PERSONAL AND COMMERCIAL
AUTOMOBILE QUOTA SHARE
REINSURANCE
AGREEMENT
(hereinafter referred to as the
“Agreement”)
between
INTEGON NATIONAL INSURANCE
COMPANY
Winston-Salem, North
Carolina
For and on behalf of the
participants in the Company Pool
(hereinafter collectively referred
to as the “Company”)
and
The Reinsurers subscribing to the
respective Interests and Liabilities Contract to which this
Agreement is attached (each subscribing reinsurer
is referred to hereinafter, individually, as a “Subscribing
Reinsurer” and collectively as the
"Reinsurer")
The Reinsurer
hereby reinsures the Company to the extent and on the terms and
conditions and subject to the exceptions, exclusions and
limitations hereinafter set forth.
ARTICLE I
BUSINESS
COVERED
The Company
shall cede to the Reinsurer and the Reinsurer shall accept from the
Company, a 50% quota share participation of Losses Incurred by the
Company Pool under new and renewal policies becoming effective on
or after 12:01 A.M. March 1, 2010, (hereinafter called "Policies")
on business classified by the Company as Private Passenger and
Commercial Automobile business (as hereinafter defined).
As respects
business subject to this Agreement, the liability of the Reinsurer
for Net Loss(es) shall never exceed $5,000,000 (i.e., 50% of
$10,000,000) each Occurrence. Notwithstanding the
foregoing, the limit for each Occurrence set forth herein shall not
apply to an Extra Contractual Obligation or Excess of Original
Policy Limit Loss to the extent that the Company has excess of loss
reinsurance which covers part, but not 100% of such Extra
Contractual Obligation or Excess of Original Policy Limit
Loss.
ARTICLE II
COMMENCEMENT
AND TERMINATION
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This Agreement
shall be effective from 12:01 A.M., Eastern Standard Time, March 1,
2010, to 12:01 A.M., Eastern Standard Time, March 1, 2013, and
shall automatically renew for successive three-year periods
thereafter unless terminated, cancelled or commuted earlier in
accordance with the terms of this Agreement. Each three
year period shall be hereinafter referred to as an “Agreement
Term.” In the event that this Agreement is
terminated prior to or as of the end of an Agreement Term, the
final Agreement Term shall be the period from the beginning of such
Agreement Term through the termination date or the end of the
run-off period, if any, whichever is later.
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If the
Reinsurer or Company elects to not renew this Agreement for a
successive Agreement Term, it shall give written notice to the
other party hereto and to the North Carolina Department of
Insurance, Missouri Department of Insurance, Michigan Department of
Insurance and California Department of Insurance not less than nine
months prior to the expiration of such current Agreement
Term.
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Unless
otherwise mutually agreed by the parties, at the
termination of this Agreement, the reinsurance hereunder on
Policies in force on the effective date of termination shall remain
in full force and effect until expiration, cancellation or the next
anniversary of such Policies, whichever first occurs.
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Notwithstanding
the termination of this Agreement as hereinabove provided, the
provisions of this Agreement shall continue to apply until all
obligations and liabilities incurred by each party prior to such
termination shall be fully performed and discharged.
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ARTICLE III
This Agreement
applies only to Policies issued in the United States of
America. In addition, this Agreement is extended to
apply to automobiles temporarily within the Canadian borders as
well as incidental exposures elsewhere, provided that the principal
exposure under the Policy is within the United States of
America.
ARTICLE IV
WARRANTIES
The Company
warrants that the following shall apply throughout the term of this
Agreement, or so deemed:
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The Company
shall retain net for its own account at least 50% of Losses
Incurred each Policy, each Occurrence on all business ceded
hereunder.
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Except as set
forth below, during the initial Agreement Term and each subsequent
Agreement Term, the Net Earned Premium ceded hereunder shall not
exceed the following amounts (the “Premium
Cap”):
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For the first
calendar year or part thereof, the Premium Cap shall be
$550,000,000.
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For each
calendar year thereafter, the Premium Cap shall increase by an
amount equal to 10% of (i) the Premium Cap for the previous
calendar year or (ii) actual Net Earned Premium ceded for the
previous calendar year, whichever is higher;
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Each
Subscribing Reinsurer shall be promptly notified in writing by the
Company when the premium reaches 75% of the Premium
Cap. It is the intent of the parties that the Reinsurer
shall reinsurer all Covered Business, notwithstanding the Premium
Cap, subject to each Subscribing Reinsurer’s good faith
management of its capital requirements. In the event
that the Premium Cap is exceeded and a Subscribing Reinsurer
determines in good faith that it cannot assume its pro-rata share
of such excess premium, such Subscribing Reinsurer’s
participation for such calendar year, at its option, may be reduced
to a percentage, which when multiplied by the Company’s Net
Earned Premium equals no less than the Premium Cap. In
the event a Subscribing Reinsurer exercises its option not to
participate in any calendar year in any excess premium ceded (a
“Non-Participating Reinsurer”), such Subscribing
Reinsurer shall promptly notify the Company and each other
Subscribing Reinsurer of its exercise of such option and the other
Subscribing Reinsurers, subject to the Company’s written
consent, may elect to assume all or any portion of the
Non-Participating Reinsurer’s share of the applicable excess
premium ceded by prompt written notice to the Company.
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In the event
that the Premium Cap is exceeded and a Subscribing Reinsurer
exercises its option not to participate, the Company shall provide
prompt written notice of the Non-Participating Reinsurer’s
exercise of its right to the North Carolina Department of
Insurance.
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In the event
the Company issues Policies that cover new product lines of
business other than those set forth in the Business Covered article
herein, including any new business written on behalf of the Company
by managing general agents (hereinafter collectively
“Additional Business”), the Company shall offer to the
Reinsurer the opportunity to reinsure any such Additional
Business. If the Reinsurer elects, in its sole
discretion, to so reinsure any Additional Business, such Additional
Business shall be subject to all the terms and conditions of this
Agreement other than (a) the date and time as of which the
reinsurance of such Additional Business shall be effective; (b) the
ceding commission allowed in respect of such Additional Business
and (c) the maximum Policy limits of such Additional Business that
may be ceded hereunder, which terms and conditions described in
clauses (a), (b) and (c) shall be mutually agreed by the
parties.
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4.
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The maximum
Policy limits ceded hereunder shall be as follows:
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Automobile
Bodily Injury Liability: $1,000,000 per person/$1,000,000 per
occurrence or $2,000,000 where mandated by state statute
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Automobile
Property Damage Liability: $1,000,000 per occurrence or $2,000,000
where mandated by state statute
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Automobile
Bodily Injury Liability and/or Automobile Property Damage
Liability, combined single limit: $1,000,000 each occurrence or
$2,000,000 where mandated by state statute
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d)
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Physical
Damage: As per company underwriting guidelines
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e)
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Personal Injury
Protection: Statutory limits
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Uninsured/Underinsured Motorist Bodily Injury:
$1,000,000 per person/$1,000,000 each occurrence or $2,000,000
where mandated by state statute
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Medical
Payments: $100,000 per occurrence
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The Company
shall make commercially reasonable efforts to purchase and maintain
in effect during the term of this Agreement excess of loss
reinsurance, recoveries under which shall inure to the benefit of
this Agreement with the following retentions and limits:
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Retention: $10
million (per occurrence)
Limit: $20
million (per occurrence)
Extra
Contractual/Excess Policy Limits: 90%
Retention: $5
million (per occurrence)
Limit: $50
million (per occurrence)
Extra
Contractual/Excess Policy Limits: 90%
The Company
shall confer with the Subscribing Reinsurers prior to purchasing
excess of loss reinsurance with higher retentions or lower limits
than set forth above.
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The Company
shall provide thirty (30) days prior written notice to each
Subscribing Reinsurer of any reductions in the rates on policies
reinsured hereunder and shall consider, in good faith, the position
of the Subscribing Reinsurers with respect thereto.
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ARTICLE V
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The reinsurance
provided under this Agreement does not apply to and specifically
excludes:
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All lines of
business not specifically covered under this Agreement.
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All reinsurance
assumed by the Company, except pursuant to the Company Pool and
reinsurance assumed from Motors Insurance Corporation
(“MIC”), CIM Insurance Corporation (“CIM”)
and MIC Property and Casualty Insurance Corporation
(“MICPC”) in connection with the acquisition by
American Capital Acquisition Corporation of the Company Pool
participants.
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Insolvency and
financial guarantees.
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Risks written
on a deductible, excess or excess of self-insured retention when
such retained, primary or underlying amounts are greater than
$25,000.
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Business
derived from any pool (excluding the Company Pool), association,
including joint underwriting association, syndicate, exchange,
plan, fund or other facility directly as a member, subscriber or
participant, or indirectly by way of reinsurance or assessments;
provided this exclusion shall not apply to automobile assigned
risks which may be currently or subsequently covered hereunder and
which are specifically identifiable.
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Liability of
the Company and Company Pool arising from participation or
membership, whether voluntary or involuntary, in any insolvency
fund, including any guarantee fund, association, pool, plan or
other facility which provides for the assessment of, payment by, or
assumption by the Company of a part or the whole of any claim,
debt, charge, fee or other obligations of an insurer, or its
successors or assigns, which has been declared insolvent by any
authority having jurisdiction.
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Third party
bodily injury, personal injury or property damage liabilities, loss
expenses, fines and penalties arising out of toxic or harmful
substances including but not limited to asbestos, dioxin,
polychlorinated biphenyls, manganese and silica as
follows:
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inhaling,
ingesting or prolonged physical exposure to such substances or
goods or products containing same; or
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the use of such
substances in constructing or manufacturing any good, product or
structure; or
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the removal of
such substances from any good, product or structure; or
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the
manufacture, transportation, storage or disposal of such substances
or goods or products containing same.
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Any loss, cost
or expense arising out of or related to, either directly or
indirectly to terrorism as per the Terrorism Exclusion attached
hereto.
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Any loss or
liability arising out of or related to mold as per the Mold
Exclusion attached hereto.
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All liability
beyond circumscribed policy provisions, including but not limited
to punitive, exemplary, consequential or compensatory damages
(other than Excess of Original Policy Limit Loss awarded a third
party claimant, if covered under this Agreement) resulting from an
action of an insured or assignee against the Company, its agents or
employees, (except for Extra Contractual Obligations coverage if
provided under this Agreement).
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“Self-Insurance” or
“self-insured obligations”, howsoever styled, of the
Company, its affiliates or subsidiaries, or any insurance wherein
the Company, its affiliates or subsidiaries, are named as the
insured party, either alone or jointly with some other
party.
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Loss or damage
arising out of or resulting as a consequence of or related to war,
whether or not declared, invasion, hostilities, acts of foreign
enemies, revolution, civil war, rebellion, insurrection,
bombardment or any use of military or usurped power, or martial law
or confiscation, nationalization or damage of property by order of
any government, military or other public authority. This
exclusion shall apply whether or not there is another cause of loss
which may have contributed concurrently or in any sequence to a
loss.
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Loss or
liability excluded by the provisions of the following
clauses. The word “Reinsured” used therein
means “Company”.
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Nuclear
Incident Exclusion Clauses – Physical Damage –
Reinsurance – U.S.A;
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Nuclear
Incident Exclusion Clauses – Physical Damage –
Reinsurance – Canada Reinsurance – No. 4;
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Nuclear
Incident Exclusion Clause Liability – Reinsurance – USA
(NMA 1590);
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Nuclear
Incident Exclusion Clause Liability – Reinsurance –
Canada (NMA 1979);
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Nuclear
Incident Exclusion Clause – Reinsurance – No.
4.
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Loss, damage or
expenses of whatsoever nature directly or indirectly caused by,
contributed to by, resulting from, arising out of or in connection
with biological or chemical substances, nuclear reaction or
radiation, radioactive contamination, or the threat thereof,
regardless of any other cause or event contributing concurrently or
in any other sequence to the loss.
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Seepage and
Pollution as per the “Pollution And Seepage Exclusion
Clause” attached to and forming a part of this
Agreement;
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Vehicles used
in or while in practice or preparation for a prearranged racing,
speed, exhibition or demolition contest.
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Fire, Police,
Emergency or Municipal vehicles except for vehicles owned by the
insured and used when responding to an emergency.
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All vehicles
classified as “Public Vehicles”.
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Vehicles
hauling goods for others operating frequently and regularly beyond
a radius of 1,000 miles.
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The rental or
leasing of vehicles to others without a driver.
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Commercial
automobiles over 66,000 lbs gross vehicle weight or gross
combination weight as defined in the manuals of the Insurance
Services Office, other than vehicles of unibody
construction.
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Vehicles
primarily engaged in transporting and distributing fireworks,
fuses, nitroglycerine, explosives, ammunitions, ammonium nitrate,
natural or artificial fuel gas, butane, propane or liquefied
petroleum gases, gasoline, diesel and other petroleum
products.
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Vehicles in
connection with:
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Driving schools
and driver education;
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Churches,
schools, public entity, day care vans and/or buses;
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Garbage and/or
waste haulers other than vehicles used for recycling;
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Messenger or
delivery services or other activities that operate under time
constraints.
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The exclusions
set forth in items 23(i) through (vi). above shall not apply if the
excluded class or operations are minor or incidental exposures that
constitute less than 10% of the regular operations of the
insured.
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If the Company
is inadvertently bound on any risk excluded under items
23(i) through (vi). above, and the risk is not reinsured
elsewhere, the reinsurance provided under this Agreement shall
apply to such risk until discovery by a member of the
Company’s underwriting department of the existence of such
risk and 30 days thereafter or such time period as mandated by
state statute.
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Risks excluded
hereunder may be individually submitted by the Company to the
Subscribing Reinsurers for inclusion hereunder, and if specially
accepted in writing by all of the Subscribing Reinsurers, such
business shall then be covered under the terms of this Agreement,
except to the extent the terms of this Agreement are modified by
the special acceptance.
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ARTICLE VI
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As a condition
precedent to the Reinsurer’s obligations hereunder, the
Company shall pay to the Reinsurer an amount equal to 50% of the
Company’s Net Earned Premium with respect to Policies written
or renewed with an effective date on or after the inception of this
Agreement.
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The Reinsurer
shall be credited with its exact proportion of the original
premiums received by the Company, prior to disbursement of any
dividends, but after deduction of premiums, if any, ceded by the
Company for inuring reinsurance.
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ARTICLE VII
CEDING
COMMISSION
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The Reinsurer
shall allow the Company a provisional ceding commission of 32.5% of
all Net Earned Premium ceded to the Reinsurer
hereunder. The Company shall allow the Reinsurer return
commission on return premiums at the same rate.
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The provisional
commission allowed to the Company shall be adjusted periodically in
accordance with the provisions set forth herein.
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The first
adjustment period shall be from the inception date of this
Agreement through December 31, 2010 and each subsequent 12 month
period shall be a separate adjustment period (each an
“Adjustment Period and, collectively, “Adjustment
Periods”). However, if this Agreement is
terminated, the final adjustment period shall be from the beginning
of the then current Adjustment Period through the date of
termination if this Agreement is terminated on a "cutoff" basis, or
the end of the runoff period if this Agreement is terminated on a
"runoff" basis. The first calculation of adjusted
commission for an Adjustment Period shall be made as of the date
that is 12 months after the end of such Adjustment Period (the
“Initial Calculation Date”).
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The adjusted
commission rate shall be calculated as follows and be applied to
Net Earned Premium for the Adjustment Period under
consideration:
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If the Actual
Loss Ratio for the Adjustment Period is 64.5% or greater, the
adjusted commission rate for the Adjustment Period under
consideration shall be a minimum commission of 30.5%;
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If the Actual
Loss Ratio for the Adjustment Period is less than 64.5%,
but equal to or greater than 62.5%, the adjusted commission rate
for such Adjustment Period under consideration shall be 30.5%, plus
the difference in percentage points between 62.5% and the Actual
Loss Rati
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