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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
[X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended March 31, 1996
Commission File Number 33-83382
FIRST MERCURY FINANCIAL CORPORATION
(Exact name of registrant as specified in its charter)
Delaware 38-3164336
(State or other jurisdiction (I.R.S. Employer Identification No.)
of incorporation or organization)
29621 Northwestern Highway, P.O. Box 5096 Southfield, Michigan 48086
(Address of principal executive offices) (zip code)
Registrant's telephone number, including area code: (810) 358-4010
Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days. Yes X No
--- ---
The number of shares outstanding of the registrant's Common Stock, par
value $.01, as of May 10, 1996 was 6,164.07.
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FIRST MERCURY FINANCIAL CORPORATION
INDEX
PART I. FINANCIAL INFORMATION Page No.
--------
Item 1. Financial Statements
Condensed Consolidated Balance Sheets;
March 31, 1996 (Unaudited) and
December 31, 1995 2
Condensed Consolidated Statements of
Operations (Unaudited); Three
Months Ended March 31, 1996 and 1995 3
Condensed Consolidated Statements of
Stockholders' Equity (Unaudited); Three
Months Ended March 31, 1996 and 1995 4
Condensed Consolidated Statements of
Cash Flows (Unaudited); Three Months
Ended March 31, 1996 and 1995 5
Notes to Condensed Consolidated Financial
Statements (Unaudited) 6
Item 2. Management's Discussion and Analysis
of Financial Condition and Results
of Operations 7
Part II. OTHER INFORMATION 11
<PAGE>
Part I. FINANCIAL INFORMATION
Item 1. Financial Statements
FIRST MERCURY FINANCIAL CORPORATION
Condensed Consolidated Balance Sheets
<TABLE>
<CAPTION>
March 31, December 31,
Assets 1996 1995
------ ---- ----
(Unaudited)
<S> <C> <C>
Investments:
Debt securities available for sale, at market value $ 78,458,886 77,626,804
Preferred stocks, at market 2,919,919 3,694,910
Short-term investments 2,701,202 4,413,700
-------------- -----------
Total investments 84,080,007 85,735,414
Cash and cash equivalents 2,961,342 2,336,140
Premiums and reinsurance balances receivable 2,637,370 3,095,948
Accrued investment income receivable 906,193 905,699
Other receivables 300,000 300,000
Reinsurance recoverable on unpaid losses 3,518,940 3,556,940
Prepaid reinsurance premiums 662,153 705,870
Deferred acquisition costs 1,403,733 1,673,291
Deferred federal income taxes 2,422,225 1,813,631
Federal income taxes recoverable 1,404,775 1,199,775
Fixed assets, net of accumulated depreciation 1,775,619 1,654,401
Other assets 1,051,554 1,068,272
-------------- -----------
Total assets $ 103,123,911 104,045,381
-------------- -----------
-------------- -----------
Liabilities and Stockholders' Equity
------------------------------------
Loss and loss adjustment expense reserves $ 57,795,115 56,570,332
Unearned premium reserves 8,566,705 8,800,175
Senior subordinated notes payable 10,000,000 10,000,000
Ceded reinsurance payable 256,582 254,657
Accounts payable and accrued expenses 1,934,704 2,015,347
-------------- -----------
Total liabilities 78,553,106 77,640,511
-------------- -----------
Minority interest 2,868 3,634
Stockholders' equity:
Cumulative preferred stock, issued and outstanding 20,850 shares 209 209
Common stock, issued and outstanding 6,164.07 shares 62 62
Gross paid-in and contributed capital 3,474,872 3,474,872
Unrealized gains on marketable securities, net of federal income taxes 313,869 1,270,614
Retained earnings 20,778,925 21,655,479
-------------- -----------
Total stockholders' equity 24,567,937 26,401,236
-------------- -----------
Total liabilities and stockholders' equity $ 103,123,911 104,045,381
-------------- -----------
-------------- -----------
</TABLE>
See accompanying notes to condensed consolidated financial statements.
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FIRST MERCURY FINANCIAL CORPORATION
Condensed Consolidated Statements of Operations
(Unaudited)
<TABLE>
<CAPTION>
Three Months Ended
March 31,
-----------------------------------
1996 1995
---- ----
<S> <C> <C>
Net earned premiums $ 7,895,647 6,887,725
Net investment income 1,395,713 1,329,267
Realized gains (losses) on the sale of investments 152,691 (387,890)
Miscellaneous income 16,255 29,182
--------------- ---------------
Total revenues and other income 9,460,306 7,858,284
--------------- ---------------
Losses and loss adjustment expenses, net 7,507,634 5,278,196
Amortization of deferred acquisition expenses 1,817,273 1,327,573
Other underwriting expenses 959,071 1,112,501
Interest expense 298,607 295,637
--------------- ---------------
Total expenses 10,582,585 8,013,907
--------------- ---------------
Loss before federal income taxes (1,122,279) (155,623)
Federal income tax benefit (245,725) (165,000)
--------------- ---------------
Net income (loss) $ (876,554) 9,377
--------------- ---------------
--------------- ---------------
Per-share earnings (loss) $ (142.20) 1.52
--------------- ---------------
--------------- ---------------
</TABLE>
See accompanying notes to condensed consolidated financial statements.
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FIRST MERCURY FINANCIAL CORPORATION
Condensed Consolidated Statements of Stockholders' Equity
(Unaudited)
<TABLE>
<CAPTION>
Net Unrealized
Gross Paid-in Gains (Losses),
Preferred Common and Contributed Net of Federal Retained
Stock Stock Capital Income Taxes Earnings Total
----- ----- ------- ------------ -------- -----
<S> <C> <C> <C> <C> <C> <C>
Balance at December 31, 1994 $ 209 62 3,437,372 (1,752,247) 22,051,234 23,736,630
Net income - - - - 9,377 9,377
Change in market values of
marketable investment securities
net of federal income taxes - - - 1,555,122 - 1,555,122
-------- -- --------- --------- ----------- -----------
Balance at March 31, 1995 $ 209 62 3,437,372 (197,125) 22,060,611 25,301,129
-------- -- --------- ----------- ----------- -----------
-------- -- --------- ----------- ----------- -----------
Balance at December 31, 1995 $ 209 62 3,474,872 1,270,614 21,655,479 26,401,236
Net loss - - - - (876,554) (876,554)
Change in market values of
marketable investment securities
net of federal income taxes - - - (956,745) - (956,745)
-------- -- --------- ----------- ----------- -----------
Balance at March 31, 1996 $ 209 62 3,474,872 313,869 20,778,925 24,567,937
-------- -- --------- ----------- ----------- -----------
-------- -- --------- ----------- ----------- -----------
</TABLE>
See accompanying notes to condensed consolidated financial statements.
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FIRST MERCURY FINANCIAL CORPORATION
Condensed Consolidated Statements of Cash Flows
(Unaudited)
<TABLE>
<CAPTION>
Three Months Ended
March 31,
-----------------------------------
1996 1995
---- ----
<S> <C> <C>
Net cash provided by (used in) operating activities $ 630,675 (1,048,715)
Cash flows from investing activities:
Cost of short-term investments acquired (7,120,787) (10,797,961)
Proceeds from disposals of short-term investments 8,833,284 21,608,984
Cost of debt securities acquired (9,832,281) (22,993,553)
Proceeds from maturities of debt securities 1,116,267 2,121,087
Proceeds from debt securities sold 6,742,422 11,421,827
Cost of equity securities acquired (395,411) -
Proceeds from equity securities sold 1,090,211 -
Other, net (164,178) (11,766)
--------------- ------------
Net cash provided by investing activities 269,527 1,348,618
--------------- ------------
Interest payments on senior subordinated notes (275,000) (186,389)
--------------- ------------
Net increase in cash and cash equivalents 625,202 113,514
Cash and cash equivalents at beginning of period 2,336,140 2,290,376
--------------- ------------
Cash and cash equivalents at end of period $ 2,961,342 2,403,890
--------------- ------------
--------------- ------------
</TABLE>
See accompanying notes to condensed consolidated financial statements.
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FIRST MERCURY FINANCIAL CORPORATION
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED)
1. The accompanying unaudited condensed consolidated financial statements of
First Mercury Financial Corporation and subsidiaries (the "Company") have
been prepared pursuant to the rules and regulations of the Securities and
Exchange Commission. Certain information and note disclosures normally
included in financial statements prepared in accordance with generally
accepted accounting principles have been condensed or omitted. In
management's opinion, all adjustments, consisting of normal recurring
adjustments, which are necessary for a fair presentation of financial
position and results of operations, have been made. It is recommended that
these condensed consolidated financial statements be read in conjunction
with the consolidated financial statements and notes related thereto
included in the December 31, 1995 annual report on Form 10-K.
The results of operations for the three month period ended March 31, 1996,
are not necessarily indicative of the results to be expected for the full
year.
2. Per share earnings are computed by dividing net income by the weighted
average number of shares of common stock outstanding during the period.
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ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS
First Mercury Financial Corporation ("Mercury") is an insurance holding
company incorporated in Delaware in December 1993 and engaged, through its
subsidiaries, in the underwriting of specialty commercial lines and non-standard
automobile insurance for individuals. Mercury's subsidiaries are First Mercury
Syndicate, Inc. (the "Syndicate"), an insurance syndicate member of the Illinois
Insurance Exchange ("IIE") and All Nation Insurance Company ("All Nation") and
its wholly owned subsidiary, National Family Insurance Corporation ("National
Family"), both Minnesota property and casualty insurance companies. Mercury and
its subsidiaries are referred to herein as the "Company."
National Family has been in rehabilitation under the supervision of the
Minnesota Commissioner of Commerce and the Ramsey County District Court in
Minnesota since 1966. Under generally accepted accounting principles, because
All Nation currently lacks voting control over National Family, the financial
statements of National Family are not consolidated with the financial statements
of the Company.
RESULTS OF OPERATIONS
The following table reflects revenues of the Company for the three month
periods ended March 31, 1996 and 1995:
<TABLE>
<CAPTION>
Quarter ended March 31,
------------------------------------------------------
1996 1995
--------------------------- -------------------------
Amount Percent Amount Percent
---------- --------------- ------------ -----------
<S> <C> <C> <C> <C>
(Dollars in thousands)
NET PREMIUMS EARNED:
Specialty commercial lines:
Security, fire and alarm........................... $ 2,098 26.6% $ 1,956 28.4%
Police............................................. 292 3.7 785 11.4
Public officials................................... 186 2.4 280 4.0
Other.............................................. 307 3.9 267 3.9
Non-standard automobile lines:
Agency personal auto liability..................... 3,567 45.2 2,661 38.6
Direct auto physical
liability.......................................... 212 2.7 115 1.7
Agency personal auto physical damage............... 1,083 13.7 765 11.1
Direct auto physical
damage............................................. 151 1.8 59 0.9
------- ----- ------- -----
Total net premiums earned............................. $ 7,896 100.0% $ 6,888 100.0%
------- ----- ------- -----
------- ----- ------- -----
</TABLE>
NET PREMIUMS EARNED
Net premiums earned for the three months ended March 31, 1996 increased
14.6% to $7.9
7
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million from $6.9 million for the year earlier period. The Company's specialty
commercial lines, security, fire, alarm, police, public official and
miscellaneous commercial coverages, experienced a decline in net premiums earned
of 12.3% to $2.9 million for the three months ended March 31, 1996 as compared
to $3.3 million for the three months ended March 31, 1995. Net premiums earned
for security, fire and alarm coverages increased 7.3% to $2.1 million for the
first quarter of 1996 versus $2.0 million for the first quarter of 1995. The
increase resulted from increased policy counts for these coverages. During the
first quarter of 1996, the Company decided to non-renew a substantial amount of
the police business, resulting in a 55.1% decrease in net premiums earned for
police and public official coverages (often provided in tandem) for the three
months ended March 31, 1996 in comparison to the three months ended March 31,
1995. The Company is currently considering offering new coverages ancillary to
its security, fire and alarm business to replace revenue lost on the police
program. Net premiums earned for private passenger non-standard automobile
coverages increased 39.3% in the first quarter of 1996 to $5.0 million from $3.6
million for the three months ended March 31, 1995. The increase resulted
primarily from the Company's commutation of a 17.5 percent quota share
reinsurance agreement with Prime Syndicate, Inc. covering the non-standard
automobile lines on September 30, 1995. The Company retained approximately
$877,000 additional net premiums earned during the first quarter of 1996 because
of the commutation. In addition, the Company experienced increased policy
counts in the first quarter of 1996 and implemented rate increases in March 1996
in all states the Company provides non-standard automobile coverages.
NET INVESTMENT INCOME AND REALIZED INVESTMENT GAINS (LOSSES)
Net investment income increased approximately $66,000 to $1.4 million for
the three months ended March 31, 1996 as compared to $1.3 million for the three
months ended March 31, 1995. The increase resulted from an increase in the
Company's average invested assets. The pre-tax yield on average invested assets
declined slightly to 6.4% for the quarter ended March 31, 1996 as compared to
6.5% for the year earlier period.
For the three months ended March 31, 1996, the Company realized a net gain
on the sale of investments of $153,000 versus a $388,000 net loss for the same
period in the prior year. The net loss on the sale of investments during 1995
primarily resulted from the Company's decision to reduce its investments in tax-
exempt securities in the first quarter of 1995.
At March 31, 1996, the unrealized gain on investments available for sale,
net of tax, was $0.3 million in comparison to a $1.3 million unrealized gain as
of December 31, 1995. The market value of the Company's portfolio has been
adversely affected by the increase in interest rates during the first quarter of
1996.
LOSS AND LOSS ADJUSTMENT EXPENSES
Loss and loss adjustment expenses incurred increased 42.2% to $7.5 million
for the quarter ended March 31, 1996 from $5.3 million for the year earlier
period. The loss and loss adjustment expense ratio for private passenger
automobile coverages increased to 103.3% for the
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three months ended March 31, 1996 as compared to 81.1% for the three months
ended March 31, 1995. This increase resulted from several factors. During
1995, the Company experienced declining rates due to competitive pressures in
the non-standard automobile business placed through independent agents. In
addition, the Company has experienced escalating loss frequency since the fourth
quarter of 1995. In an effort to reduce the loss ratio, the Company has
implemented rate increases in all states during the first quarter. The Company
also has experienced highly unfavorable loss development in the startup of its
direct marketing program for non-standard automobile coverages. Due to software
development problems, the Company has been unable to utilize the computer system
anticipated to be used in the direct marketing program, which has made
monitoring of losses related to this program difficult. The Company recently
purchased a new software package to process its direct marketing program and
will not resume related advertising until the system is functional. Within the
specialty commercial lines, the loss and loss adjustment expense ratio increased
to 76.7% for the three months ended March 31, 1996 versus 71.7% for the
comparable period in the preceding year. The 1995 loss ratio reflects a
release of reserve redundancies approximating $200,000. There were no reserve
redundancy releases in the first quarter of 1996.
AMORTIZATION OF DEFERRED ACQUISITION COSTS AND OTHER UNDERWRITING EXPENSES,
INTEREST EXPENSE AND MISCELLANEOUS INCOME (EXPENSE)
Amortization of deferred acquisition costs and other underwriting expenses
represent the Company's costs to generate premium volume. For the first quarter
of 1996, acquisition costs and other underwriting expenses increased
approximately $336,000 to $ 2.8 million for the three months ended March 31,
1996 as compared to $2.4 million for the same period in the preceding year.
The Company's underwriting expense ratio increased to 36.0% for the quarter
ended March 31, 1996 in comparison to 34.7% for the quarter ended March 31,
1995. The increase in the expense ratio principally occurred due to a $225,000
writedown of deferred acquisition costs resulting from the loss ratios on the
Company's non-standard automobile business.
FEDERAL INCOME TAXES
The 1996 effective tax benefit of 21.9% has declined from the 1995
effective tax benefit of 106% primarily due to a shift in the Company's
investment portfolio from tax-exempt to taxable securities in the first quarter
of 1995. The Company has substantially eliminated deductions for tax-exempt
interest since the first quarter of 1995, resulting in an effective tax rate
closer to the federal tax rate of 34%.
NET INCOME (LOSS)
The Company realized a net loss of $877,000 for the three months ended
March 31, 1996 as compared to net income of $9,000 for the three months ended
March 31, 1995. The decline in profitability in 1996 resulted primarily from
increased losses in the first quarter of 1996.
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LIQUIDITY AND CAPITAL RESOURCES
Mercury is a holding company whose principal assets are its investment in
the capital stock of the Syndicate and All Nation. Mercury is dependent upon
the receipt of dividends from the Syndicate and All Nation to fund any necessary
cash requirements, including debt service requirements. The Syndicate and All
Nation are restricted by regulation as to the amount of dividends they may pay
without regulatory approval. The Syndicate's board of directors has authorized
dividend payments from the Syndicate to Mercury of up to $2.0 million during
1996. The Company believes this amount is more than sufficient to meet
Mercury's cash flow requirements.
The Company's subsidiaries' primary sources of cash are from premiums
collected and amounts earned from the investment of this cash flow. The
principal uses of funds are the payment of claims and related expenses, other
operating expenses and interest expense. The Company's insurance operations
generated positive cash flow from operations of $631,000 during the three months
ended March 31, 1996 as compared to cash utilized in operations of $1.0 million
in the first quarter of 1995. The increased cash flow resulted from a decline
in loss payments at the Syndicate in the first quarter of 1996 as compared to
the first quarter of 1995.
At March 31, 1996, the insurance subsidiaries maintained cash and cash
equivalents and short-term investments of $5.7 million to meet short-term
payment obligations. In addition, the Company's investment portfolio is heavily
weighted toward short-term fixed maturities and a portion of the portfolio could
be liquidated without material adverse financial impact should further liquidity
be necessary.
As part of its investment strategy, and as required by debt covenants, the
Company establishes a level of cash and highly liquid short- and intermediate-
term securities which, combined with expected cash flow, is believed adequate to
meet foreseeable payment obligations. As part of this strategy, the Company
attempts to maintain an appropriate relationship between the average duration of
the investment portfolio and the approximate duration of its liabilities. The
weighted average maturity of the Company's fixed income portfolio as of March
31, 1996 was approximately three years.
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FIRST MERCURY FINANCIAL CORPORATION
PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
The Company's subsidiaries are subject to routine legal proceedings in
connection with their property and casualty insurance business. Neither Mercury
nor any of its subsidiaries are involved in any pending or threatened legal
proceedings which reasonably could be expected to have a material adverse impact
on the Company's financial condition or results of operations.
ITEM 2. CHANGES IN SECURITIES
Not applicable.
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
Not applicable.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
No matters were submitted to a vote of security holders during the first
quarter of 1996.
ITEM 5. OTHER INFORMATION
On April 30, 1996, an agreement was entered into between Mercury, All Nation,
Allstate Insurance Company ("Allstate") and its wholly owned subsidiary,
Deerbrook Insurance Company ("Deerbrook"), for the assignment of the independent
agent contracts to Deerbrook and the ceding of associated premium to Allstate on
the agency non-standard automobile business of All Nation. The agreement is
effective May 1, 1996.
The stated price for the independent agent contracts, associated premium, non-
compete clause and financial guarantees is $4.8 million. The final settlement
is expected to be paid in cash over a period of 24 months. Under the agreement,
All Nation will continue to write agency non-standard automobile coverages and
cede 100% of the written business to Allstate under a quota share reinsurance
agreement for a period of up to two years. In addition, All Nation will provide
underwriting, claims and administrative services for the ceded business on a
percentage of premium basis for an initial period of up to two years. With
regards to the agency non-standard automobile business written prior to May 1,
1996, All Nation will retain all existing assets and liabilities and will run
off the loss and loss adjustment expense reserves remaining as of April 30,
1996. The agreements do not pertain to All Nation's direct response non-
standard automobile business and All Nation plans to continue its expansion of
this product.
As a result of the above described transaction, Mercury expects a decline in
future premiums earned of approximately $11 million in 1996 ($18 million per
annum thereafter).
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Effective in March 1996, Richard H. Smith has been appointed President of All
Nation Insurance Company.
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K
A. EXHIBITS
10.18 Quota Share Reinsurance Contract effective May 1, 1996 between
Allstate Insurance Company and All Nation.
10.19 Service Agreement effective May 1, 1996 between All Nation,
Mercury, Allstate and Deerbrook.
B. REPORTS ON FORM 8-K
No report on Form 8-K was filed by the Registrant during the quarter ended
March 31, 1996.
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SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the
Registrant has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.
FIRST MERCURY FINANCIAL CORPORATION
Date: May 10, 1996 By: /s/ William S. Weaver
------------------------------
William S. Weaver
Chief Financial Officer
(Principal Financial Officer
and duly authorized to sign on
behalf of the Registrant)
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EXHIBIT 10.18
QUOTA SHARE REINSURANCE CONTRACT
Effective: May 1, 1996
issued to
ALL NATION INSURANCE COMPANY
ST. PAUL, MINNESOTA
(HEREINAFTER REFERRED TO AS THE "COMPANY")
by
ALLSTATE INSURANCE COMPANY
NORTHBROOK, ILLINOIS
(HEREINAFTER REFERRED TO AS THE "REINSURER")
Whereas, Company and Reinsurer anticipate that Reinsurer's wholly-owned
subsidiary, Deerbrook Insurance Company ("Deerbrook"), ultimately will assume
the business reinsured hereunder on a direct-written basis subject to becoming
licensed to write business in the states in which such business is written.
And whereas, Company, Deerbrook, Reinsurer and Company's 99.8% shareholder,
First Mercury Financial Corporation ("FMFC") have entered into a certain
services agreement pursuant to which, among other things, Company will provide
certain services relating to the business reinsured hereunder and agree to
certain restrictions on its ability to do business subject to the terms and
conditions therein ("Services Agreement").
Now, therefore, in consideration of the mutual agreements set forth in this
Contract and the payment of fees as provided for, the parties agree as follows:
ARTICLE I -- CLASSES OF BUSINESS REINSURED
A. By this Contract the Company obligates itself to cede to the Reinsurer and
the Reinsurer obligates itself to accept quota share reinsurance of the
Company's net liability under policies, contracts and binders of insurance
or reinsurance (hereinafter called "policies") issued or renewed on or
after the effective date hereof, and classified by the Company as:
Agent Produced Non-Standard Private Passenger Automobile Liability
including bodily injury liability, property damage liability,
uninsured motorist coverage, underinsured motorist coverage, no-fault
coverage and medical payments coverage.
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Agent Produced Non-Standard Private Passenger Automobile Physical
Damage including comprehensive coverage and collision coverage but
excluding Mobilehome Risks.
B. It is understood that the classes of business reinsured under this Contract
are deemed to include coverages required for non-resident drivers under the
motor vehicle financial responsibility law or the motor vehicle compulsory
insurance law or any similar law of any state or province, following the
provisions of the Company's policies when they include or are deemed to
include so-called "Out of State Insurance" provisions.
C. The liability of the Reinsurer with respect to each cession hereunder shall
commence obligatorily and simultaneously with that of the Company, subject
to the terms, conditions and limitations hereinafter set forth.
D. The Company shall have no responsibility under the policies except as
provided in the Services Agreement.
ARTICLE II -- COMMENCEMENT AND TERMINATION
A. Subject to any required regulatory approvals this Contract shall become
effective on May 1, 1996 with respect to losses under policies allocated to
underwriting years commencing on or after that date, and shall continue in
force thereafter until terminated in accordance with paragraph C.
Termination shall not affect any net liability previously ceded.
B. The Company shall obtain, and the Reinsurer shall cooperate in obtaining,
any regulatory approvals required for this Contract.
C. This Contract may be terminated by the mutual consent of the parties.
ARTICLE III -- TERRITORY
This Contract shall only apply to policies issued to insureds domiciled
within the United States of America, its territories and possessions; but
this limitation shall not apply to losses if the Company's policies provide
coverage outside the aforesaid territorial limits.
ARTICLE IV -- EXCLUSIONS
A. This Contract does not apply to and specifically excludes the following:
1. All classifications of business not specifically stated in Article I.
2. All excess of loss reinsurance assumed by the Company.
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3. Reinsurance assumed by the Company under obligatory reinsurance
agreements, except general agency reinsurance where the policies
involved are to be reunderwritten in accordance with the underwriting
standards of the Company and reissued as Company policies at the next
anniversary or expiration date.
4. Financial guarantee and insolvency.
5. Third party liability business written by the Company on a co-
indemnity basis where the Company is not the controlling carrier.
6. Nuclear risks as defined in the "Nuclear Incident Exclusion Clause -
Physical Damage - Reinsurance" and the "Nuclear Incident Exclusion
Clause - Liability - Reinsurance" attached to and forming part of this
Contract.
7. All liability of the Company arising by contract, operation of law, or
otherwise, from its participation or membership, whether voluntary or
involuntary, in any insolvency fund. "Insolvency fund" includes any
guaranty fund, insolvency fund, plan, pool, association, fund or other
arrangement, however denominated, established or governed, which
provides for any assessment of or payment or assumption by the Company
of part or all of any claim, debt, charge, fee or other obligation of
an insurer, or its successors or assigns, which is otherwise deemed
unable to meet any claim, debt, charge, fee or other obligation in
whole or in part; provided, however, this exclusion shall not apply
after September 1, 1997.
8. Private Passenger Automobile Liability with respect to any vehicle
used principally as:
a. A taxicab, public or livery conveyance or bus, it being
understood that this exclusion does not apply to school or church
buses;
b. An ambulance, fire department or law enforcement vehicle;
c. A racing or exhibition vehicle;
9. Extra Contractual Obligations and Excess of Policy Limits, except to
the extent the Company no longer has responsibility for services under
the Services Agreement.
B. Notwithstanding the foregoing, any reinsurance falling within the scope of
one or more of the exclusions set forth in subparagraph 8 of paragraph A
that is specially accepted by the Reinsurer from the Company shall be
covered under this Contract and be subject to the terms hereof, except as
such terms shall be modified by the special acceptance. Furthermore, any
exclusion set forth in subparagraph 8 of paragraph A shall be waived
automatically when, in the opinion of the Company, the exposure excluded
therein is incidental to the principal exposure on the risk in question.
C. If the Company is bound, without the knowledge and contrary to the
instructions of the
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Company's supervisory underwriting personnel, on any business falling
within the scope of one or more of the exclusions set forth in subparagraph
8 of paragraph A, the exclusion shall be suspended with respect to such
business until 30 days after an underwriting supervisor of the Company
acquires knowledge thereof.
D. If the Company is required to accept a risk which conflicts with one or
more of the exclusions set forth in subparagraph 8 of paragraph A,
reinsurance shall apply, but in no event shall the Reinsurer's liability
exceed the limit set forth in Article V.
ARTICLE V -- RETENTION AND LIMIT
A. The Company shall cede to the Reinsurer and the Reinsurer agrees to accept
100% of the Company's net liability for the classes of business set forth
in Article I.
B. Notwithstanding the provisions set forth in paragraph A above, the
Reinsurer's maximum liability from any one risk shall not exceed $300,000.
C. Notwithstanding the provisions of paragraphs A and B above, it is further
agreed:
1. For the underwriting year May 1, 1996 through December 31, 1996, the
Company shall retain 85% of the incurred losses for its own account
above a loss ratio of 70%.
2. For the purposes of including IBNR in the calculation for subparagraph
1 above, IBNR will be added to incurred losses at a rate of 10% of
ceded earned premium at December 31, 1996, dropping to 8% of ceded
earned premium at March 31, 1997 and proportionately decreasing
quarterly to 0% by March 31, 1998.
3. The final adjustment will take place as of December 31, 1998. The
Company and the Reinsurer shall mutually agree on any remaining
reserves for pending claims based upon acceptable actuarial practices.
If the Company and the Reinsurer are unable to agree on the remaining
reserves, they shall jointly appoint a mutually acceptable actuary to
make such determination. The Company shall pay to the Reinsurer any
amount so determined promptly after its determination.
If the Company is unable to provide an accounting on a "underwriting year
basis", the parties shall agree on a comparable method of accounting within
30 days of the date of this Contract.
ARTICLE VI -- ASSIGNMENTS
A. The provisions of Article V shall apply to risks assigned to the Company
under any Assigned Risk Plan if, in the opinion of the Company, such risks
were assigned to the Company because of the business written and reinsured
hereunder.
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B. In the event this Contract is terminated, the provisions of this Article
shall continue to apply for as long as the Company is required to accept
assignments and/or assessments because of the business reinsured hereunder.
ARTICLE VII -- OTHER REINSURANCE
The Company shall be permitted to carry excess property catastrophe
reinsurance, recoveries under which shall inure solely to the benefit of
the Company and be entirely disregarded in applying all of the provisions
of this Contract.
ARTICLE VIII -- CLAIMS AND LOSS ADJUSTMENT EXPENSE
A. Losses shall be reported by the Company in summary form as hereinafter
provided, but the Company shall notify the Reinsurer promptly (1) when a
specific case involves unusual circumstances or large loss possibilities,
and (2) when the Company establishes a reserve for an indemnity loss in
excess of $25,000. Further, the Company shall notify the Reinsurer
promptly whenever a claim involves a fatality, amputation, spinal cord
damage, brain damage, blindness, extensive burns or multiple fractures,
regardless of liability. The Reinsurer shall have the right to
participate, at its own expense, in the defense or control of any claim or
suit or proceeding involving the reinsurance.
B. All loss settlements made by the Company, whether under strict policy
conditions or by way of compromise, shall be binding upon the Reinsurer,
and the Reinsurer agrees to pay or allow, as the case may be, its
proportion of each such settlement in accordance with Article XII.
C. In the event of a claim under a policy subject hereto, the Reinsurer shall
be liable for its proportionate share of loss adjustment expense incurred
by the Company in connection therewith (including litigation expenses and
interest on judgements, but not including office expenses or salaries of
the Company's regular employees), and shall be credited with its
proportionate share of any recoveries of such expense.
D. It is understood that in all references throughout this Contract, the
employees of affiliated companies shall not be considered the Company's
regular employees.
ARTICLE IX -- SALVAGE AND SUBROGATION
The Reinsurer shall be credited with its proportionate share of salvage
(i.e., reimbursement obtained or recovery made by the Company, less the
actual cost, excluding salaries of officials and employees of the Company
and sums paid to attorneys as retainer, of obtaining such reimbursement or
making such recovery) on account of claims and settlements involving
reinsurance hereunder. The Company hereby agrees to enforce its rights to
salvage or subrogation relating to any loss, a part of which loss was
sustained by
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the Reinsurer, and to prosecute all claims arising out of such rights.
ARTICLE X -- ORIGINAL CONDITIONS
A. All reinsurance under this Contract shall be subject to the same rates,
terms, conditions and waivers, and to the same modifications and
alterations as the respective policies of the Company. However, in no
event shall this be construed in any way to provide coverage outside the
terms and conditions set forth in this Contract. 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.
B. Nothing herein shall in any manner create any obligations or establish any
rights against the Reinsurer in favor of any third party or any persons not
parties to this Contract.
ARTICLE XI -- PREMIUM AND COMMISSION
A. The premium due the Reinsurer on the amount of liability attaching
hereunder shall be the gross net original premium included in the original
policies for limits attaching hereunder.
B. The Reinsurer shall allow the Company a 15% commission on all premiums
ceded to the Reinsurer hereunder. The Company shall allow the Reinsurer
return commission on return premiums at the same rate.
C. In addition to the commission stated in paragraph B above, the Reinsurer
will allow the Company a 7% fronting fee on all premiums ceded to the
Reinsurer hereunder. The fronting fees paid to the Company will not be less
than $1.10 million, nor more than $1.15 million over the life of this
reinsurance contract. In the event that the sum of payments and credits to
the Company under Article XII has not reached $1.10 million by November 1,
1997, the Reinsurance shall pay to the Company an amount equal to the
difference of such sum and $1.10 million.
D. For the purposes of this Contract, the term "gross net original premium"
shall mean the gross original premium less returned premium for
cancellations and reductions and premium ceded for inuring reinsurance.
E. Notwithstanding the provisions of paragraphs A through D above, the Company
and Reinsurer may mutually agree from time to time to stop ceding premium
and losses from any one or several territories covered by this Contract at
any time. However, any such agreement between the Company and Reinsurer
will not affect the remainder of this Contract as it applies to premiums
and losses ceded from the remaining territories subject to this Contract
nor the minimum fronting fee due hereunder.
F. Paragraphs B, C and E above describe the only commissions and/or fees
payable by the
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Reinsurer to the Company under this Contract. However, other commissions
or fees are payable by Deerbrook to the Company as provided in the Service
Agreement.
ARTICLE XII -- REPORTS AND REMITTANCES
A. On a weekly basis, the Reinsurer will sweep funds from the Company's Prime
Money Market Account with respect to the policies. Those funds represent
the excess of premium over agent commissions, paid losses and any minimum
account balances with respect to the policies. If future premium receipts
are insufficient to cover loss payments with respect to the policies, the
Reinsurer will fund the loss account (return premium), provided that the
Reinsurer is liable for those losses, as described in this Contract.
B. Within 30 days after the end of each quarter, the Company shall report on a
bordereau basis the following underwriting results to the Reinsurer with
respect to the policies for the latest quarter and latest YTD period:
Ceded Net Written Premium
Ceded Net Earned Premium
Unearned Premium Balance
Incurred Losses and Allocated Loss Adjustment Expenses
Paid Losses and Allocated Loss Adjustment Expenses
Outstanding Loss and Allocated Loss Adjustment Reserves
Agent Commissions Earned
Fronting Fees Earned
Any Applicable Credits from the Company for 1996 Excess Losses (but not
before 8 months of development)
Premium Taxes
C. Any remaining balances due to either party will be paid within 30 days of
the quarter end report.
D. Annually, the Company shall furnish the Reinsurer with such information as
the Reinsurer may require to complete its Annual Convention Statement.
ARTICLE XIII -- OFFSET
The Company and the Reinsurer shall have the right to offset any balance or
amounts due from one party to the other party under the terms of this
Contract. The party asserting the right of offset may exercise such right
any time whether the balances due are on account of premiums or losses or
otherwise.
ARTICLE XIV -- ACCESS TO RECORDS
The Reinsurer or its designated representatives shall have access at any
reasonable time to all records of the Company which pertain in any way to
this reinsurance.
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ARTICLE XV -- ERRORS AND OMISSIONS
Inadvertent delays, errors or omissions made in connection with this
Contract or any transaction hereunder shall not relieve either party from
any liability which would have attached had such delay, error or omission
not occurred, provided always that such error or omission is rectified as
soon as possible after discovery.
ARTICLE XVI -- TAXES
A. In consideration of the terms under which this Contract is issued, the
Company will not claim a deduction in respect of the premium hereon when
making tax returns, other than income or profits tax returns, to any state
or territory of the United States of America or the District of Columbia.
B. Notwithstanding the provisions of paragraph A above, the Reinsurer agrees
to pay premium tax on the premium ceded in an amount not to exceed 2.5% of
the premiums ceded. Any amount in excess of 2.5% of the ceded premiums
shall be the responsibility of the Company.
ARTICLE XVII -- CURRENCY
All of the provisions of this Contract involving dollar amounts are
expressed in terms of United States dollars. Therefore, all statistics
must be reported in United States dollars, and all payments must be made in
United States dollars. Amounts paid or received by the Company in other
currencies shall be converted into United States dollars at the rate of
exchange prevailing on the date at which such transactions are converted on
the books of the Company.
ARTICLE XVIII -- DEFINITIONS
A. POLICIES. The term "policies" when used herein shall mean all binders,
policies, contracts, and other obligations of insurance issued by the
Company.
B. NET LOSS. "Net loss" shall mean the actual loss or losses sustained by the
Company as defined in the original policy, excluding loss adjustment
expenses, after deduction of salvage and recoveries.
C. LOSS ADJUSTMENT EXPENSE. "Loss adjustment expense" shall mean expenses
incurred by the Company in the adjustment and defense of a claim, other
than office expenses of the Company and salaries of its regular employees,
less any recoveries of such expenses, and shall include litigation expenses
and interest on judgements, if any.
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D. RISK. The Company shall be the sole judge of what constitutes one risk.
E. OCCURRENCE. "Occurrence" as used herein shall mean each accident or
occurrence or series of accidents or occurrences arising out of one event.
F. EXTRA-CONTRACTUAL OBLIGATIONS. "Extra-contractual obligations" are defined
as those liabilities not covered under any other provision of this Contract
and which arise from the handling of any claim on business covered
hereunder, such liabilities arising because of, but not limited to, the
following: failure by the Company to settle within the policy limit, or by
reason of alleged or actual negligence or bad faith in rejecting an offer
of settlement or in the preparation of the defense or in the trial of any
action against its insured or reinsured or in the preparation or
prosecution of an appeal consequent upon such action.
The date on which an extra-contractual obligation is incurred by the
Company shall be deemed, in all circumstances to be the date of the
original accident, casualty, disaster or loss occurrence.
G. NET LIABILITY. "Net liability" shall mean the amount of insurance that the
Company keeps for its own account before application of this contract
subject then to the exclusions, limits and other terms stated in this
contract.
H. "UNDERWRITING YEAR" as used herein shall mean the period from May 1, 1996
through December 31, 1996. All premiums and losses from policies allocated
to an underwriting year shall be credited or charged, respectively, to such
underwriting year, regardless of the date said premiums earn or such losses
occur, it being understood that a policy will be allocated to the
underwriting year which is in effect as of:
1. As respects all new policies, the effective date of such policies;
2. As respects renewals of policies, the renewal date of such policies.
Such policies shall remain in the same underwriting year, as originally
allocated, until the next renewal date, at which time such policies shall
be reallocated to the underwriting year in effect as of such date as
provided in subparagraph 2 above.
I. "LOSS RATIO" shall mean earned premium for the period divided into incurred
losses for the period.
J. "EARNED PREMIUM" shall mean premium written during the period plus unearned
premium at the beginning of the period less unearned premium at the end of
the period.
K. "INCURRED LOSSES" shall mean actual paid loss plus actual paid loss
adjustment expense plus case loss reserves plus loss adjustment expenses
reserved during the period plus reserves for losses and loss adjustment
expenses incurred but not reported (IBNR) during the period.
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ARTICLE XIX -- UNAUTHORIZED REINSURERS
A. If the Reinsurer is unauthorized in any state of the United States of
America or the District of Columbia, the Reinsurer agrees to fund its share
of the Company's ceded unearned premium and outstanding loss and loss
adjustment expense reserves (including incurred but not reported loss
reserves) by:
1. Clean, irrevocable and unconditional letters of credit issued and
confirmed, if confirmation is required by the insurance regulatory
authorities involved, by a bank or banks meeting the NAIC Securities
Valuation Office credit standards for issuers of letters of credit and
acceptable to said insurance regulatory authorities; and/or
2. Escrow accounts for the benefit of the Company; and/or
3. Cash advances;
if, without such funding, a penalty would accrue to the Company on any
financial statement it is required to file with the insurance regulatory
authorities involved. The Reinsurer, at its sole option, may fund in other
than cash if its method and form of funding are acceptable to the insurance
regulatory authorities involved.
B. With regard to funding in whole or in part by letters of credit, it is
agreed that each letter of credit will be in a form acceptable to insurance
regulatory authorities involved, will be issued for a term of at least one
year and will include an "evergreen clause," which automatically extends
the term for at least one additional year at each expiration date unless
written notice of non-renewal is given to the Company not less than 30 days
prior to said expiration date. The Company and the Reinsurer further
agree, notwithstanding anything to the contrary in this Contract, that said
letters of credit may be drawn upon by the Company or its successors in
interest at any time, without diminution because of the insolvency of the
Company or the Reinsurer, but only for one or more of the following
purposes:
1. To reimburse itself for the Reinsurer's share of unearned premiums
returned to insureds on account of policy cancellations, unless paid
in cash by the Reinsurer;
2. To reimburse itself for the Reinsurer's share of losses and/or loss
adjustment expense paid under the terms of policies reinsured
hereunder, unless paid in cash by the Reinsurer;
3. To reimburse itself for the Reinsurer's share of any other amounts
claimed to be due hereunder, unless paid in cash by the Reinsurer;
4. To fund a cash account in an amount equal to the Reinsurer's share of
any ceded unearned premium and/or outstanding loss and loss adjustment
expense reserves (including incurred but not reported loss reserves)
funded by means of a letter of
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credit which is under non-renewal notice, if said letter of credit has
not been renewed or replaced by the Reinsurer 10 days prior to its
expiration date;
5. To refund to the Reinsurer any sum in excess of the actual amount
required to fund the Reinsurer's share of the Company's ceded unearned
premium and/or outstanding loss and loss adjustment expense reserves
(including incurred but not reported loss reserves), if so requested
by the Reinsurer.
In the event the amount drawn by the Company on any letter of credit is in
excess of the actual amount required for B(1), B(2) or B(4), or in the case
of B(3), the actual amount determined to be due, the Company shall promptly
return to the Reinsurer the excess amount so drawn.
ARTICLE XX -- INSOLVENCY
A. In the event of the insolvency of the Company, this reinsurance shall be
payable directly to the Company or to its liquidator, receiver, conservator
or statutory successor immediately upon demand, with reasonable provision
for verification, on the basis of the liability of the Company without
diminution because of the insolvency of the Company or because the
liquidator, receiver, conservator or statutory successor of the Company has
failed to pay all or a portion of any claim. It is agreed, however, that
the liquidator, receiver, conservator or statutory successor of the Company
shall give written notice to the Reinsurer of the pendency of a claim
against the Company indicating the policy or bond reinsured which claim
would involve a possible liability on the part of the Reinsurer within a
reasonable time after such claim is filed in the conservation or
liquidation proceeding or in the receivership, and that during the pendency
of such claim, the Reinsurer may investigate such claim and interpose, at
its own expense, in the proceeding where such claim is to be adjudicated,
any defense or defenses that it may deem available to the Company or its
liquidator, receiver, conservator or statutory successor. The expense thus
incurred by the Reinsurer shall be chargeable, subject to the approval of
the Court, against the Company as part of the expense of conservation or
liquidation to the extent of a pro rata share of the benefit which may
accrue to the Company solely as a result of the defense undertaken by the
Reinsurer.
B. Where two or more reinsurers are involved in the same claim and a majority
in interest elect to interpose defense to such claim, the expense shall be
apportioned in accordance with the terms of this Contract as though such
expense had been incurred by the Company.
C. It is further understood and agreed that, in the event of the insolvency of
the Company, the reinsurance under this Contract shall be payable directly
by the Reinsurer to the Company or to its liquidator, receiver, conservator
or statutory successor, except (1) where this Contract specifically
provides another payee of such reinsurance in the event of insolvency of
the Company or (2) where the Reinsurer with the consent of the direct
insured or insureds has assumed such policy obligations of the Company as
direct obligations of the Reinsurer to the payees under such policies and
in substitution for the
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obligations of the Company to such payees.
ARTICLE XXI -- SERVICE OF SUIT
APPLICABLE IF THE REINSURER IS NOT DOMICILED IN THE UNITED STATES OF AMERICA,
AND/OR IS NOT AUTHORIZED IN ANY STATE, TERRITORY OR DISTRICT OF THE UNITED
STATES WHERE AUTHORIZATION IS REQUIRED BY INSURANCE REGULATORY AUTHORITIES.
A. It is agreed that in the event the Reinsurer fails to pay any amount
claimed to be due hereunder, the Reinsurer, at the request of the Company,
will submit to the jurisdiction of any court of competent jurisdiction
within the United States. Nothing in this Article constitutes or should be
understood to constitute a waiver of the Reinsurer's rights to commence an
action in any court of competent jurisdiction in the United States, to
remove an action to a United States District Court, or to seek a transfer
of a case to another court as permitted by the laws of the United States or
any state in the United States.
B. Further, pursuant to any statute of any state, territory or district of the
United States which makes provision therefor, the Reinsurer hereby
designates the Superintendent, Commissioner or Director of Insurance or
other officer specified for that purpose in the statute, or his successor
or successors in office, as its true and lawful attorney upon whom may be
served any lawful process in any action, suit or proceeding instituted by
or on behalf of the Company or any beneficiary hereunder arising out of
this Contract.
ARTICLE XXII -- ARBITRATION
A. Unless both parties mutually agree to waive arbitration with respect to a
particular dispute, the parties to this Contract hereby agree that binding
arbitration shall be the sole remedy for any and all dispute(s) arising
between them with reference to any transactions, terms or conditions under
this Contract including its formation and validity. Arbitration
proceedings brought hereunder shall be referred for final determination to
the majority decision of a Panel of three disinterested arbitrators.
Notice of demand for arbitration shall be made in writing and shall be
served via certified or registered mail, return receipt requested, on the
Respondent to the Arbitration at the Respondent's current address. The
notice requesting arbitration shall identify the contract(s) involved in
the dispute, the issues to be resolved in the view of the Petitioner, and
the arbitrator selected by the Petitioner. The term "days" as used herein
shall mean calendar days.
B. Respondent shall appoint an arbitrator within thirty (30) days of receiving
a request by Petitioner in writing and served via certified or registered
mail, return receipt requested, to do so. At the same time as the
appointment, Respondent shall identify in writing any issues which in its
view must be resolved in the arbitration proceeding and which were not
identified by the Petitioner. If the Respondent fails to appoint its
arbitrator within thirty (30) days of being requested to do so, in writing,
by the Petitioner, the Petitioner shall have the right to appoint the
second arbitrator. Within thirty (30) days after their appointment,
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the two arbitrators so chosen shall select a third arbitrator to act as
umpire. If the two arbitrators do not agree as to the selection of a third
arbitrator within sixty (60) days after their appointment, the third
arbitrator shall be selected from a list of six individuals (three named by
each arbitrator) by a judge of the federal district court having
jurisdiction over the geographical area in which the arbitration is to take
place, or if the federal court declines to act, the state court having
general jurisdiction in such areas.
Each arbitrator shall be a disinterested, active or retired official or
officer of an insurance or reinsurance company, or an Underwriter at
Lloyd's, not under the control or management of either party to this
Contract, and shall have experience in the class and type of business
subject to this dispute.
C. Within thirty (30) days after notice of appointment of all arbitrators, the
Petitioner and Respondent will each submit a statement of position to the
Panel.
D. Within sixty (60) days after notice of appointment of all arbitrators, each
party shall provide the other with its relevant books, records, and/or
other papers not protected from disclosure by either the work/product or
attorney/client privilege. Other than the exchange of relevant documents,
both parties shall refrain from engaging in any type of discovery
including, but not limited to, depositions and interrogatories.
E. Within thirty (30) days following the exchange of documents, the Petitioner
and the Respondent shall submit re-hearing briefs to the Panel.
F. Unless some other location is mutually agreeable to the parties,
arbitration proceedings shall take place within the municipality wherein
the Home Office of the Company is located. Arbitration shall commence as
soon as practicable but in no event longer than one hundred and twenty
(120) days after selection of the third arbitrator with notice thereof to
the parties. The specific time and site of arbitration shall be promptly
agreed to by the parties, or if no agreement is reached, then determined by
the Panel.
G. The Panel shall be relieved from applying the strict rules of evidence
and/or procedure and shall make its decision based on the custom and
practice of the insurance and reinsurance business with a view toward
effecting this Contract in a reasonable manner. Should either party fail
to appear at an arbitration and/or fail to furnish the Panel with any
subpoenaed papers or information, the Panel is empowered to proceed ex
parte. The Panel shall make its award within sixty (60) days following the
close of the hearing. The majority decision of the Panel shall be binding
upon the parties and shall be reduced to a written award, which may include
factual findings, and shall be signed by any two (2) of the three (3)
arbitrators, dated and delivered overnight to the parties. The Panel may
award pre-judgement and post-judgement interest, but in no case shall the
authority of the Panel extend to awarding punitive or exemplary damages.
Judgement may be entered upon the award by any court having jurisdiction.
H. Each party shall bear the expense of its own arbitrator, but shall equally
share with the other the expense of the third arbitrator. In the event
that the two arbitrators are chosen
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by one party, as above provided, the expense of the arbitrators, the umpire
and the arbitration shall be equally divided between Petitioner and
Respondent. Unless mutually agreed otherwise, a court reporter transcript
shall be taken of the hearing with costs to be divided equally between the
parties. The remaining costs of arbitration shall be allocated by the
Panel.
I. Arbitration proceeding brought hereunder, any or all provisions contained
herein, and arbitration awards entered pursuant to this clause are
specifically governed by, subject to and enforceable under the Federal
Arbitration Act (Title 9, United States Code, Sections 1-14, as amended).
J. Each party agrees that time is of the essence with respect to all terms and
conditions referenced in this Article. All deadlines contained in this
Article may be extended by mutual agreement of the parties, and if the
Panel has been selected, the Panel's agreement must also be obtained.
K. Each party agrees that any arbitration award entered pursuant to and
governed by this clause will not have any precedential or collateral
estoppel effect on future arbitrations, proceedings, or controversies, if
any, between the parties. Any claim of RES JUDICATA or claim preclusion
shall itself be subject to arbitration.
L. This Article shall survive the termination of this Contract.
In Witness Whereof, the parties hereto by their respective duly authorized
representatives have executed this Contract as of the dates undermentioned at:
St. Paul, Minnesota, this 30th day of April 1996.
/s/ Richard H. Smith
-----------------------------------
All Nation Insurance Company
Northbrook, Illinois, this 1st day of May 1996.
/s/ E. M. Liddy
-----------------------------------
Allstate Insurance Company
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EXHIBIT 10.19
SERVICES AGREEMENT
This Services Agreement("Agreement") is entered into by and between All Nation
Insurance Company located in St. Paul, Minnesota ("ANIC"), First Mercury
Financial Corporation located in Southfield, Michigan ("FMFC"), Allstate
Insurance Company located in Northbrook, Illinois ("Allstate") and Deerbrook
Insurance Company, a wholly owned subsidiary of Allstate ("Deerbrook"). This
Agreement is executed this 30th day of April, 1996 and shall be effective on May
1, 1996 subject to any required regulatory approval.
Whereas Deerbrook and ANIC desire to establish a relationship to provide policy
processing, claim handling, underwriting, cash processing and customer service
support for All Nation agent produced non-standard private passenger automobile
insurance policies that are being reinsured pursuant to that certain reinsurance
agreement dated April 30, 1996 by and between ANIC and Allstate, for the benefit
of Deerbrook ("Reinsurance Agreement").
And whereas Deerbrook and ANIC contemplate that as Deerbrook becomes licensed
and assumes direct responsibility for All Nation policies in additional states,
the volume of work performed under this Agreement will decrease.
And whereas Deerbrook and ANIC contemplate that as the number of policies in
force grows the volume of work to be performed under this Agreement may also
increase.
And whereas, all of the parties desire to set forth their agreement for the
ultimate assumption by Deerbrook of that portion of ANIC's business covered by
the Reinsurance Agreement.
Now, therefore, in consideration of the mutual agreements set forth in this
Agreement and the payment of fees as provided for, the parties agree as follows:
1. GENERAL TERMS OF RETENTION
This Agreement is a Master Agreement under which Deerbrook shall retain
ANIC to provide policy processing, claim handling, underwriting, cash
processing and customer service support subject to the terms and conditions
set forth in this Agreement. The parties hereto agree to abide by the
terms and conditions set forth herein.
2. SCOPE OF PROJECT
ANIC agrees to provide Deerbrook with the services described in the
Schedule attached hereto. Each Schedule is subject to the terms and
conditions of this Agreement, as may from time to time be amended in
writing and signed by both parties, and may incorporate such additional
terms and conditions as Deerbrook and ANIC may agree upon. In the event of
a conflict between the terms and conditions of a Schedule and the
provisions of
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this Agreement, the terms and conditions of this Agreement shall be held to
prevail.
3. AGREEMENT PERIOD AND TERMINATION
ANIC understands that the primary purpose of this Agreement is to allow
Deerbrook to develop and implement a plan to provide for the processing and
servicing of private passenger automobile insurance business reinsured
under the Reinsurance Agreement. The initial term of this Agreement,
therefore, shall be for a period of Twenty-four (24) months from the
effective date listed above. At the conclusion of the initial term, the
Agreement shall automatically renew on each anniversary date for another
twelve (12) month period unless one of the parties gives the other one
hundred and eighty (180) days written notice as provided for in this
Agreement of their intention not to renew the Agreement. The services to
be provided pursuant to this Agreement or all or part of any of the
Schedules may also be canceled at an earlier date by mutual agreement of
the parties.
The services provided hereunder shall terminate on a state-by-state basis
on the following schedule:
Iowa July 1, 1996
Minnesota September 1, 1996
Utah September 1, 1996
Nebraska September 1, 1996
Oregon November 1, 1996
Idaho October 1, 1996
Montana December 1, 1996
Washington January 1, 1997
Wisconsin December 1, 1996
South Dakota January 1, 1997
North Dakota February 1, 1997
By notice given not less that 60 days prior to any state termination date,
Deerbrook may accelerate the termination date by one month, and by not less
than 30 days prior to any state termination date, Deerbrook may extend the
termination date by one month. The parties may mutually agree to other
changes to the termination dates.
On at least 90 days' notice, Deerbrook may terminate the entirety of claims
processing service, underwriting reports, Postage/PS&S or processing
services or may terminate any such service within one or more states.
If at any time ANIC has fewer than 3,500 policies (as defined in the
Reinsurance Agreement) in force, ANIC many terminate its obligations to
provide services hereunder upon 90 days prior written notice to Deerbrook,
unless Deerbrook and ANIC agree upon terms and conditions for the
continuance of such services on a cost basis.
Any such termination will not affect Deerbrook's obligation to make
payments under Section 7(a) or 7(b) of this Agreement.
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Termination of any services shall not affect the performance standards
required of ANIC under this Agreement or any Schedule. If requested, ANIC
will transfer Deerbrook's files and information, if any, to Deerbrook.
4. STATUS
a) It is agreed that at all times ANIC and its personnel shall not be
considered employees of Deerbrook. ANIC will, during the term of this
Agreement, maintain at ANIC's expense all necessary insurance for its
personnel, including but not limited to worker's compensation,
disability, unemployment insurance, fidelity, errors and omissions and
general liability insurance. ANIC will provide Deerbrook with
certification of insurance upon request.
It is agreed that at times Allstate or Deerbrook may hire former
employees of ANIC. Upon such terminations of employment by ANIC and
commencement of employment by Allstate or Deerbrook, such personnel
shall no longer be considered employees of ANIC and the provisions of
the preceding paragraph shall no longer apply as to such personnel.
b) ANIC will be responsible for and indemnify, defend and hold Deerbrook
harmless from and against any and all liability for employment taxes,
worker's compensation, disability, or unemployment compensation
insurance, premiums or claims levied upon or attributable to the
services rendered by ANIC, and ANIC's personnel, including but not
limited to, all state and federal FICA, worker's compensation,
disability, unemployment, withholding taxes, premiums and claims.
Allstate will be responsible for and indemnify, defend and hold ANIC
harmless from and against any and all liability for employment taxes,
workers' compensation, disability, or unemployment compensation
insurance, premiums or claims levied upon or attributable to the
services rendered by Allstate or Deerbrook personnel, including but
not limited to, all state and FICA, workers' compensation, disability,
unemployment, withholding taxes, premiums and claims.
5. RIGHT TO AUDIT AND COOPERATION WITH REGULATORY AUTHORITIES
ANIC understands that Deerbrook's business is highly regulated. For that
reason ANIC agrees that upon request and at reasonable times, it will allow
Deerbrook to audit, with auditors of Deerbrook's choice, the policy
processing, claim handling, underwriting, cash processing and customer
service business that is being performed on its behalf. ANIC also agrees
to cooperate with Deerbrook in complying with all regulatory inquiries,
including but not limited to market conduct and financial performance
examinations.
6. PERSONNEL AND STAFFING
ANIC shall provide all personnel, adjudged necessary by ANIC to perform the
Services outlined in each Schedule.
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ANIC agrees that to the extent that the amount of business being processed
warrants, Deerbrook with ANIC's consent which shall not be unreasonably
withheld may place a reasonable number of employee(s) on premises at ANIC's
facility(ies) to assist with the business.
Allstate will be responsible for and indemnify, defend and hold harmless
ANIC and/or any ANIC affiliates for any damages including liability for
extra-contractual obligations, claims, and/or causes of action brought by
third parties arising out of the acts, errors or omissions of Allstate
employees either under the terms of or outside of this Agreement.
7. PAYMENT AND RATES
Payment under this Agreement shall be as follows:
a) Deerbrook shall pay as consideration for the assignment of the agency
contracts, the goodwill associated with those relationships and with
All Nation, the assumption of the business covered by the Reinsurance
Agreement and the associated agreements not to compete the following
amounts on the following dates:
Date To FMFC To ANIC
--------------- -------- --------
May 1, 1996 $604,375 $604,375
December 31, 1996 $604,375 $604,375
May 1, 1997 $604,375 $604,375
December 31, 1997 $604,375 $604,375
b) The sum of $405,000 for service contract profit will be paid by
Deerbrook to ANIC in twenty-four (24) equal monthly installments on
the first day of each month beginning May 1, 1996.
c) Payment for the following services shall be based on a percentage of
earned premium in each applicable state.
Claim Processing 7.0%
Underwriting Reports 2.0%
Postage/PS&S 1.0%
Processing 6.0%
d) All payments due May 1, 1996 shall not be paid until the earlier of
June 1, 1996 or receipt of any required regulatory approvals.
8. TRAVEL
If requested by Deerbrook, ANIC personnel will undertake reasonable travel
necessary for execution of project-related tasks outside the scope of their
normal job responsibilities. Transportation costs, expenses, and
reasonable per diem costs specified before each trip that are within the
limits of Deerbrook's then current travel allowance policy for its own
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employees, shall be paid by Deerbrook after ANIC submits all copies of
receipts to Deerbrook.
9. INVOICING
ANIC will submit invoices on a monthly basis for all charges for services
incurred under Section 7-C- of this Agreement. Deerbrook will pay all
invoices within thirty (30) days of receipt. No invoices shall be required
for the payments provided in paragraphs 7(a) and 7(b).
10. ASSIGNMENT OF AGENCY APPOINTMENTS
Effective upon the termination of services with respect to a particular
state, as prescribed in Section 3 ANIC will assign all agency appointments
in such state to Deerbrook. Effective immediately and for a period of
ninety days after each such assignment, ANIC will cooperate with Deerbrook
in facilitating such assignment.
11. NAME CHANGE AND NON-COMPETE
FMFC and ANIC will change ANIC's name ("All Nation") to First Mercury
Insurance Company, or some other name reasonably acceptable to Allstate at
the earliest possible time after Deerbrook is licensed in each of the
eleven (11) states listed in Section 3 which is mutually agreeable and
which is consistent with the succeeding three paragraphs but in no event
later than May 1, 1999.
Neither FMFC nor any of its affiliates will write any non-standard auto
business using the "All Nation" name unless such business is subject to the
Reinsurance Agreement; provided, however, that FMFC and its affiliates may
make such incidental use of the "All Nation" name as is required for
obtaining regulatory approvals, filing taxes and annual statements and as
required by law or regulation on customer documents in connection with the
Drivers Direct Program already in place in Illinois and Iowa and planned
for expansion into Indiana, Michigan and Ohio.
For a period of five (5) years subsequent to each assignment specified in
Section 10 neither FMFC nor any of its affiliates will write any agent-
produced non-standard auto business in each state in which such assignment
has occurred; provided that, if requested by Deerbrook, ANIC will continue
to write renewal policies for one month after such assignment date. In
addition, for a period of three (3) years subsequent to each assignment
specified in Section 10 neither FMFC nor any of its affiliates will write
any non-standard auto business in each state in which such assignment has
occurred except as provided in the paragraph immediately proceeding.
For a period of eighteen (18) months from the date hereof, neither FMFC nor
any of its affiliates shall, using the "All Nation" name:
(1) apply for any new licenses to do business; or
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(2) enter into any lines business that is not currently written by
FMFC or its affiliates.
ANIC may, however, continue to process all applications for licenses in
those states in which such applications are currently filed, subject to
restrictions (2) immediately preceding.
For the purposes of Section 11, "affiliates" shall not include natural
persons.
12. WARRANTIES
a) ANIC warrants that all services provided hereunder will be performed
in accordance with the Schedules. Deerbrook shall advise ANIC of any
failure to meet the standards set forth in any Schedule and ANIC shall
use its best efforts to correct any such failure, but shall have no
other liability. If ANIC shall fail to perform the services hereunder
in accordance with its performance standards as of the date hereof and
Deerbrook shall give notice of such deficiency and ANIC shall fail
thereafter to bring such performance up to such standards within 90
days Deerbrook may pursue any remedies it may have at law, including
without limitation Section 21 hereof.
b) Notwithstanding the provisions in Section 12a), ANIC will be
responsible for and indemnify, defend and hold harmless Deerbrook
and/or any Deerbrook affiliates for any damages, claims, and/or causes
of action brought by third parties arising out of ANIC's negligent
performance of services either under the terms of or outside of this
Agreement, including but not limited to, all damages, claims, and/or
causes of action related to errors and omissions.
c) ANIC and FMFC warrant that they may negotiate with Deerbrook and
Allstate and ANIC warrants that it is not under any legal obligation
which prohibits ANIC from providing services to Deerbrook. ANIC and
FMFC will be responsible for and indemnify, defend and hold harmless
Deerbrook and Allstate from any loss, cost, liability or expense
(including reasonable attorney fees) arising out of any breach, or
claimed breach of this warranty.
d) Deerbrook and Allstate warrant that they may negotiate with ANIC and
FMFC and Deerbrook warrants that it is not under any legal obligation
which prohibits from entering into this Agreement.
Deerbrook and Allstate will be responsible for and indemnify, defend
and hold harmless ANIC and FMFC from any loss, cost, liability or
expense (including reasonable attorney fees) arising out of any
breach, or claimed breach of this warranty.
13. LIMITATION OF LIABILITY
a) No action, regardless of form, arising out of the transaction under
this Agreement,
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may be brought by either party more than one year after the cause of
action has accrued, except that an action for non-payment must be
brought within one year after the date of the last payment.
b) Each party will, however, be responsible for bodily injury to any
person, or damage to the other party's physical property resulting
from negligent or intentional acts or omissions of its employees,
agents, or representatives while working on the other party's
premises.
14. EXCUSABLE DELAYS
No party shall be responsible or deemed to be in default for non-
performance or delays in performance of this Agreement due to causes beyond
its control and not occasioned by the fault of negligence of such party to
be excused, including, but not being limited to, civil war, insurrections,
unforeseeable strikes, riots, fires, floods, expositions, earthquakes, acts
of God or the public enemy, and any statute order, regulation,
proclamation, ordinance, demand or requirement of any governmental agency
imposed after the effective date of this Agreement. Upon the occurrence of
such event, the party so affected upon giving prompt written notice to the
other party, shall be excused from such performance to the extent of such
prevention, restriction or interference provided that the party so affected
shall take all reasonable steps to avoid or remove such causes of non-
performance.
ANIC understands that because the subject matter of this Agreement involves
the processing and servicing of personal lines of insurance, that time is
of the essence. All excusable delays, therefore, are subject to the terms
and conditions of any and all disaster recovery plans set forth in any
Schedule.
15. TITLE TRANSFER
a) Materials, if any, developed by ANIC exclusively for Deerbrook under
this Agreement, are to be considered works made for hire as that term
is defined in Section 101 of the Copyright Act (17 U.S.C. Section 101)
and are the sole and exclusive property of Deerbrook. ANIC agrees
that any and all patent and copyright rights to the materials
developed hereunder, including but not limited to scripts for customer
service and claim handling, agency manuals, training manuals, and help
sources, to the extent they are available, are the sole and exclusive
property of Deerbrook, free from any claim or retention of rights
thereto on the part of ANIC as of the date of signature of this
Agreement as well as during the term of, and surviving any termination
of this Agreement.
b) Upon completion or other termination of this Agreement, ANIC shall
deliver to Deerbrook all copies of any and all developed materials
related or pertaining to this Agreement. ANIC shall have no right to
disclose or use any of such products or materials for any purpose
whatsoever.
c) To the extent that any material produced under this Agreement may not
be
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<PAGE>
considered works made for hire, or to the extent that paragraph (a) of
this Section (15) is declared invalid either in substance or purpose,
in whole or in part, ANIC hereby agrees to irrevocably transfer,
grant, convey, assign, and relinquish exclusively to Allstate any and
all of ANIC's right, title, and interest, including ownership of
copyright and/or patent rights, to any material developed by ANIC
under this Agreement without the necessity of further consideration.
All right, title, and interest of every kind and nature, whether now
known or unknown, in and to the copyrights, patents, ideas, creations
created, written and developed by either ANIC or Allstate in the
course of this project under and pursuant to this Agreement shall be
the exclusive property of Allstate for any and all purposes and uses,
and ANIC shall have no right, title, or interest of any kind or nature
in or to such material. As part of this Agreement, ANIC agrees to do
all things necessary to protect this assignment, including but not
limited to executing an assignment of its copyright and/or patent
interests in the material created and/or developed pursuant to this
Agreement.
d) The obligations imposed by this Section (15) shall remain in effect
indefinitely and shall survive any termination of this Agreement.
16. SECURITY
Both parties agree that they and their personnel will at all times comply
with all security regulations in effect from time to time at the other
party's premises.
17. CONFIDENTIALITY
a) ANIC and FMFC acknowledge that Deerbrook and Allstate may make
Confidential Data available to ANIC or FMFC. The term "Confidential
Data" shall include data which identify or concern past, current or
potential customers of Deerbrook or its affiliates, information about
business practices, research, development, systems and plans of
Deerbrook or its affiliates, and computer data processing tapes,
record formats, source and object codes, which identify or concern
past, current or potential customers of Deerbrook or its affiliates;
and which have been designated by Deerbrook as "Confidential";
"Confidential Data" includes any Confidential Data received from
Deerbrook and enhanced by ANIC. Confidential Data may be written,
oral, video or audio recorded, or on tapes or other electronic media.
The confidentiality of any oral statement shall be confirmed in
writing by Deerbrook within fourteen (14) days after the oral
statement is made.
b) ANIC and FMFC acknowledge that all Confidential Data furnished by
Deerbrook and Allstate is considered a proprietary trade secret and is
a matter of strict confidentiality. ANIC and FMFC also acknowledge
that the unauthorized use or disclosure of any Confidential Data will
cause irreparable harm to Deerbrook and Allstate. Accordingly, ANIC
and FMFC agree that Deerbrook and Allstate shall be entitled to
equitable relief, including injunction and specific performance, in
addition to all other remedies available at law or in equity for any
threatened or actual breach of the provisions contained in this
Section.
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c) ANIC and FMFC agree that they will employ the same security measures
to Confidential Data received from Deerbrook and Allstate that they
would apply to their own comparable confidential information (but in
no event less than a reasonable degree of care in handling
Confidential Data). Without limiting the generality of the foregoing,
ANIC and FMFC further agree that they will not distribute, disclose or
convey to third parties any Confidential Data, except as specifically
provided in this Agreement.
d) ANIC and FMFC further agree that: 1) only their employees with a
defined need to know shall be granted access to Confidential Data and
only after they have been informed of the confidential nature of the
Confidential Data and agreed to be bound by the terms of this
Agreement respecting Confidentiality; 2) Confidential Data shall not
be distributed, disclosed or conveyed to any consultant or
subcontractor retained by either of them except upon Deerbrook's and
Allstate's prior written approval, which shall be conditioned on such
consultant or subcontractor's signing a copy of a Confidentiality
Agreement substantially similar to the terms of this Agreement; 3) no
copies or reproductions shall be made of any Confidential Data; 4)
they shall not make use of any Confidential Data for its own benefit
or for the benefit of any third party.
e) ANIC and FMFC agree that, should third parties request ANIC or FMFC or
their consultants or subcontractors to submit Confidential Data to
them pursuant to subpoena, summons, search warrant or governmental
order, they will notify Deerbrook and Allstate immediately upon
receipt of such request. In no case shall said notice be received by
Deerbrook and Allstate later than five (5) days after receipt by ANIC
or FMFC, as the case may be. If Deerbrook or Allstate objects to the
release of the Confidential Data, ANIC and FMFC will permit counsel
chosen by Deerbrook and Allstate to represent ANIC and FMFC in order
to resist release of the Confidential Data. Deerbrook and Allstate
will indemnify ANIC and FMFC for any expenses incurred by ANIC and
FMFC in connection with resisting the release of the Confidential
Data.
f) ANIC and FMFC agree to indemnify, defend and hold Deerbrook and its
affiliates harmless from and against any and all liabilities, actions,
claims, demands, liens, losses, damages, judgments, expenses and loss
of business or profits, including reasonable attorney's fees, that may
arise from the unauthorized disclosure of Confidential Data by it to
third parties, or the unauthorized use of Confidential Data by ANIC or
FMFC by their consultants or subcontractors.
g) The obligations set forth in paragraphs a) through f) above shall not
apply to: a) Confidential Data: 1) which has become known to the
public; 2) which was disclosed to ANIC or FMFC by a third party not
under an obligation of confidentiality to Deerbrook or Allstate; 3)
which was independently developed by ANIC or FMFC not otherwise in
violation or breach of this Agreement or any other obligation of ANIC
or FMFC to Deerbrook and Allstate; 4) which was rightfully known to
ANIC or FMFC prior to entering into this Agreement or b) any
disclosure
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<PAGE>
specifically authorized in writing by Deerbrook and Allstate.
h) ANIC and FMFC agree that all Confidential Data shall at all times
remain the sole property of Deerbrook and Allstate and shall be
returned to Deerbrook or Allstate immediately upon demand. No rights
or licenses, express or implied, are granted by Deerbrook or Allstate
to ANIC or FMFC under any patents, copyrights, or trade secrets of
Deerbrook or Allstate as a result of or related to this Agreement. If
Confidential Data comprises any computer data processing tapes, ANIC
and FMFC shall return the same tapes originally supplied by Deerbrook
and Allstate or shall destroy such tapes at Deerbrook's and Allstate's
request.
18. BUSINESS TERMINATION
In the event that any party shall cease conducting business in the normal
course, become insolvent, make a general assignment for the benefit of
creditors, suffer or permit the appointment of a receiver for its business
or assets or shall avail itself of, or become subject to, any proceeding
under the Federal Bankruptcy Act or any other statute of any state relating
to insolvency or the protection of rights or creditors, state relating to
insolvency or the protection of rights or creditors (the party taking such
action being the "Insolvent Party"), then (at the option of Allstate and
Deerbrook if the Insolvent Party is FMFC or ANIC, and at the option of FMFC
and ANIC if the Insolvent Party is Allstate or Deerbrook) this Agreement
shall terminate and be of no further force and effect.
19. RIGHTS UPON TERMINATION
Upon termination or other expiration of this Agreement each party shall
return to the other all papers, materials and other properties of the other
held by each for purposes of this Agreement within thirty days.
20. ASSIGNABILITY
a) ANIC agrees that this is a personal services Agreement between ANIC
and Deerbrook and is not assignable by ANIC without the prior written
consent of Deerbrook. ANIC also agrees that because this is a new
venture for Deerbrook, it is necessary that Deerbrook retain the
unconditional right to assign this Agreement to Allstate or any
affiliate of Allstate.
b) An assignee of either party, if authorized hereunder, shall have all
of the rights and obligations of the assigning party set forth in this
Agreement. No assignment shall relieve the original parties hereto of
their obligations hereunder.
21. GUARANTEE
FMFC hereby guarantees to Allstate and Deerbrook the performance by ANIC of
each and every one of ANIC's obligations hereunder. If ANIC shall fail to
pay or do anything required of it hereunder, FMFC will promptly pay or do
the same, without demand or
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<PAGE>
notice whatsoever. The obligations of FMFC hereunder are absolute and
unconditional irrespective of the value, genuineness, validity, regularity
or enforceability of the obligations of ANIC. FMFC hereby expressly waives
diligence, presentment, demand of payment, protest and all notices
whatsoever, and any requirement that Allstate or Deerbrook exhaust any
right, power or remedy or proceed against ANIC.
Allstate hereby guarantees to FMFC and ANIC the payment of funds due and
owing from Deerbrook to FMFC and ANIC, respectively, hereunder. If
Deerbrook shall fail to make any payment when due hereunder, Allstate will
promptly make such payment.
22. NOTICES
All notices required or permitted to be given by one party to the other
under this Agreement shall be sufficient if sent by certified mail, return
receipt requested, to the parties at the respective addresses set forth
below or to such other person or address as the party to receive the notice
has designated by notice to the other party.
If to ANIC: If to FMFC:
J. Marc Feeney Richard Smith
29621 Northwestern Highway 29621 Northwestern Highway
Southfield, Michigan 48086 Southfield, Michigan 48086
If to Deerbrook: If to Allstate:
Douglas W. Reynolds Douglas W. Reynolds
Assistant Vice President Assistant Vice President
Deerbrook Insurance Company Allstate Insurance Company
2775 Sanders Rd Ste D10 2775 Sanders Rd Ste D10
Northbrook, IL 60062-6127 Northbrook, IL 60062-6127
23. INVALID PROVISION
Should any part of this Agreement, for any reason, be declared invalid,
such decision shall not affect the validity of any remaining portion. Such
remaining portion shall remain in force and effect as if this Agreement had
been executed with the invalid portion eliminated.
24. SECTION HEADINGS
Section Headings have been included in this Agreement merely for
convenience or reference. They are not to be considered part of, or to be
used in interpreting, this Agreement.
25. SURVIVAL OF TERMS
The terms, provisions, representations and warranties contained in this
Agreement shall survive the delivery of the Services and payment thereof
unless otherwise specified.
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26. ADVERTISING RESTRAINTS
ANIC and FMFC agree that without Deerbrook's and Allstate's written
consent, it will not use the name, service marks, or trademarks of
Deerbrook or of any of its affiliated companies or reveal the existence of
this Agreement or the terms or conditions thereof in any written
advertising, publicity release or sales representation.
27. APPLICABLE LAW
This Agreement will be governed by, and construed in accordance with, the
laws of the State of Illinois, excluding that body of law applicable to
conflicts of law.
28. NON-WAIVER
No terms or provision hereof shall be deemed waived and no breach excused,
unless such waiver or consent shall be in writing and signed by the party
claimed to have waived or consented. Any consent by any party to, or
waiver of, a breach by the other, whether express or implied, shall not
constitute a consent to, waiver of, or excuse for any other different or
subsequent breach.
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29. ACKNOWLEDGMENT
EACH PARTY ACKNOWLEDGES THAT IT HAS READ THIS AGREEMENT, UNDERSTANDS IT AND
AGREES TO BE BOUND BY ITS TERMS AND FURTHER AGREES THAT IT IS THE COMPLETE
AND EXCLUSIVE STATEMENT OF THE AGREEMENT BETWEEN THE PARTIES, WHICH
SUPERSEDES ALL PROPOSALS, ORAL OR WRITTEN AND ALL OTHER COMMUNICATIONS
BETWEEN ANIC AND/OR FMFC AND DEERBROOK AND/OR ALLSTATE RELATING TO THE
SUBJECT MATTER OF THIS AGREEMENT.
Accepted by:
ALL NATION INSURANCE COMPANY DEERBROOK INSURANCE COMPANY
BY: /s/ Richard H. Smith BY: /s/ Douglas W. Reynolds
-------------------- -----------------------
TITLE: President TITLE: Assistant Vice President
------------ ------------------------
DATE: April 30, 1996 DATE: April 30, 1996
-------------- --------------
FIRST MERCURY FINANCIAL ALLSTATE INSURANCE COMPANY
CORPORATION
BY: /s/ Richard H. Smith BY: /s/ E.M. Liddy
-------------------- --------------
TITLE: President and TITLE: President and
-------------- --------------
Chief Operating Officer Chief Operating Officer
- - ----------------------- -----------------------
DATE: April 30, 1996 DATE: April 30, 1996
-------------- --------------
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SCHEDULE A
STATEMENT OF SCOPE
DEERBROOK INSURANCE COMPANY POLICY PROCESSING AND CUSTOMER SERVICE.
This Schedule entered into this 30th day of April 1996 by and among All Nation
Insurance Company ("ANIC"), First Mercury Financial Corporation ("FMFC"),
Allstate Insurance Company ("Allstate") and Deerbrook Insurance Company, a
wholly owned subsidiary of Allstate Insurance Company ("Deerbrook"), pursuant to
Section 2 (Scope of Project) of that certain Agreement for Professional Services
dated April 30, 1996 between ANIC and Deerbrook ("Agreement"). It is attached
to and subject to the terms and conditions of the Agreement and contains the
following terms and conditions.
Agency/Customer Service -- A-1
Claims Handling -- A-2
Policy Processing -- A-3
Output Management -- A-4
Cash Processing -- A-5
System Management/
Support -- A-6
Communication Process -- A-7
Management Improvement
in Migration -- A-8
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<PAGE>
SCHEDULE A-1
AGENCY/CUSTOMER SERVICE
General Description: Dedicated Customer/Agency Support
representatives will effectively handle calls 5 days a week, from 7:30 a.m.
to 6:30 p.m.
Specific tasks:
1. Answer inquiries, give status/updates on policies and claims.
Description: Handle telephone inquiries from agencies and customers to
find out the status of policies and claims, opened, closed claims,
payments made, status of policies, active, terminated, change of
address handled, etc.
2. Resolve billing questions/issues.
Description: Investigate billing problems with agencies and
customers. Lost payments, overpayment, "bad check" resolution, etc.
3. Input endorsements as required.
Description: From the phone, make changes to the policy from agencies
and customers. This could include adding drivers, changing addresses,
etc.
4. Provide quick quotes as needed by agencies. Description: From the
telephone and using the All Nation Rating system provide quotes to
agencies.
5. Update agencies on general communication as required. Description:
Communicate to agencies problems, general information, ask for
feedback on issues, etc. An informal communication network.
6. Handle formal inquiries calls/letters.
Description: Includes questions about policy coverage, questions on
correspondence sent out by All Nation, appealing risk management
decisions, etc.
7. Advise agents on Underwriting and rating issues.
Description: On a regular basis update agencies on rating and
Underwriting issues including rate changes, problems being experienced
at the All Nation Service Center on applications etc.
AGENCY/CUSTOMER SERVICE MEASUREMENTS:
To be measured by statistical reports and trend reports, Market Claim Office
review and call monitoring.
Requirements:
1. Average speed of answer and abandoned call. 90% of calls answered
within 20 seconds, drop rate less than 5%.
<PAGE>
2. Quarterly satisfaction surveys will be conducted via paper or phone
with agencies and customers. 95% customer satisfaction and 95% agency
satisfaction based on a combination of "Satisfied and Very Satisfied"
ratings.
3. 100% same day response for customer inquiries.
4. Provide Deerbrook management with monthly reports which measure the
results of the tasks listed above.
<PAGE>
SCHEDULE A-2
CLAIMS HANDLING
General Description: Dedicated claim support representatives will
effectively handle calls 5 days a week, from 8:00 a.m. to 4:30 p.m.,
gathering initial loss data from customers and agencies and to provide a
claim number through which claims can be reported seven days a week.
Provide support for claim handling through the final disposition of the
claim.
Specific tasks:
1. Gathering of initial loss data.
Description: Take initial loss data regarding new
claims that are received by voice, data facsimile, or mail, from
customers or agencies. Representative must secure and input all
required information, send open claim letter to customer with a copy
to the agency.
2. Answer inquiries, give status\updates on any existing Deerbrook claim.
Description: Answer inquiries from agencies and customers about an
existing claim. Representatives must know the claim procedures for
special situations including catastrophe claims and state specific
issues.
3. Prompt transmission of Claim information.
Description: Claims must be promptly assigned for the review of the
claim file, initial estimates of the claims reserve must be made and
the claim promptly distributed to the adjuster.
4. Adhere to Company policies and procedures.
Description: All Nation representatives must follow all current All
Nation Claim handling procedures. This includes following prescribed
procedures for establishing reserves, initiating draft requests.
5. Additional Claim handling.
Description: All Nation will continue to monitor claim activity daily
for claims in excess of $25,000. They will continue to utilize a
claim committee for the handling of larger claims and insure that
there is clear documentation.
The claims manager will run periodic spot-checks on files and review
them for proper handling, documentation and coverage.
CLAIMS LOSS TAKING MEASUREMENTS:
To be measured by trend reports within the All Nation Claim system.
Requirements:
1. "Inbound" call service. Level of 95%, answer all calls in 20 seconds.
(available daily, report weekly)
<PAGE>
2. Call "sampling" of service. Level of 95%. Measured
monthly, measured by phone monitoring. (see the attached form)
3. Quality handling of files. Level of 95%. Measured monthly, measured
by file quality review. (see the attached form)
4. Satisfaction
Claim Center. Level 95% satisfied. Measured quarterly.
5. Initial reserves set on a same day basis, that the notice of loss is
received.
6. Within 30 days of notice of loss supervisors verify reasonableness of
the reserves established.
7. Monthly reporting of claim frequency and severity to Deerbrook.
8. Provide Deerbrook management with monthly reports which measure the
results of the above listed tasks.
<PAGE>
SCHEDULE A-3
POLICY PROCESSING & UNDERWRITING
General Description: Input data from an application, endorsement requests
or correspondence into the All Nation System for policy processing.
Specific tasks:
1. Input New Business applications:
Description: This will require the following:
A. Review the application for completeness.
B. Call the agency for further information.
C. Order external data needed for qualifying and rating the policy.
D. Underwrite the policy using all risk assessment tools and
maintain thorough documentation in the file.
E. Inputting the policy into the system, including any cash payments
credited to the account.
F. Prepare and check the output of the policy including the
declaration page and any endorsements.
G. If applicable, "reject" the policy and send out the appropriate
letters.
2. Input endorsements:
Description: This will require the following:
A. Review the endorsement request for completeness.
B. Call the Agency for further information.
C. Order external data needed for rating the policy.
D. Underwrite the policy using all risk assessment tools and
maintain thorough documentation in the file.
E. Inputting the data into the system.
F. Prepare and check the output of the policy including the
declaration page and any endorsements.
3. Renewal review:
Description: This will require the following:
A. Review policies at renewal and order external data. Review the
data for possible changes in rating on the policy.
B. Underwrite the policy using all risk assessment tools and
maintain thorough documentation in the file.
4. General: Conduct outbound calls as required by Deerbrook.
POLICY PROCESSING MEASUREMENTS:
To be measured by All Nation reports on timeliness, quality spot-checks to
be performed by Deerbrook and All Nation employees reviewing new business,
endorsement and renewal output.
<PAGE>
Requirements:
1. Processing goal-90% of new business receipts processed in 5 days 100%
within 10 days from date of receipt.
2. 98% customer and premium data accuracy.
3. Provide Deerbrook management with monthly reports which measure the
results of the above listed tasks.
<PAGE>
SCHEDULE A-4
OUTPUT MANAGEMENT
General Description: Process includes producing, reviewing checking and
mailing out to customers and agencies, on a timely basis, documents
produced from the All Nation System.
Specific tasks:
1. Produce, review, and send to customers and agencies documents on a
timely basis complying with the various state regulations.
Description: Ensure accurate and timely mailing out of the following
documents:
A. New Business declaration page and associated material.
B. New Business reject/cancellation letters.
C. Renewal documents including non-renewal letters.
D. Endorsement documents.
E. Policy bills.
F. Cancellation notices.
G. Letters to customers and agencies in response to claims/customer
inquiries.
H. Checks.
I. Ensure that proper inserts are in each mailing.
2. Ensure appropriate post office receipt documentation as needed.
Description: Keep accurate records of legal notices required by post
office documentation procedures.
OUTPUT MANAGEMENT MEASUREMENT:
To be measured by spotchecks on actual policies being processed by the post
office receipt system (PORS) as well as a review of documents on the system.
Requirements:
1. 100% accuracy is required.
2. Letters mailed on a same day as developed basis.
3. Provide Deerbrook with monthly reports which measure the results of
the above listed tasks.
<PAGE>
SCHEDULE A-5
CASH PROCESSING
General Description: Daily processing of cash with checks and/or cash that
is accompanied by applications only. Applying credit to the correct
policyholder new business. Reconciliation of accounts and the processing
of cash within accounts and to Deerbrook.
Specific Tasks
1. Daily input of cash.
Description: All Nation will, on a daily basis, input cash or checks
received from a customer or agency. These receipts will come with new
business applications. They will also come from renewal and
endorsement bills. Cash will have to be applied to the correct
policyholder.
2. Daily balance of cash receipts.
Description: All Nation will, on a daily basis, balance the cash
receipts and prepare the appropriate documentation. This information
should be on hand for audit purposes.
3. Weekly Cash Process.
Description: All Nation will maintain the following bank account
structure and procedure:
General Account - Premiums deposited into this account, funds the
following three zero balance accounts
1996 Loss
1996 Refunds
1996 Commission and Fronting Fee
Prime Money Market - Any funds in the general account in excess of the
minimum balance, and after having funded the preceding three zero
balance accounts, will be transferred into this account on a daily
basis.
The following changes will be made to the bank account structure and
cash procedure:
The Claim Disbursement account will be utilized solely for 1996 claims
on policies incepting or renewing May 1, 1996 and later. A separate
account shall be used for claims on ANIC's policies incepting or
renewing prior to May 1, 1996 and prior underwriting year policies.
Deerbrook/Allstate will provide ANIC with detailed transmittal
instructions for the weekly sweeping of funds in the Prime Account.
4. Monthly Accounting for the Reinsurance Contract
Description: Within 30 days of each month end and quarter end close,
All Nation/1st
<PAGE>
Mercury will provide bordereaux detail of the following:
1996 AGENCY NON-STANDARD AUTO BUSINESS:
---------------------------------------
Ceded Net Written Premium
Ceded Net Earned Premium
Unearned Premium Balance
Incurred Losses and Allocated Loss Adjustment Expenses
Paid Losses and Allocated Loss Adjustment Expenses
Outstanding Loss and Allocated Loss Adjustment Reserves
Agent Commissions Earned
Fronting Fees Earned
Any Applicable Credits from ANIC for 1996 Excess Losses
Premium Taxes
CASH PROCESSING MEASUREMENT
To be measured daily using All Nation accounting and general ledger tools that
measure the process.
Requirements:
1. 100% cash deposits daily with no errors
2. Provide Deerbrook with monthly reports which measure the results of
the above listed tasks.
<PAGE>
SCHEDULE A-6
SYSTEM MANAGEMENT/SUPPORT
General Description: Develop plans and procedures to adequately backup and
manage the All Nation Processing Center.
Specific Tasks:
1. Customer Service System.
Description: Maintain a customer service system to accurately and
quickly handle All Nation calls from customers and agencies.
2. Changes to the WANG System.
Description: Load upgrades and changes to the WANG
system.
3. Inquiry log.
Description: Establish system inquiry log to account for all problems
on the system. Report the problems to the Servicing Vendor monthly.
4. System backup.
Description: Maintain a back-up for data and a disaster plan for the
All Nation System and or related systems.
5. System response time.
Description: Monitor system response time and downtime and report
problems.
6. Reports retrieval and creation.
Description: Run standard reports as instructed.
7. Security.
Description: Maintain a security procedure for the above tasks and
adhere to the guidelines.
SYSTEM MANAGEMENT/SUPPORT MEASUREMENT
Will be measured by direct access into All Nation's system to verify that
releases and upgrades are loaded in the specified time frame and that batch jobs
are being done. Monitor the inquiry log and system problems due to handling
errors as well as response time in All Nation. A listing of standard reports
will be available.
Requirements:
1. 100% of all batch jobs run when scheduled whether daily, weekly or
monthly.
2. Documentation of all of the above tasks will be required and
monitored.
3. Provide Deerbrook with monthly reports which measure the results of
the above listed tasks.
<PAGE>
SCHEDULE A-7
COMMUNICATION PROCESS
General Description: Numerous communication links will have to be
established and utilized in the processing of All Nation business.
Specific tasks:
1. Create communication links.
Description: Communication links need to be established both to and
from the following entities:
A. All Nation to appropriate Deerbrook (Northbrook) company
representatives.
B. All Nation to represented agencies.
C. All Nation to Deerbrook Market Managers.
D. Allstate/Deerbrook financial representatives.
2. Communication method.
Description: Communication will take various forms including face-to-
face, fax, telephone, E-mail, and US Mail.
3. Frequency of communication.
Description: Weekly production reports. Weekly claim activity
reported. Monthly profit and loss summaries.
COMMUNICATION PROCESS MEASUREMENT
Measurement in this area will be established at a later date. The measurement
will consist of adhering to the prescribed communication link, method and
frequency.
Requirement:
1. Adherence to prescribed communication guidelines.
<PAGE>
SCHEDULE A-8
MANAGEMENT IMPROVEMENT AND MIGRATION
General Description: Deerbrook's role in the management of the All Nation
operation.
Specific Tasks:
1. Deerbrook may recommend changes to processes performed by All Nation.
2. Deerbrook will manage the migration of processes from All Nation to
Deerbrook.
<TABLE> <S> <C>
<PAGE>
<ARTICLE> 7
<MULTIPLIER> 1,000
<S> <C>
<PERIOD-TYPE> 3-MOS
<FISCAL-YEAR-END> DEC-31-1995
<PERIOD-END> MAR-31-1996
<DEBT-HELD-FOR-SALE> 78,459
<DEBT-CARRYING-VALUE> 0
<DEBT-MARKET-VALUE> 0
<EQUITIES> 2,920
<MORTGAGE> 0
<REAL-ESTATE> 0
<TOTAL-INVEST> 84,080
<CASH> 2,961
<RECOVER-REINSURE> 0
<DEFERRED-ACQUISITION> 1,404
<TOTAL-ASSETS> 103,124
<POLICY-LOSSES> 0
<UNEARNED-PREMIUMS> 8,567
<POLICY-OTHER> 57,795
<POLICY-HOLDER-FUNDS> 0
<NOTES-PAYABLE> 10,000
0
0
<COMMON> 0
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<TOTAL-LIABILITY-AND-EQUITY> 103,124
7,896
<INVESTMENT-INCOME> 1,396
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<OTHER-INCOME> 16
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<UNDERWRITING-OTHER> 959
<INCOME-PRETAX> (1,123)
<INCOME-TAX> (246)
<INCOME-CONTINUING> (877)
<DISCONTINUED> 0
<EXTRAORDINARY> 0
<CHANGES> 0
<NET-INCOME> (877)
<EPS-PRIMARY> (142.2)
<EPS-DILUTED> (142.2)
<RESERVE-OPEN> 53,014
<PROVISION-CURRENT> 7,471
<PROVISION-PRIOR> 37
<PAYMENTS-CURRENT> 2,001
<PAYMENTS-PRIOR> 4,244
<RESERVE-CLOSE> 54,276
<CUMULATIVE-DEFICIENCY> 0
</TABLE>
