COINSURANCE AGREEMENT
between
GE LIFE AND ANNUITY ASSURANCE COMPANY
and
UNION FIDELITY LIFE INSURANCE COMPANY
Dated as of April 15, 2004
TABLE OF CONTENTS
|
|
|
|
|
|
|
|
|
|
|
Page
|
|
|
|
|
|
ARTICLE I
|
|
DEFINITIONS
|
|
1
|
|
|
|
|
|
ARTICLE II
|
|
COVERAGE
|
|
4
|
|
|
|
|
|
ARTICLE III
|
|
ADMINISTRATION; GENERAL PROVISIONS
|
|
5
|
|
|
|
|
|
ARTICLE IV
|
|
CLAIMS SETTLEMENT ACCOUNT; CLAIMS
|
|
8
|
|
|
|
|
|
ARTICLE V
|
|
REINSURANCE ASSET TRANSFER; CEDING
COMMISSION
|
|
9
|
|
|
|
|
|
ARTICLE VI
|
|
EXPENSE ALLOWANCES
|
|
10
|
|
|
|
|
|
ARTICLE VII
|
|
ACCOUNTING AND SETTLEMENT
|
|
10
|
|
|
|
|
|
ARTICLE VIII
|
|
DURATION AND TERMINATION
|
|
11
|
|
|
|
|
|
ARTICLE IX
|
|
INSOLVENCY
|
|
12
|
|
|
|
|
|
ARTICLE X
|
|
CREDIT FOR REINSURANCE
|
|
12
|
|
|
|
|
|
ARTICLE XI
|
|
REINSURANCE SECURITY
|
|
13
|
|
|
|
|
|
ARTICLE XII
|
|
DEFERRED ACQUISITION COSTS
|
|
15
|
|
|
|
|
|
ARTICLE XIII
|
|
DISPUTE RESOLUTION
|
|
15
|
|
|
|
|
|
ARTICLE XIV
|
|
MISCELLANEOUS PROVISIONS
|
|
17
|
SCHEDULES
|
|
|
|
|
|
|
SCHEDULE A
|
|
-
|
|
POLICY FORMS
|
|
SCHEDULE B
|
|
-
|
|
FORM OF ADMINISTRATIVE SERVICES
AGREEMENT
|
|
SCHEDULE C
|
|
-
|
|
CEDING COMMISSION
|
|
SCHEDULE D
|
|
-
|
|
ASSETS
|
|
SCHEDULE E
|
|
-
|
|
EXPENSE ALLOWANCES
|
|
SCHEDULE F - PART I
|
|
-
|
|
INITIAL REPORT
|
|
SCHEDULE F - PART II
|
|
-
|
|
QUARTERLY REPORT
|
|
SCHEDULE F - PART III
|
|
-
|
|
ANNUAL REPORT
|
|
SCHEDULE G
|
|
-
|
|
FORM OF TRUST AGREEMENT
|
|
SCHEDULE H
|
|
-
|
|
ELIGIBLE SECURITIES
|
i
COINSURANCE
AGREEMENT
This Coinsurance Agreement, dated as
of April 15, 2004 (this “Agreement”), is made and
entered into by and between GE Life and Annuity Assurance Company,
an insurance company organized under the laws of the Commonwealth
of Virginia (the “Company”), and Union Fidelity Life
Insurance Company, an insurance company organized under the laws of
the State of Illinois (the “Reinsurer”). Defined terms
used herein are defined below.
The Company and the Reinsurer
mutually agree to reinsure the risks described in this Agreement
under the terms and conditions stated herein. This Agreement is an
indemnity coinsurance agreement solely between the Company and the
Reinsurer, and the performance of the obligations of each party
under this Agreement shall be rendered solely to the other party.
In no instance shall anyone other than the Company or the Reinsurer
have any rights under this Agreement. The Company shall be and
shall remain the only party hereunder that is liable to any
insured, contract holder, policyholder, claimant or beneficiary
under any insurance policy or contract reinsured
hereunder.
This Agreement is entered into in
connection with an intercompany reorganization among the Company,
the Reinsurer and certain of their Affiliates.
ARTICLE I
DEFINITIONS
1.1. Definitions . As used in
this Agreement, the following terms shall have the following
meanings (definitions are applicable to both the singular and the
plural forms of each term defined in this Article):
“ Accounting Period
” means calendar quarter, except that the last Accounting
Period shall be the period commencing with the first day of the
calendar quarter in which the Termination Date falls and ending
with the Termination Date.
“ Affiliate ”
means any other Person that directly or indirectly controls, is
controlled by, or is under common control with, the first Person.
“ Control ” (including the terms, “
controlled by ” and “ under common control
with ”) means the possession, directly or indirectly, of
the power to direct or cause the direction of the management and
policies of a Person, whether through the ownership of voting
securities, by contract or credit arrangement, as trustee or
executor, or otherwise.
“ Agreement ”
shall have the meaning specified in the first paragraph of this
Agreement.
“ Annual Report ”
shall have the meaning specified in Section 7.4.
“ Applicable Law
” means any federal, state, local or foreign law (including
common law), statute, ordinance, rule, regulation, order, writ,
injunction, judgment, permit, governmental agreement or decree
applicable to a Person or any of such Person’s
subsidiaries,
properties, assets, or to such Person’s
officers, directors, managing directors, employees or agents in
their capacity as such.
“ Assets ” shall
have the meaning specified in Section 5.3(a).
“ Assignment Letter
Agreement ” means the letter agreement dated the date
hereof among General Electric Capital Corporation, a Delaware
corporation, the Reinsurer, the Company and certain affiliates of
the Company relating to the assignment by General Electric Capital
Corporation of the Capital Maintenance Agreement.
“ Benefits ”
shall have the meaning specified in Section 2.3(a).
“ Business Day ”
means any day other than a Saturday, Sunday or other day on which
commercial banks in the States of Illinois or Virginia are required
or authorized by law to be closed.
“ Capital Maintenance
Agreement ” means the Capital Maintenance Agreement
between General Electric Capital Corporation, a Delaware
corporation, and the Reinsurer.
“ Ceding Commission
” shall have the meaning specified in Section 5.2.
“ Claims Settlement
Account ” shall have the meaning specified in Section
4.1(a).
“ Closing Date ”
means April 15, 2004.
“ Code ” means
the Internal Revenue Code of 1986, as amended.
“ Company Account
” shall have the meaning specified in Section
11.1(e).
“ CPR ” shall
have the meaning specified in Section 13.3.
“ CPR Arbitration Rules
” shall have the meaning specified in Section
13.4(a).
“ Dispute ” shall
have the meaning specified in Section 13.1(a).
“ Eligible Securities
” shall have the meaning specified in Section
11.1(c).
“ Expense Allowance
” shall have the meaning specified in Section 6.1.
“ Extra Contractual
Liabilities ” means all liabilities for damages
(including compensatory, consequential, exemplary, punitive, bad
faith or similar or other damages) which relate to the marketing,
sale, underwriting, issuance, delivery, cancellation or
administration of the Reinsured Contracts, including liability
arising out of or relating to any alleged or actual acts, errors or
omissions by the Company or its agents, whether intentional or
otherwise, with respect to any of the Reinsured Contracts,
including (A) any alleged or actual reckless conduct or bad faith
in connection with the handling of any claim arising out of or
under Reinsured Contracts, or (B) the marketing, sale,
underwriting, issuance, delivery, cancellation or administration of
any of the Reinsured Contracts.
2
“ Force Majeure ”
shall have the meaning specified in Section 3.7(b)(iii).
“ Funding Requirement
” shall have the meaning specified in Section
11.1(e).
“ GAAP ” means
U.S. generally accepted accounting principles consistently
applied.
“ Governmental
Authority ” means any foreign or national government, any
state or other political subdivision thereof, and any entity
exercising executive, legislative, judicial, regulatory or
administrative functions of or pertaining to government.
“ Inception Date
” shall have the meaning specified in Section 2.1.
“ Initial Notice
” shall have the meaning specified in Section
13.2.
“ Initial Reinsurance
Premium ” shall have the meaning specified in Section
5.1.
“ Initial Report
” shall have the meaning specified in Section 7.1.
“ Insolvency Fund
” means any guarantee 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 reinsurer,
or its successors or assigns, which has been declared by any
competent authority to be insolvent, or which is otherwise deemed
unable to meet any claim, debt, charge, fee or other obligation in
whole or in part.
“ Minimum Claims Settlement
Amount ” shall have the meaning specified in Section
4.1(b).
“ Person ” means
any natural person, firm, limited liability company, general
partnership, limited partnership, joint venture, association,
corporation, trust, Governmental Authority or other
entity.
“ Quarterly Report
” shall have the meaning specified in Section 7.2.
“ Quarterly Settlement
” shall have the meaning specified in Section
5.3(a).
“ RBC Reporting Letter
Agreement ” means the letter agreement dated the date
hereof among the Company, the Reinsurer and certain affiliates of
the Company relating to the Reinsurer’s requirement to
provide periodic certifications and reports regarding the
Reinsurer’s risk based capital ratio.
“ Reinsured Contracts
” means the structured settlements immediate annuity
contracts issued by the Company and recorded in the Company’s
valuation system on or prior to December 3, 2003 or reinsured by
the Company under reinsurance agreements in effect prior to January
1, 2004, and, in each case, written on the policy forms described
in Schedule A.
“ Reinsured Risks
” shall have the meaning specified in Section 2.1.
3
“ Response ”
shall have the meaning specified in Section 13.2.
“ SAP ” means
statutory accounting practices prescribed or permitted by the
Insurance Department of the Commonwealth of Virginia.
“ Tax DAC ” means
specified policy acquisition expenses capitalized and amortized
under section 848 of the Code.
“ Termination Date
” means the effective date of any termination of this
Agreement as provided in Article VIII.
“ Termination Letter
Agreement ” means the letter agreement dated the date
hereof among the Company, the Reinsurer and certain affiliates of
the Company relating to the rescission of this Agreement upon the
failure of certain events to occur after the date
hereof.
“ Total SAP Ceded
Reserves ” means, as of any given date, the gross policy
reserves of the Company calculated in accordance with SAP with
respect to the Reinsured Risks.
“ Total GAAP Ceded
Reserves ” means, as of any given date, the gross policy
reserves of the Company calculated in accordance with GAAP with
respect to the Reinsured Risks.
“ Trust Account ”
shall have the meaning set forth in Section 11.1(a).
“ Trust Agreement
” shall have the meaning set forth in Section
11.1(a).
“ Trustee ” shall
have the meaning set forth in Section 11.1(a).
ARTICLE II
COVERAGE
2.1. Coverage . Upon the
terms and subject to the conditions and other provisions of this
Agreement, as of 12:01 a.m. Eastern Time on January 1, 2004 (the
“Inception Date”), the Company hereby cedes to the
Reinsurer, and the Reinsurer hereby agrees to indemnify the Company
for, one hundred percent (100%) of the liability incurred by the
Company for Benefits on or after the Inception Date (the
“Reinsured Risks”).
2.2. Conditions . (a) If the
Company’s liability under any of the Reinsured Contracts is
changed because of changes made on or after the Inception Date in
the terms and conditions of the Reinsured Contracts (including to
any contract riders or endorsements thereto) that are required due
to changes in Applicable Law, the Reinsurer will share in the
change proportionately to the coinsurance share hereunder and the
Company and the Reinsurer will make all appropriate adjustments to
amounts due each other under this Agreement.
(b) Except as otherwise set forth in
paragraph (a) above, no changes, amendments or modifications made
on or after the Inception Date in the terms and conditions of
the
4
Reinsured Contracts which adversely affect the
liability of the Reinsurer hereunder shall be covered hereunder
without the prior written approval of such changes, amendments or
modifications by the Reinsurer, which approval shall not be
unreasonably withheld or delayed. In the event that any such
changes, amendments or modifications are made in any Reinsured
Contract without the prior written approval of the Reinsurer, this
Agreement will cover liability incurred by the Company for Benefits
as if the non-approved changes, amendments or modifications had not
been made.
2.3. Benefits . (a) Subject
to the provisions of Sections 2.2, 2.3(b) and (c) and the terms and
conditions of this Agreement, “Benefits” shall mean the
actual benefits payable by the Company under the Reinsured
Contracts.
(b) Any Extra Contractual
Liabilities resulting from actions of the Company or its agents or
reinsured by the Company under the Reinsured Contracts shall be
treated as a Benefit payable for the purposes of this Agreement to
the extent permitted by state law, except to the extent that any
such Extra Contractual Liabilities are attributable to the conduct
of the Company in the administration of the Reinsured Contracts on
or after the Inception Date, other than actions taken by the
Company at the written request or direction of the
Reinsurer.
(c) This Agreement excludes all
liability arising by contract, operation of law, or otherwise from
the Company’s participation or membership, whether voluntary
or involuntary, in any Insolvency Fund.
2.4. Territory . The
territorial limits of this Agreement shall be identical with those
of the Reinsured Contracts.
2.5. Ceded Reinsurance .
Subsequent to the Inception Date, the Company will not enter into
any reinsurance arrangements with respect to the Reinsured
Contracts without the prior written consent of the Reinsurer, in
its sole discretion.
ARTICLE III
ADMINISTRATION; GENERAL
PROVISIONS
3.1. Contract Administration
. (a) Subject to Section 3.7, the Company shall provide
policyholder and claims servicing with respect to the Reinsured
Contracts in accordance with the terms hereof. All Benefits paid by
the Company shall be binding upon the Reinsurer; provided ,
however , that such Benefits are within the terms,
conditions and limitations of the Reinsured Contracts. The Company
shall provide policyholder and claims servicing with respect to the
Reinsured Contracts (including the administration of claims for
Benefits thereunder) in good faith and with the care, skill,
prudence and diligence of a person experienced in administering
structured settlement business. The Company shall provide
policyholder and claims servicing with respect to the Reinsured
Contracts, (i) in accordance with the terms of the Reinsured
Contracts, (ii) in accordance with the applicable terms of this
Agreement, (iii) in compliance with Applicable Law and, subject to
the foregoing, (iv) in the same manner as it conducts its own
business not subject to this Agreement and (v) in accordance with
the Company’s administrative performance standards in effect
on the date hereof, with such revisions
5
to such standards as are no less favorable to
the Reinsurer than such standards. Notwithstanding the foregoing,
the parties may, from time to time, mutually develop specific
and/or different standards for providing such services with respect
to the Reinsured Contracts.
(b) The Company may subcontract for
the performance of any policyholder or claims servicing service or
services with respect to the Reinsured Contracts to (i) an
Affiliate or (ii) any other Person with the prior written consent
of the Reinsurer, such consent not to be unreasonably withheld;
provided , that the Company also subcontracts for such
service or services for its own structured settlement annuities
business not subject to this Agreement to such subcontractor; and
provided , further, that no such subcontracting shall
relieve the Company from any of its obligations or liabilities
hereunder, and the Company shall remain responsible for all
obligations or liabilities of such subcontractor with regards to
the providing of such service or services as if provided by the
Company.
3.2. Claims Settlements . The
Company agrees that it will provide prompt notice to the Reinsurer
of its intention to contest, compromise or litigate a claim with
respect to a Reinsured Contract, along with copies of all pleadings
and reports of investigation with respect thereto. The Reinsurer
shall have the right, at its own expense, to participate jointly
with the Company in the investigation, adjustment or defense of
such claims. In addition, in the event that litigation arises
against the Company in connection with a claim which seeks damages
in excess of $1 million or other remedies deemed material to the
Reinsurer, the Reinsurer may, upon written notice to the Company,
assume the defense thereof with counsel selected by the Reinsurer
and reasonably satisfactory to the Company. If the Reinsurer
assumes such defense, the Company shall have the right, at its own
expense, to participate jointly with the Reinsurer in the defense
thereof. If the Reinsurer assumes the defense of litigation, the
Reinsurer shall not settle such litigation without the
Company’s prior written consent (which consent shall not be
unreasonably withheld or delayed) unless (i) there is no finding or
admission of any violation of law or any violation of the rights of
any Person, (ii) such settlement would not reasonably be expected
to have material adverse precedential consequences to the Company
and (iii) the sole relief provided is monetary damages that are
paid in full by the Reinsurer.
3.3. Inspection . The Company
shall keep accurate and complete records, files and accounts of all
transactions and matters with respect to the Reinsured Contracts
and the administration hereof in accordance with Applicable Law and
its record management practices in effect from time to time for the
Company’s insurance business not covered by this Agreement.
The Reinsurer and its designated representatives may upon
reasonable notice inspect, at the offices of the Company where such
records are located, the papers and any and all other books or
documents of the Company reasonably relating to this Agreement,
including the Reinsured Contracts and the administration thereof by
the Company (including compliance with the provisions of Section
3.1), and shall have access to appropriate employees and
representatives of the Company, in each case during normal business
hours for such period as this Agreement is in effect or for as long
thereafter as the Company seeks performance by the Reinsurer
pursuant to the terms of this Agreement or the Reinsurer reasonably
needs access to such records for regulatory, tax or similar
purposes. The information obtained shall be used only for purposes
relating to the transactions contemplated under this
Agreement.
6
3.4. Errors and Omissions .
If any delay, omission, error or failure to pay amounts due or to
perform any other act required by this Agreement is unintentional
and caused by misunderstanding or oversight, the Company and the
Reinsurer will adjust the situation to what it would have been had
the misunderstanding or oversight not occurred. The party first
discovering such misunderstanding or oversight, or an act resulting
from such misunderstanding or oversight, will notify the other
party in writing promptly upon discovery thereof, and the parties
shall act to correct such misunderstanding or oversight within
twenty (20) Business Days of such other party’s receipt of
such notice. However, this Section shall not be construed as a
waiver by either party of its right to enforce strictly the terms
of this Agreement.
3.5. Age, Sex and Other
Adjustments . If the Company’s liability under any of the
Reinsured Contracts is changed because of a misstatement of age or
sex or any other material fact, the Reinsurer will share in the
change proportionately to the coinsurance share hereunder and the
Company and the Reinsurer will make all appropriate adjustments to
amounts due each other under this Agreement.
3.6. Setoff . Any debts or
credits, matured or unmatured, in favor of or against either the
Company or the Reinsurer with respect to this Agreement or any
other reinsurance agreement between the Company and the Reinsurer,
are deemed mutual debts or credits, as the case may be, and shall
be setoff from any amounts due to the Company or the Reinsurer
hereunder, as the case may be, and only the net balance shall be
allowed or paid.
3.7. Administration by
Reinsurer . (a) At any time from and after the fifteenth (15th)
anniversary of the Inception Date, the Reinsurer shall have the
right to assume from the Company the administration of the
Reinsured Contracts, provided that the Reinsurer provides
twelve (12) months prior written notice of such assumption, which
notice may be given as early as the fourteenth (14th) anniversary
of the Inception Date to take effect as of the fifteenth (15th)
anniversary of the Inception Date. The Reinsurer shall bear all
transition costs associated with an assumption of the
administration of the Reinsured Contracts pursuant to this
paragraph (a) of this Section 3.7.
(b) In addition to the provisions of
Section 3.7(a), the Reinsurer shall have the right, upon written
notice to the Company to assume from the Company the administration
of the Reinsured Contracts upon the occurrence of any of the
following events:
|
|
(i)
|
A voluntary or
involuntary proceeding is commenced in any jurisdiction by or
against the Company for the purpose of conserving, rehabilitating
or liquidating the Company;
|
|
|
(ii)
|
There is a material breach by the
Company of any material term or condition of this Article III that
is not cured by the Company within thirty (30) days after receipt
of written notice from the Reinsurer of such breach or act
(provided that the Reinsurer shall not have the right to assume
such administration (A) for so long as the Company is making a good
faith effort to cure such a breach, not to exceed an additional one
hundred eighty (180) days or (B) during the pendency of any dispute
resolution
|
7
|
|
proceedings as set forth in
Article XIII regarding an alleged material breach); or
|
|
|
(iii)
|
The Company is
unable to perform the services required under this Article III for
a period of thirty (30) consecutive days for any reason, other than
as a result of a Force Majeure, it being understood that nothing in
this Section 3.7(b)(iii) shall relieve the Company from its
administrative responsibilities under this Agreement. For purposes
of this Agreement “Force Majeure” means any acts or
omissions of any civil or military authority, acts of God, acts or
omissions of the Reinsurer, fires, strikes or other labor
disturbances, equipment failures, fluctuations or non-availability
of electrical power, heat, light, air conditioning or
telecommunications equipment, or any other act, omission or
occurrence beyond the Company’s reasonable control,
irrespective of whether similar to the foregoing enumerated acts,
omissions or occurrences.
|
(c) The Company shall bear all
transition costs associated with an assumption of the
administration of the Reinsured Contracts pursuant to Section
3.7(b).
(d) In the event of the
Reinsurer’s assumption of the administration of the Reinsured
Contracts, the Reinsurer and the Company shall enter into an
administrative services agreement in the form attached hereto as
Schedule B and the provisions of Article VI and Article VII shall
become inoperative.
ARTICLE IV
CLAIMS SETTLEMENT ACCOUNT;
CLAIMS
4.1. Claims Settlement
Account . (a) On the Closing Date, the Reinsurer shall
establish a separate bank account (the “Claims Settlement
Account”) in its own name for the payment of Benefits and
shall authorize two signatories who shall be representatives of the
Company and approved by the Reinsurer in writing to issue drafts in
the name of the Reinsurer and showing the identity of the Company.
The Reinsurer shall fund such account for payment of Benefits in
accordance with the provisions of Section 4.1(b). Any interest
earned on the Claims Settlement Account shall belong to the
Reinsurer. The Claims Settlement Account shall be administered by
the Company in a fiduciary capacity and shall be used solely by the
Company to make payments of Benefits in accordance with the terms
of this Agreement.
(b) The Reinsurer shall deposit $3
million in the Claims Settlement Account on the Closing Date and
shall thereafter fund the Claims Settlement Account on or before
the fifth (5th) day of each month in amounts agreed by the Company
and the Reinsurer from time to time in amounts sufficient to
provide funds to the Company for the payment of Benefits during the
next thirty (30) days, or such other amount as may be mutually
agreed by the parties (such initial deposit amount and each minimum
funding amount as agreed from time to time shall be referred to as
a “Minimum Claims Settlement Amount”). In addition, the
Reinsurer shall deposit to the Claims Settlement Account such
additional amounts as may be required to keep
8
the balance of such account above zero at all
times. In consideration of the Reinsurer providing the Claims
Settlement Account arrangement, the Company agrees that it shall
apply funds in the Claims Settlement Account against the
Reinsurer’s liability under this Agreement until such funds
are exhausted.
(c) The Company shall keep true and
complete records, in accordance with Applicable Law and its record
management practices in effect from time to time for the
Company’s insurance business not covered by this Agreement,
clearly recording the deposits in and withdrawals from the Claims
Settlement Account, including records relating to the payment of
Benefits from the Claim Settlement Account. The Company will make
available to the Reinsurer or its designated representative, or
shall furnish to the Reinsurer or its designated representative,
upon request of the Reinsurer or its designated representative,
copies of all such records. All copies furnished in the ordinary
course of business shall be furnished by the Company at the
Company’s cost, which shall be included in the Expense
Allowance. Any extraordinary costs reasonably incurred by the
Company in response to requests from the Reinsurer shall be
reimbursed by the Reinsurer.
(d) Within thirty (30) days after
each calendar month (or more frequently as mutually agreed by the
parties), the Company shall render a complete accounting to the
Reinsurer detailing all transactions with respect to the Claims
Settlement Account, in such form as agreed by the
parties.
(e) The parties agree to deliver to
the depository bank such depository resolutions, signature cards,
and other documents as may be requested of them in order to use
such accounts at the depository bank in accordance with the
provisions of this Article IV.
(f) Upon a termination of this
Agreement pursuant to Article VIII, the Reinsurer shall close the
Claims Settlement Account and any closing balance therein shall be
the property of the Reinsurer. The Company’s claims payment
authority under this Agreement with respect to the Claims
Settlement Account shall terminate immediately upon termination of
this Agreement pursuant to Article VIII or the assumption by the
Reinsurer of the administration of the Reinsured Contracts pursuant
to Section 3.7. Upon termination of its authority to pay claims,
the Company shall promptly return to the Reinsurer all unused check
stock held by it in connection with this Agreement.
ARTICLE V
REINSURANCE ASSET TRANSFER;
CEDING COMMISSION
5.1. Initial Reinsurance
Premium . As consideration for the reinsurance by the Reinsurer
of the Reinsured Risks under this Agreement, on the Closing Date
the Reinsurer shall be entitled to an amount equal to one hundred
percent (100%) of the Total SAP Ceded Reserves as of the close of
business on the day immediately preceding the Inception Date (the
“Initial Reinsurance Premium”).
9
5.2. Ceding Commission . On
the Closing Date, the Company shall be entitled to a ceding
commission (the “Ceding Commission”) in an amount
determined in accordance with Schedule C.
5.3. Amounts Due the Parties
. (a) Except as otherwise specifically provided herein, all amounts
due to be paid to the Company under this Agreement shall be
determined on a net basis, giving full effect to Section 3.6. The
net amount due the Reinsurer from the Company on the Closing Date
under Section 5.1 and Section 5.2 shall consist of (i) the
investment assets (the “Assets”) set forth on Schedule
D, which assets have a statutory book value as of the close of
business on the day immediately preceding the Inception Date equal
to (A) the Initial Reinsurance Premium, less (B) the Ceding
Commission, less (C) an amount equal to accrued but unpaid interest
on the Assets as of the close of business on the day immediately
preceding the Inception Date, plus (ii) an amount equal to the
investment cash flows received on the Assets between the Inception
Date and the Closing Date. The Company shall pay such net amount
concurrent with its delivery of the Initial Report. Each net amount
subsequently due with respect to each Accounting Period ending
after the Inception Date (the “Quarterly Settlement”)
shall be paid in cash by the Reinsurer to the Company no later than
thirty (30) days after delivery of the Quarterly Report, as
applicable. Each net amount subsequently due with respect to each
calendar year ending after the Inception Date as reflected on an
Annual Report shall be paid in cash by the Reinsurer to the Company
no later than thirty (30) days after delivery of the Annual
Report.
(b) The Company shall deliver to the
Reinsurer possession of the Assets and such bills of sale,
endorsements, assignments and other good and sufficient instruments
of conveyance and transfer in form and substance reasonably
acceptable to the parties as shall be effective to vest in the
Reinsurer all of the right, title and interest of the Company in
and to the Assets. Delivery of the Assets shall be a condition
precedent of reinsurance coverage hereunder.
ARTICLE VI
EXPENSE ALLOWANCES
6.1. Expense Allowance . As
reimbursement for expenses incurred by the Company in the providing
of policyholder and Benefit payment services with respect to the
Reinsured Contracts, the Reinsurer shall pay to the Company with
respect to each calendar month ending after the Inception Date, an
expense allowance (each an “Expense Allowance”) in an
amount calculated in accordance with Schedule E, as subsequently
adjusted in accordance with the methodology and procedures set
forth on Schedule E.
ARTICLE VII
ACCOUNTING AND
SETTLEMENT
7.1. Initial Report . A
report shall be provided by the Company to the Reinsurer on the
Closing Date providing the data required in Schedule F - Part I
(the “Initial Report”).
10
7.2. Quarterly Settlement
Reports . As soon as practicable but not more than forty (40)
days following each Accounting Period ending after the Closing Date
(or more frequently as mutually agreed by the parties), the Company
shall supply the Reinsurer with a report that shall provide the
financial data for such Accounting Period required in Schedule F -
Part II (the “Quarterly Report”). For the avoidance of
doubt, the first Quarterly Report will include all transactions
with respect to the Reinsured Contracts occurring from the
Inception Date through June 30, 2004.
7.3. Quarterly Financial
Reports . As soon as practicable but not more than forty (40)
days following the end of each Accounting Period ending after the
Closing Date (or more frequently as mutually agreed by the
parties), the Company shall supply the Reinsurer with reports
related to the Reinsured Contracts as may be reasonably requested
for use in connection with the preparation of the Reinsurer’s
SAP financial statements or other reports prepared by the Reinsurer
in compliance with its internal reporting requirements. The parties
shall cooperate in good faith to establish the form for the
providing of such reports.
7.4. Annual Reports . Within
forty-five (45) days after the end of each calendar year during the
term of this Agreement (or more frequently as mutually agreed by
the parties), the Company shall supply the Reinsurer with a report
that shall provide the financial data for such year required in
Schedule F - Part III (the “Annual Report”).
7.5. Additional Reports and
Updates . For so long as this Agreement remains in effect, each
of the parties shall periodically furnish to the other such other
reports and information as may be reasonably requested by such
other party for regulatory, tax or similar purposes and reasonably
available to it.
7.6. Delayed Payments . In
the event that all or any portion of any payment due either party
pursuant to this Agreement becomes overdue, the portion of the
amount overdue shall bear interest at an annual rate equal to the
then current thirty (30) day U.S. Treasury Bill discount rate on
the date that the payment becomes overdue plus 200 basis points,
for the period that the amount is overdue.
ARTICLE VIII
DURATION AND
TERMINATION
8.1. Duration . Except as
otherwise provided herein, this Agreement shall be unlimited in
duration.
8.2. Reinsurer’s
Liability . The Reinsurer’s liability with respect to the
Reinsured Risks will terminate on the earliest of: (i) the date the
Company’s liability with respect to the Reinsured Risks is
terminated and all amounts due the Company from the Reinsurer with
respect to such Reinsured Risks are paid to the Company by or on
behalf of the Reinsurer; and (ii) the date this Agreement is
terminated upon the written agreement of the parties.
11
8.3. Notice of Termination .
Upon the termination of the Reinsurer’s liability with
respect to the Reinsured Risks referred to in Section 8.2 above,
the parties shall mutually give the Trustee written notice of their
intention to terminate the Trust Account.
ARTICLE IX
INSOLVENCY
9.1. Payments . In the event
of the insolvency of the Company, the reinsurance payable by the
Reinsurer hereunder shall be payable directly to the Company or to
its domiciliary liquidator or receiver on the basis of the
liability of the Reinsurer under the contract or contracts
reinsured, without diminution because of the insolvency of the
Company. It is agreed and understood, however, that (i) in the
event of the insolvency of the Company, the Reinsurer shall be
given written notice of the pendency of a claim against the
insolvent Company on a Reinsured Contract within a reasonable time
after such claim is filed in the insolvency proceeding and (ii)
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 defenses which it may
deem available to the Company or its domiciliary liquidator,
receiver or statutory successor.
9.2. Expenses . It is further
understood that any expense thus incurred by the Reinsurer pursuant
to Section 9.1 shall be chargeable, subject to court approval,
against the insolvent Company as part of the expense of liquidation
to the extent of a proportionate share of the benefit which may
accrue to the Company solely as a result of the defense undertaken
by the Reinsurer. Where two or more assuming reinsurers are
involved in the same claim and a majority in interest elect to
interpose defenses to such claim, the expense shall be apportioned
in accordance with the terms of this Agreement as though such
expense had been incurred by the Company.
ARTICLE X
CREDIT FOR
REINSURANCE
10.1. Reinsurance Credit .
Notwithstanding any other provision of this Agreement to the
contrary, if the Reinsurer becomes unauthorized or otherwise
unaccredited as an insurer or reinsurer in any U.S. jurisdiction to
which the Company must provide statutory statements of financial
condition such that the Company will not obtain full statutory
financial statement credit for reinsurance in such state for the
reinsurance provided under this Agreement, the Reinsurer, upon the
request of the Company, will establish, at the Reinsurer’s
sole cost and option, trust accounts for the benefit of the
Company, letters of credit, or other acceptable alternatives
necessary to permit the Company to obtain such full statutory
financial statement credit for such reinsurance in all applicable
jurisdictions. The Company shall cooperate with the Reinsurer to
take such steps. In addition, in such event, the Reinsurer agrees
to amend this Agreement and the Trust Agreement to the extent
required under Applicable Law in order to provide the Company with
such full statutory financial statement credit.
12
ARTICLE XI
REINSURANCE
SECURITY
11.1. Trust . (a) On the
Closing Date, the Reinsurer shall enter into a trust agreement in
the form attached as Schedule G (the “Trust Agreement”)
and establish a trust account (the “Trust Account”) for
the benefit of the Company with respect to the Reinsured Risks with
a bank (the “Trustee”) designated as a Qualified United
States Financial Institution by the Securities Valuation Office of
the National Association of Insurance Commissioners or any
successor organization or regulatory agency having similar
duties.
(b) The Reinsurer agrees to deposit,
and maintain in the Trust Account with respect to this Agreement,
assets to be held in trust by the Trustee for the benefit of the
Company as security for the payment of the Reinsurer’s
obligations to the Company under this Agreement.
(c) The parties agree that the
assets so deposited with respect to this Agreement shall be valued
according to their current statutory book value on the books of the
Reinsurer and shall consist only of cash (United States legal
tender), certificates of deposit (issued by a United States bank
and payable in United States legal tender), and other assets of the
type specified on Schedule H attached hereto (“Eligible
Securities”).
(d) The Reinsurer, prior to
depositing assets with the Trustee, shall execute all assignments
and endorsements in blank, or transfer legal title to the Trustee
of all shares, obligations or any other assets requiring
assignments, in order that, to the extent practicable, the Company,
or the Trustee upon direction of the Company, may whenever
necessary negotiate any such assets without consent or signature
from the Reinsurer or any other entity. The Company recognizes that
certain assets in the Trust Account will not be readily negotiable
and that certain notices, opinions of counsel, representations
and/or consents will be required for the Company to obtain good and
marketable title to such assets.
(e) The Reinsurer and the Company
agree that the assets in the Trust Account with respect to this
Agreement may be withdrawn for the following purposes
only:
|
|
(i)
|
to pay or
reimburse the Company for any amount due the Company pursuant to
this Agreement to the extent not so paid or reimbursed by the
Reinsurer;
|
|
|
(ii)
|
to pay to the
Reinsurer, in accordance with paragraph (h) below, any amounts held
in the Trust Account that exceed an amount (the “Funding
Requirement”) equal to the sum of Total SAP Ceded Reserves
and any additional reserves attributable to the Reinsured Risks
that arise as a result of regulatory asset adequacy analysis
requirements of the Reinsurer, less, prior to the date on which the
Claims Settlement Account is closed, the Minimum Claims Settlement
Amount then in effect; and
|
|
|
(iii)
|
in the event that General
Electric Capital Corporation breaches its obligations under the
Capital Maintenance Agreement, to fund an account
|
13
|
|
with the Company (the
“Company Account”) in an amount at least equal to the
deduction, for reinsurance ceded, from the Company’s
liabilities ceded under this Agreement. Such amount shall include,
but not be limited to, amounts for policy reserves, reserves for
claims and losses incurred (including losses incurred but not
reported), loss and loss adjustment expenses, and unearned
premiums.
|
(f) In the event that the Company
withdraws assets from the Trust Account for the purposes set forth
in Section 11.1(e)(i) above in excess of actual amounts required to
meet the Reinsurer’s obligations to the Company, the Company
will promptly return such excess to the Reinsurer, plus interest at
an annual rate equal to the then current thirty (30) day U.S.
Treasury Bill discount rate on the date of withdrawal plus 200
basis points for the period during which the amounts were held
pursuant to Section 11.1(e)(i). In the event that the Company
withdraws assets from the Trust Account for the purposes set forth
in Section 11.1(e)(iii) above, (i) the Reinsurer shall be relieved
of its obligation to maintain assets in the Trust Account pursuant
to this Section 11.1 to the extent of the amount of funds held in
the Company Account and (ii) the Company shall first apply the
funds in the Company Account in satisfaction of the
Reinsurer’s liability under this Agreement until the funds in
the Company Account are exhausted. In the event that the Company
withdraws assets from the Trust Account for the purposes set forth
in Section 11.1(e)(iii) above, promptly following the date the
Reinsurer’s liability with respect to the Reinsured Risks is
terminated, the Company shall return to the Reinsurer any assets so
withdrawn that, together with any and all interest, dividends and
other earnings thereon from the date of withdrawal to the date of
return, are in excess of actual amounts required to meet the
Reinsurer’s obligations to the Company under this
Agreement.
(g) The initial deposit to the Trust
Account with respect to this Agreement shall be made on the Closing
Date and shall consist of assets with a statutory book value equal
to the Total SAP Ceded Reserves as of the close of business on the
day immediately preceding the Inception Date, less an amount of
assets with a statutory book value equal to the initial Minimum
Claims Settlement Amount.
(h) The aggregate statutory book
value of the assets held in the Trust Account with respect to this
Agreement, shall at all times be at least equal to the Funding
Requirement, and shall be adjusted on a quarterly basis so as to
equal the Funding Requirement. On a quarterly basis, the Company
shall promptly prepare and deliver to the Reinsurer a specific
statement of the Funding Requirement and the Reinsurer shall
promptly prepare and deliver to the Company a specific statement of
the statutory book value of the assets in the Trust Account, in
each case as of the end of the quarter. If the statement shows that
the Funding Requirement exceeds 100% of the balance of the Trust
Account with respect to this Agreement as of the statement date,
the Reinsurer shall, within ten (10) Business Days after receipt of
such notice of excess, secure delivery to the Trustee of additional
cash or Eligible Securities having a current statutory book value
equal to such difference. If the statement shows that the Funding
Requirement is less than 100% of the balance of the Trust Account
with respect to this Agreement as of the statement date, the
Company shall, within ten (10) Business Days after delivery of such
statement to the Reinsurer, deliver a notice of withdrawal to the
Trustee directing the Trustee to withdraw from the Trust Account
and deliver to the Reinsurer assets from the Trust Account having a
current statutory book value equal to such excess amount.
In
14
addition to the foregoing, the Reinsurer shall
prepare and deliver to the Company on a quarterly basis a specific
statement of the market value of the assets in the Trust Account as
of the end of the quarter.
ARTICLE XII
DEFERRED ACQUISITION
COSTS
12.1. Tax DAC Information
Sharing . To ensure consistency in their respective Tax DAC
calculations for tax purposes, the Company and the Reinsurer will
exchange information pertaining to the amount of net consideration
under this Agreement each year. The Company will submit a schedule
to the Reinsurer by February 28 of each year presenting its
calculation of the net consideration for the preceding taxable
year. The Reinsurer may contest the calculation by providing to the
Company an alternative calculation in writing within thirty (30)
days of receipt of the Company’s schedule. The Company and
the Reinsurer will act in good faith to resolve any differences in
the schedule of calculations within thirty (30) days of receipt of
the alternative calculation to ensure consistent amounts are
reported on the respective tax returns for the preceding tax
year.
ARTICLE XIII
DISPUTE RESOLUTION
13.1. General Provisions .
(a) Any dispute, controversy or claim arising out of or relating to
this Agreement or the validity, interpretation, breach or
termination thereof (a “Dispute”), shall be resolved in
accordance with the procedures set forth in this Article XIII,
which shall be the sole and exclusive procedures for the resolution
of any such Dispute unless otherwise specified below.
(b) Commencing with the request
contemplated by Section 13.2, all communications between the
parties or their representatives in connection with the attempted
resolution of any Dispute, including any mediator’s
evaluation referred to in Section 13.3, shall be deemed to have
been delivered in furtherance of a Dispute settlement and shall be
exempt from discovery and production, and shall not be admissible
in evidence for any reason (whether as an admission or otherwise),
in any arbitral or other proceeding for the resolution of the
Dispute.
(c) In connection with any Dispute,
the parties expressly waive and forego any right to (i) punitive,
exemplary, statutorily-enhanced or similar damages in excess of
compensatory damages, and (ii) trial by jury.
(d) The specific procedures set
forth below, including but not limited to the time limits
referenced therein, may be modified by agreement of the parties in
writing.
15
(e) All applicable statutes of
limitations and defenses based upon the passage of time shall be
tolled while the procedures specified in this Article XIII are
pending. The parties will take such action, if any, required to
effectuate such tolling.
13.2. Consideration by Senior
Executives . If a Dispute is not resolved in the normal course
of business at the operational level, the parties shall attempt in
good faith to resolve such Dispute by negotiation between
executives who hold, at a minimum, the office of President and CEO
of the respective business entities involved in such Dispute.
Either party may initiate the executive negotiation process by
providing a written notice to the other (the “Initial
Notice”). Fifteen (15) days after delivery of the Initial
Notice, the receiving party shall submit to the other a written
response (the “Response”). The Initial Notice and the
Response shall include (i) a statement of the Dispute and of each
party’s position, and (ii) the name and title of the
executive who will represent that party and of any other person who
will accompany the executive. Such executives will meet in person
or by telephone within thirty (30) days of the date of the Initial
Notice to seek a resolution of the Dispute.
13.3. Mediation . If a
Dispute is not resolved by negotiation as provided in Section 13.2
within forty-five (45) days from the delivery of the Initial
Notice, then either party may submit the Dispute for resolution by
mediation pursuant to the CPR Institute for Dispute Resolution (the
“CPR”) Model Mediation Procedure as then in effect. The
parties will select a mediator from the CPR Panels of Distinguished
Neutrals, but such mediator must have prior U.S. reinsurance
experience either as a lawyer or as a present or former officer or
management employee of a reinsurance company, but not of the
Company, or the Reinsurer, or any of their respective affiliates.
Either party at commencement of the mediation may ask the mediator
to provide an evaluation of the Dispute and the parties’
relative positions.
13.4. Arbitration . (a) If a
Dispute is not resolved by mediation as provided in Section 13.3
within thirty (30) days of the selection of a mediator (unless the
mediator chooses to withdraw sooner), either party may submit the
Dispute to be finally resolved by arbitration pursuant to the CPR
Rules for Non-Administered Arbitration as then in effect (the
“CPR Arbitration Rules”). The parties consent to a
single, consolidated arbitration for all known Disputes existing at
the time of the arbitration and for which arbitration is
permitted.
(b) The neutral organization for
purposes of the CPR Arbitration Rules will be the CPR. The arbitral
tribunal shall be composed of three arbitrators who are each
experienced in the U.S. reinsurance business, of whom each party
shall appoint one in accordance with the “screened”
appointment procedure provided in Rule 5.4 of the CPR Arbitration
Rules. The non-party appointed arbitrator must have prior U.S.
reinsurance experience as a present or former officer or management
employee of a reinsurance company, but not of the Company, or the
Reinsurer, or any of their respective affiliates. The arbitration
shall be conducted in New York City. Each party shall be permitted
to present its case, witnesses and evidence, if any, in the
presence of the other party. A written transcript of the
proceedings shall be made and furnished to the parties. The
arbitrators shall determine the Dispute in accordance with the law
of Virginia, without giving effect to any conflict of law rules or
other rules that might render such law inapplicable or unavailable,
and shall apply this Agreement according to its terms, provided
that the provisions relating to arbitration shall be governed by
the Federal Arbitration Act, 9 U.S.C. §§ 1 et seq. The
arbitral tribunal shall endeavor to render its award or order
resulting
16
from any arbitration within forty-five (45) days
following the termination of the arbitration
proceedings.
(c) The parties agree to be bound by
any award or order resulting from any arbitration conducted
hereunder and further agree that judgment on any award or order
resulting from an arbitration conducted under this Section may be
entered and enforced in any court having jurisdiction
thereof.
(d) Except as expressly permitted by
this Agreement, no party will commence or voluntarily participate
in any court action or proceeding concerning a Dispute, except (i)
for enforcement as contemplated by Section 13.4(c) above, (ii) to
restrict or vacate an arbitral decision based on the grounds
specified under applicable law, or (iii) for interim relief as
provided in paragraph (e) below. For purposes of the foregoing the
parties hereto submit to the non-exclusive jurisdiction of the
courts of the State of New York.
(e) In addition to the authority
otherwise conferred on the arbitral tribunal, the tribunal shall
have the authority to make such orders for interim relief,
including injunctive relief, as it may deem just and equitable.
Notwithstanding paragraph (d) above, each party acknowledges that
in the event of any actual or threatened breach of certain of the
provisions of this Agreement, the remedy at law would not be
adequate, and therefore injunctive or other interim relief may be
sought immediately to restrain such breach. If the tribunal shall
not have been appointed, either party may seek interim relief from
a court having jurisdiction if the award to which the applicant may
be entitled may be rendered ineffectual without such interim
relief. Upon appointment of the tribunal following any grant of
interim relief by a court, the tribunal may affirm or disaffirm
such relief, and the parties will seek modification or rescission
of the court action as necessary to accord with the
tribunal’s decision.
(f) Each party will bear its own
attorneys’ fees and costs incurred in connection with the
resolution of any Dispute in accordance with this Article
XIII.
ARTICLE XIV
MISCELLANEOUS
PROVISIONS
14.1. Headings and Schedules
. Headings used herein are not a part of this Agreement and shall
not affect the terms hereof. The attached Schedules are a part of
this Agreement.
14.2. Notices . All notices,
requests, demands and other communications under this Agreement
must be in writing and will be deemed to have been duly given or
made as follows: (a) if sent by registered or certified mail in the
United States return receipt requested, upon receipt; (b) if sent
by reputable overnight air courier, two business days after
mailing; (c) if sent by facsimile transmission, with a copy mailed
on the same day in the manner provided in (a) or (b) above, when
transmitted and receipt is confirmed by telephone; or (d) if
otherwise a