act 1996). $FWWKHHʷHFWRIDFKRLFHRIODZFODXVHLVDPDWWHUIRUWKHOH[IRULDQG
8 See sections 67 and 68 of the Arbitration Act 1996. is determined by applying the normal English rules of interpretation: see, for
9 See section 46(1)(a) of the 1996 Act; Evans Marshall & Co. Ltd. v. Bertola SA example, Compagnie d’Armement Maritime S.A. v. Compagnie Tunisienne de
[1973] 1 WLR 349. Navigation S.A. [1971] AC 572 at p.603 (per Lord Diplock).
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the Insured or the Company or reference to the “reasonable program of which the policy forms a part.12 Examples of
expectations” of either party or to contra proferentem and extrinsic evidence which may not be deployed include:
without reference to parol or other extrinsic evidence.” pre-contractual or contemporaneous or subsequent
declarations by the one of the parties as to the meaning
19. What this means is that the following are all outlawed, of the policy, pre-contractual or contemporaneous or
namely: (i) any presumptions in favour of the insured or, post-contractual conduct or correspondence of any one
in the same vein, any anti-insurer principles, (ii) any rule of the parties from which one might be able to infer their
that applies an interpretation of the policy in accordance subjective understandings of what the policy means, and
with the reasonable expectations of the parties, (iii) testimony of the parties’ subjective intentions.
any rule that states that any ambiguity must be resolved
in favour of the insured or against the insurer, (iv) any * $UHWKHUHDOWHUQDWLYHVWRɢPRGLʸHGɣ1HZ<RUNODZ
recourse to the rule of contra proferentem (i.e., applying that should be considered?
any ambiguity in favour of the insured), and (v) any
recourse to extrinsic evidence such as the subjective views 23. Of all the laws of the individual States of the Union, New
of the parties or negotiations. York law is probably regarded as the most even-handed
as between insured and insurer. There is no doubt that
F. The Role of Extrinsic Evidence English or Bermuda insurance laws are regarded as less
favourable to insureds than even New York law but, in
20. The rationale for excluding extrinsic evidence is to truth, that is probably as much a consequence of the
prohibit contractual interpretation based upon the applicable New York legal principles, themselves, as
subjective views of the parties as to the meaning of of the disposition of English arbitrators who tend to be
the policy terms. It does not follow, however, that English Queen’s Counsel and former English judges.
the Bermuda Form Policy should be construed in These arbitrators are in fact notoriously even-handed as
isolation without regard, for example, to the contextual between insureds and insurers but, from the perspective
circumstances in which it was entered into, the of North American insureds and their lawyers, who have
commercial purpose of the policy and its terms, and the come generally to expect tribunals to be pro-insured, they
knowledge of both parties of extraneous facts that might therefore seem to be more favourable to insurers. That is
KDYHLQʹXHQFHGWKHLUDJUHHPHQW simply the product, however, of their even-handedness.
21. This is not considered to be inconsistent with New 24. It would be rare (and possibly ill-advised) for a
York law which provides that the fundamental rule in policyholder to choose English or Bermuda governing
the construction of all contracts, including insurance law above New York law. Similarly, it would be rare (and
contracts, is to enforce the mutual intent of the parties at possibly ill-advised) for an insurer to choose arbitration
the time that the contract was formed as expressed in the other than in London, England, or Bermuda. The
unequivocal language employed in the contract.11 combination that has worked reasonably well until now is
WRKDYHPRGLʸHG1HZ<RUNJRYHUQLQJODZZLWK(QJOLVKRU
22. Examples of extrinsic evidence that might be deployed Bermuda arbitration. In that way, the competing interests
include: issues as to the custom and practice or known of the parties are reasonably well balanced.
purpose of a particular provision; or the structure of the
12 See e.g., Newmont Mines Limited v. Hanover Insurance Company 784 F.2d 127,
135 (2d Cir. 1986): “The cardinal principle for the construction and interpretation
of insurance contracts – as with all other contracts – is that the intentions of the
parties should control. See, e.g., 29 N.Y. Jur. Insurance §§ 593-594 (1963). Unless
otherwise indicated, words should be given the meanings ordinarily ascribed
to them and absurd results should be avoided. As we have stated before, the
11 See Breed v. Insurance Co. of North Am., 46 N.Y.2d 351, 355, 413 N.Y.S.2d 352, meaning of particular language found in insurance policies should be examined
355 (1978); United States Fidelity & Guaranty Co. v. Annuziata, 67 N.Y.2d 229, ‘in the light of the business purposes sought to be achieved by the parties and the
232, 501 N.Y.S.2d 790, 791 (1986) (“Where the provisions of the policy are clear SODLQPHDQLQJRIWKHZRUGVFKRVHQE\WKHPWRHʷHFWWKRVHSXUSRVHVɠ&KDPSLRQ
and unambiguous, they must be given their plain and ordinary meaning, and International Corp. v. Continental Cas. Co., 546 F.2d 502, 505 (2d Cir. 1976), cert.
courts should refrain from rewriting the agreement.”) denied, 434 U.S. 819 (1977).”
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the parties cannot come together, and where even the two such appointments (or any one or more of them)
appointed arbitrators cannot agree, the third arbitrator is as have been made;
selected by a drawing of lots. In the event, however, that
both parties are unable to select a common arbitrator as 3. To revoke any appointments already made;
the chairperson, the dispute can be referred to the English
%HUPXGD+LJK&RXUWZKLFKZLOOPDNHWKHʸQDOFKRLFH 4. To make any necessary appointments itself.
(Emphasis added).
D. Default Selection by the English High Court
41. Section 27 of the Act further provides:
39. Section 16 of the Arbitration Act 1996 provides as follows:
a. :KHUHDQDUELWUDWRUFHDVHVWRKROGRʺFHWKHSDUWLHV
a. The parties are free to agree on a procedure for are free to agree-
appointing the arbitrator or arbitrators, including the
procedure for appointing any chairman or umpire. 1. Whether and if so how the vacancy is to be
ʸOOHGɨ
b. If or to the extent there is no such agreement, the
following provisions apply. b. If or to the extent that there is no such agreement, the
following provisions apply.
… (Emphasis added).
c. The provisions of section 16 (procedure for
(5) If the tribunal is to consist of two arbitrators and an appointment of arbitrators) and 18 (failure of
umpire- appointment procedure) apply in relation to the
ʸOOLQJRIWKHYDFDQF\DVLQUHODWLRQWRDQRULJLQDO
(a) each party shall appoint one arbitrator not later appointment. (Emphasis added).
than 14 days after service of a request in writing by
either party to do so. 42. In order to invoke these provisions, a party must satisfy
the court that there is no agreement as to the procedure for
(7) In any other case (in particular, if there are more the appointment of a third arbitrator or that the procedure
than two parties) section 18 applies as in the case has failed.
of a failure of the agreed appointment procedure.
(Emphasis added). 43. It is rare for the Court to have to intervene. Normally, the
SDUWLHVDQGRUWKHWZRDSSRLQWHGDUELWUDWRUVʸQGVRPH
40. Section 18 of the Act provides as follows: means for the appointment of the third arbitrator even if
WKHʸQDOUHVXOWVDWLVʸHVQRERG\YHU\PXFKRUHQWLUHO\
a. The parties are free to agree what is to happen
in the event of a failure of the procedure for the Choice of Counsel
appointment of the arbitral tribunal.
A. Is English Counsel desirable?
b. If or to the extent that there is no such agreement any
party to the arbitration agreement may (upon notice 44. “Unless otherwise agreed by the parties,” either party may
to the other parties) apply to the court to exercise its be represented in the arbitration proceedings by “a lawyer
powers under this section. or other person chosen by him.”20
c. Those powers are- 45. Given that the juridical seat of the arbitration is in London
and the applicable procedural law of the arbitration will
1. To give directions as to the making of any
necessary appointments;
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be that of English law pursuant to the provisions of the coverage that are placed with one or more insurers usually
Arbitration Act 1996, the general trend is towards the in the Bermudian market. For example, a basic program
choice of English Counsel, usually a Queen’s Counsel, as might be as follows:
the lead advocate. This is also partly for cultural reasons
as well as the fact that the tribunal will commonly have 49. Let us assume that the insured faces multiple claims
two English lawyers on the panel. Counsel will likely amounting to over $200 million in losses which it seeks
have appeared before the arbitrators in other Bermuda to recover from its insurers. All insurers A, B, C, D and
Form disputes and will therefore have some familiarity E deny coverage. The insured therefore commences
with the workings of the Form and with Bermuda Form arbitration proceedings against all of the insurers to
arbitrations. There is, of course, nothing to prevent the recover $175 million.
use of U.S. Counsel as the lead advocate on the matter.
%RWK(QJOLVKDQGRU86&RXQVHODUHHTXDOO\HʷHFWLYH % +RZZRXOGLWZRUN"
$100 M xs $100 M Insurers A & C 50. In this scenario, the insured may well desire to consolidate
the proceedings in order to minimize its costs. In certain
cases, consolidation may be desirable and more cost
$50 M xs $50 M Insurers B, C, D & E HʷHFWLYHIRUERWKSDUWLHV)RUH[DPSOHWKHGLVSXWH
between the insured and insurers B, C, D and E in respect
Insurer A of the layer $50 million excess of $50 million.
$25 M xs $25 M
51. From an insurer’s perspective, however, consolidation of
Insured all the disputes may be not be desirable for the following
reasons:
B. Can English Counsel be from the same chambers as (a) The Bermuda Form Policy is a standalone Policy
an arbitrator? such that the terms and conditions pertaining to each
Policy are separate and unique.
46. The short answer is, yes. Instinctively, this might
appear unjust especially to those accustomed to the U.S. (b) It is possible that the issues pertaining to each layer of
DGYHUVDULDOV\VWHP,WLVDOVRQRWXQFRPPRQWRʸQGWKDW FRYHUDJHZLOOEHGLʷHUHQWHVSHFLDOO\LQFLUFXPVWDQFHV
Counsel from the same set of chambers are on opposite where a defence of misrepresentation and/or non-
sides. In the latter instances, these arbitrations sometimes disclosure is raised which is contingent upon the
are the most bitterly fought. subjective expectation and belief of the underwriter
for each insurer.
Consolidation of Related Proceedings Among
Insurers In the Same Tower or Layer (c) It is possible that one insurer does not wish to be
associated with another for commercial and other
A. Is Consolidation Desirable? reasons. It is possible that one insurer will wish
to take certain points but not others while another
47. Section 35 of the Arbitration Act 1996 provides that the LQVXUHUZLVKHVWRWDNHDGLʷHUHQWOLQH2QHLQVXUHU
parties may agree that: (a) arbitral proceedings shall be might be more inclined to compromise with the
consolidated with other arbitral proceedings, or (b) that insured than another insurer and might wish,
concurrent hearings shall be held, on such terms that are therefore, to have separate lines of communication.
agreed between them. The tribunal has no independent There are a myriad of reasons why insurers might not
power to order the consolidation of proceedings or want to be joined with others in a common defence.
concurrent hearings.
(d) Even if the issues pertaining to each dispute are the
48. Insurance coverage to an insured under the Bermuda same, it does not follow as a matter of course that
Policy generally consists of several layers of excess of loss a consolidated arbitration will be less costly. Each
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insurer might want, despite likely discouragement court will apply is that of a “fair-minded and informed
from the insured and the tribunal, its own counsel to objective observer” and whether there is, based upon
present its case. the facts of the case, a reasonable possibility that the
arbitrator is biased.21
52. These are just some of the factors that might bear upon
an insurer’s decision whether to seek agreement for &RQʸGHQWLDOLW\RI3URFHHGLQJV
consolidation or not. Each arbitration must, of course,
EHYLHZHGXSRQWKHIDFWVVSHFLʸFWRWKDWDUELWUDWLRQDQG $ $UHWKHSURFHHGLQJVLQKHUHQWO\FRQʸGHQWLDO"
insurers may well be willing to consolidate proceedings
with other insurers in the tower under the appropriate 57. 7KHJHQHVLVRIWKHFRQʸGHQWLDOLW\RIDUELWUDWLRQ
circumstances. proceedings arose under English common law as an
adjunct to the implied obligation and/or an implied
C. Implications of the policyholder choosing the same term of the arbitration agreement in relation to the
DUELWUDWRULQGLʷHUHQWDUELWUDWLRQVLQWKHVDPHWRZHU discoverability of documents.22 The Court of Appeal has
held that:
53. A policyholder may well desire to choose the same
DUELWUDWRULQGLʷHUHQWDUELWUDWLRQVDJDLQVWGLʷHUHQW “…there is an obligation, implied by law and arising
insurers but in the same tower. The logical reason being out of the nature of arbitration, on both parties not
that the particular arbitrator selected will be well versed to disclose or use for any purpose any documents
in the factual matrix and the issues (which are likely to be prepared for and used in arbitration, or disclosed or
similar) in each of the respective arbitrations. produced in the course of arbitration, or transcripts or
notes of the evidence in the arbitration or the award.”23
54. From the perspective of each respective insurer in the
tower of insurance, selection of the same arbitrator is 58. The Court of Appeal recognized, however, an overriding
wholly undesirable. Even though the arbitrator is required public interest favouring the disclosure of documents
to act impartially and independently, that arbitrator will in circumstances where: (a) the parties expressly or
inevitably glean and be privy to facts and information impliedly consent to disclosure, (b) where it is reasonably
(including factual and/or expert evidence) from some necessary for the protection of the legitimate interests of
of the arbitration proceedings that are absent in other an arbitrating party, and (c) where the interests of justice
proceedings and which will most likely colour his views require disclosure.
even if not always consciously).
59. 7KH(QJOLVKFRXUWVFRQVLGHUWKHSULYDWHDQGFRQʸGHQWLDO
55. 55. As noted above, the mere fact that an arbitrator takes nature of arbitration under English procedure as
a view in one proceeding does not per se preclude him being paramount unless the interests of justice dictate
from acting in another proceeding involving the same RWKHUZLVH7KLVH[WHQGVWRFRQʸGHQWLDOLW\LQHYHU\DVSHFW
issue. To this end, the recent U.K. Commercial Court of the arbitration, not just documents. It extends to
decision of H v L (see paragraphs 32 to 37 above) might be evidence, arguments, pleadings and the award.
VDLGWRLQXUHWRWKHEHQHʸWRIWKHSROLF\KROGHURYHUWKDW
of insurers) in its ability to appoint the same arbitrator % ,VFRQʸGHQWLDOLW\GHVLUDEOH"
in multiple arbitrations against other insurers who
participate in higher layers in the Bermuda Form Tower. 60. &RQʸGHQWLDOLW\RIWKHDUELWUDOSURFHHGLQJVDQGRIWKH
documents produced in those proceedings may be
56. That said, if and insofar as it can be shown that the desirable from the perspective of both the insured and the
repeated appointment of a particular arbitrator gives
ULVHWRɢMXVWLʸDEOHGRXEWVDVWRKLVLPSDUWLDOLW\ɣZKLFKLV
the ground for challenging an arbitrator’s appointment
pursuant to section 24 of the Arbitration Act 1996,
proceedings may be brought before the UK High Court for 21 See Laker Airways v. FLS Aerospace [1999] 2 Lloyd’s Rep. 45 at 48 (per Rix J).
22 See Dolling-Baker v. Merrett [1990] 1 W.L.R. 1205; Ali Shipping Corp. v. Shipyard
his or her removal. As highlighted above, the test that the Trogir [1991] 1 W.L.R. 314.
23 See Emmott v. Michael Wilson & Partners Ltd. [2008] EWCA Civ. 184.
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65. The intrinsic nature of Bermuda Form disputes is such determined by the Arbitration Act 1996.
that the claims often arise out of extensive underlying
OLWLJDWLRQEHWZHHQWKHLQVXUHGDQGSODLQWLʷVFRPPRQO\ 68. Generally, therefore, an arbitral tribunal in a London
in multiple class action lawsuits) throughout the United arbitration with its juridical seat in England will apply
States in a number of jurisdictions. Consequently a English law to the question of privilege on the basis that
vast number of documents is produced including fact English law is the law of the forum where the arbitration is
and expert deposition transcripts and exhibits, experts’ taking place.25 Indeed, it has been commented that, “[t]he
reports and so forth. Insureds are sometimes reluctant cases demonstrate that the English courts apply the simple
to produce voluminous and irrelevant documentation UXOHXQGHU(QJOLVK&RQʹLFWRI/DZUXOHVWKDWLWLVWKHOH[
ZKLOVWLQVXUHUVVLPLODUO\ʸQGWKHYROXPLQRXVSURGXFWLRQ fori that applies to determine whether a communication is
of largely irrelevant material to be burdensome. Moreover, privileged.”26 It is therefore irrelevant whether (in the case
the general trend in U.S. proceedings is for attorneys to of disclosure issues) a document would be a privileged
provide disclosure of documents as they appear in their communication under a foreign (i.e. non-English) law, not
FOLHQWVɠʸOHVRUDOWHUQDWLYHO\LQUHVSRQVHWRGRFXPHQW privileged under a foreign law or whether privilege has
requests. Notoriously, in the former case, the documents been waived as a matter of foreign law.
that are produced are not organized in any or any orderly
fashion much to the dissatisfaction of insurers. By 69. It has been suggested that section 34 of the Arbitration
contrast, disclosure in English proceedings is by reference Act 1996 which provides that the tribunal shall determine
to relevant categories of documents that are often ordered all procedural and evidential matters including whether
chronologically. any documents should be disclosed, extends to privilege
such that a tribunal may decline to apply English laws
66. This begs the question as to the appropriate limits of pertaining to privilege. It has been commented, however,
electronic discovery especially in circumstances where that “[p]rivilege is not a matter of discretion: it is a
there will undoubtedly be enormous quantities of fundamental rule of law”27:
documentation and the parties will be required to have
made a reasonable search for documents. In this regard, “Legal professional privilege is…much more than an
the advantage of an English arbitration is that the tribunal ordinary rule of evidence, limited in its application
will only order disclosure insofar as it is: (a) relevant to the to the facts of the particular case. It is a fundamental
issues in dispute, and (b) is necessary and proportionate condition on which the administration of justice as a
having regard to the issues and complexities of the case. whole rests.”28
It follows that a tribunal may consider it appropriate
for a reasonable search of electronic documents to have 70. It follows that, in an English arbitration that is subject to
been made and to be produced by reference to pertinent English curial and procedural law, the tribunal would be
keyword searches and also having regard to the cost and very unlikely to order the disclosure of those documents
ease with which particular electronic documents may be that are, under English law, privileged in the absence
retrieved. Guidance may be obtained from the Practice of an agreement between the parties otherwise. As to
Directions that supplement Part 31 of the CPR Rules. those documents that are not privileged under English
law but are privileged under some other, relevant law, it
C. What privilege law applies? always lies in the discretion of the tribunal not to order
disclosure: not necessarily on the basis of non-English
67. During the course of the disclosure process questions privilege but on the basis of the tribunal’s discretion
and/or disputes sometime arise as to the applicable law
insofar as privilege is concerned i.e., whether English law,
New York law or the law of another U.S. state applies. The
choice of law rules that are applicable to any dispute are
25 See Bourns v. Raychem [1993] 3 All ER 154; British American Tobacco
generally governed by the lex fori (i.e., the law of forum) Investments Ltd. v. United States of America [2004] EWCA Civ. 1064.
which, in a Bermuda Form dispute, will typically be that 26 See Thanki, The Law of Privilege (2006) at § 4.79
RI(QJODQGRU%HUPXGD3XUVXDQWWR(QJOLVKFRQʹLFWVRI 27 See “Liability Insurance in International Arbitration: The Bermuda Form” (Second
Edition) by Jacobs QC, Masters and Stanley QC at §16.20, p. 317.
law rules, procedural issues are governed by English law as 28 See R v. Derby Magistrates’ Court ex parte B [1996] 1 AC 487, 507; See also R
(Morgan Grenfell Ltd.) v. Special Commissioner [2003] 1 AC 563.
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Session Materials
THE ARIAS•U.S. 2017 FALL CONFERENCE AND ANNUAL MEETING WILL BE CONDUCTED UNDER
THE ARIAS•U.S. ANTITRUST POLICY
ARIAS•U.S. is a not-for-profit corporation that promotes improvement of the insurance and reinsurance
arbitration process for the international and domestic markets. ARIAS•U.S. provides initial training, continuing in-
depth conferences and workshops in the skills necessary to serve effectively on an insurance/reinsurance arbitration
panel. In addition, ARIAS•U.S. certifies a pool of qualified arbitrators and serves as a resource for parties involved in
a dispute to find the appropriate persons to resolve the matter in a professional, knowledgeable and cost-effective
manner.
ARIAS•U.S. members include representatives of insurance companies, reinsurance companies, law firms and
independent contractors with experience in the field. Some of the participants in ARIAS•U.S. meetings may be in
competition with one another. For this reason, ARIAS•U.S. wishes to state unequivocal support for the policy of
competition served by the antitrust laws.
The Policy of ARIAS•U.S. Requires Full Compliance with the Antitrust Laws
ARIAS•U.S. is firmly committed to free competition. In particular, ARIAS•U.S. stresses that members have
and retain full and exclusive authority for making their own decisions in arbitrations or litigations in which they are
involved, as well as in all of their business activities. ARIAS•U.S. does not in any way serve to facilitate agreements
among competitors to coordinate their activities with respect to billing practices, collections, underwriting, or any
other competitively sensitive activity of insurers or reinsurers. Rather, ARIAS•U.S. exists solely in order to provide
educational and informational assistance in connection with the dispute-resolution process of arbitration or litigation.
Although the activities of ARIAS•U.S. are not intended to restrain competition in any manner, it is always
possible that meetings involving competitors could be seen by some as an opportunity to engage in anti-competitive
conduct. Good business judgment requires making substantial efforts to safeguard against any appearance of an
antitrust violation -- both because ARIAS•U.S. has a firm commitment to the principle of free competition, and
because the penalties for antitrust violations are severe. Certain violations of the Sherman Act, such as price fixing,
are felony crimes for which individuals may be imprisoned or fined. In recent years, corporations have paid hundreds
of millions of dollars in fines for these antitrust offenses. In addition, class actions and other treble damage claims by
private parties are very expensive to litigate and can result in large judgments. Penalties might be imposed upon
ARIAS•U.S., its individual and corporate members, and their individual representatives if they were adjudged to have
violated the antitrust laws in connection with their ARIAS•U.S. activities. Members should not count on an antitrust
immunity simply because insurance is a highly regulated industry.
It is the responsibility of every member of ARIAS•U.S. fully to comply with the antitrust laws in all
ARIAS•U.S. activities. In order to assist members in recognizing situations that may raise the appearance of an
antitrust problem, the meeting chair shall furnish at each meeting a copy of this Policy Statement and the following
Guidelines.
Many ARIAS•U.S. members are skilled in the legal process and may be expected to understand their
responsibility under the antitrust laws. Nonetheless, it is useful to state, as a reminder, some basic guidelines that will
minimize potential antitrust risk.
1. ARIAS•U.S. members may freely discuss matters that are not competitively sensitive, such as legal
developments, ethical principles, procedures, laws that affect the industry, ways to make proceedings more efficient,
and technical problems involved in arbitration or litigation. It is permissible, for example, to draft sample arbitration
clauses that parties may select on a voluntary basis.
2. ARIAS•U.S. meetings and activities shall not be used as an occasion to reach or attempt to reach any
understanding or agreement among competitors -- whether written or oral, formal or informal, express or implied -- to
coordinate their activities with regard to billing, collections, premiums, terms or conditions of contracts, territories or
customers. Thus, for example, competing cedents (or competing reinsurers) should not agree with one another that
they will require use of a particular arbitration clause, and especially should not agree that they will boycott parties
that reject the clause.
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3. The best way to guard against the appearance of such an agreement is to avoid any discussion of
subjects that might raise concern as a restraint on competition. Accordingly, ARIAS•U.S. meetings and activities
shall not be used as the occasion for competitors to exchange information on any competitively sensitive subjects,
including the following:
(a) ARIAS•U.S. activities and communications shall not include discussion among competitors
to coordinate their activities with respect to billing practices, collection activities, premium
setting, reserves, costs, or allocation of territories or customers.
(b) ARIAS•U.S. members shall not use the occasion of any ARIAS•U.S. activities to discuss
coordinated actions involving other competitors, suppliers or customers. Such discussions
could be misconstrued as an agreement to boycott third-parties. For example, if a member
decides it will decline to pay certain types of billings from a customer, the member should not
discuss this decision with a competitor, because a common plan on such a subject could be
considered an unlawful conspiracy or boycott. Accordingly, ARIAS•U.S. members should
not discuss any proposal: to coordinate policies or practices in, billings or collections; to
prevent any person or business entity from gaining access to any market or customer; to
prevent any business entity from obtaining insurance or reinsurance services or legal or
consulting services freely in the market; or to influence the availability, terms, provisions,
premiums or other aspects of any reinsurance policy or line of insurance.
4. A written agenda shall be prepared in advance for every formal ARIAS•U.S. meeting. Where
practical, the agenda shall be reviewed in advance by counsel. The written agenda shall be followed throughout the
meeting. Where minutes are kept, the minutes of all meetings shall be reviewed by counsel (if possible) and, after
such review, shall be distributed to all members of the body holding the meeting. Approval of the minutes shall be
obtained after review at the next meeting.
5. Members are expected to observe the standards of conduct stated above in all informal discussions
that take place at the site of ARIAS•U.S. meetings, and in all communications concerning ARIAS•U.S. business.
6. If a member suspects that any unlawful agreements are being discussed, the member should leave the
discussion immediately and should consult counsel.
7. Questions concerning these Guidelines may be directed to the Chairman of the Law Committee of
ARIAS•U.S.
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5th Floor
G ROOMS
ON BALCONY REGISTRATION
CE
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BREAKFAST
GENERAL SESSIONS
BREAKOUT SESSIONS
COMMITTEE MEETINGS
8th Floor
LUNCHEON
COCKTAIL RECEPTION
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BOARD OF DIRECTORS
CHAIRMAN Scott Birrell CHAIRMAN EMERITUS
James I. Rubin Travelers T. Richard Kennedy
Butler Rubin Saltarelli & Boyd LLP 1 Tower Square, 4 MS
321 North Clark Street, Suite 400 DIRECTORS EMERITI
Hartford, CT 06183
Chicago, IL 60654 Charles M. Foss
860-277-5391
312-696-4443
sbirrell@travelers.com Mark S. Gurevitz
jrubin@butlerrubin.com
Charles W. Havens, III
Deidre Derrig Ronald A. Jacks*
PRESIDENT
Allstate Insurance Company
Ann L. Field Susan E. Mack
Field Law and Arbitrations 2775 Sanders Road, Suite A2E
Robert M. Mangino
523 S. Cook Street Northbrook, IL 60062
Edmond F. Rondepierre*
Barrington, IL 60010 847-402-9013
847-207-9318 dderrig@allstate.com Daniel E. Schmidt, IV
Ann3372@gmail.com *deceased
Michael A. Frantz
VICE PRESIDENT Munich Re America
Brian Snover 555 College Road East
Berkshire Hathaway Group Princeton, NJ 08543
100 First Stamford Place 609-243-4443
Stamford, CT 06902
mfrantz@munichreamerica.com
203-363-5200
bsnover@berkre.com
Sylvia Kaminsky
405 Park Street ADMINISTRATION
VICE PRESIDENT
Deirdre G. Johnson Upper Montclair, NJ 07043
Crowell & Moring LLP 973-202-8897 Sara Meier
1001 Pennsylvania Avenue, NW syl193@aol.com Executive Director
Washington, DC 20004 7918 Jones Branch Dr., Suite 300
202-624-2980 Elizabeth A. Mullins McLean, VA 22102
djohnson@crowell.com Swiss Re Management (U.S.) Corporation 703-574-4087
175 King Street smeier@arias-us.org
TREASURER Armonk, NY 10504
Peter A. Gentile 914-828-8760
7976 Cranes Pointe Way Elizabeth_mullins@swissre.com
West Palm Beach, FL 33412
203-246-6091 John M. Nonna
pagentile@optonline.net Squire Patton Boggs (U.S.) LLP
30 Rockefeller Plaza, 23rd Floor
New York, NY 10112
646-557-5172
john.nonna@squirepb.com
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