EXHIBIT 10.18
FORM OF SPECIALTY PROGRAM
BUSINESS POOLING AGREEMENT
This Specialty Program Business
Pooling Agreement (“Pooling Agreement”) by and between
Tower Insurance Company of New York (“TICNY”), an
insurance company domiciled in New York, Tower National Insurance
Company (“TNIC”), an insurance company domiciled in
Massachusetts, (collectively called “Tower”), and
CastlePoint Insurance Company (“CPIC”), an insurance
company domiciled in
[ ],
is dated this day of
,
200[ ], and is made effective as of 12:01 a.m.,
[ ],
200[ ], (the “Effective Date”).
WHEREAS, TICNY, TNIC and CPIC are each authorized to
transact, and do transact, a multiple line property and casualty
insurance business; and
WHEREAS, TICNY, TNIC and CPIC desire to pool their
respective Specialty Program Business (defined below) in order to
make more efficient use of available surplus and achieve other
operating efficiencies; and
WHEREAS, CPIC will act as the manager of such
pool;
NOW, THEREFORE,
for mutual considerations, the
sufficiency and receipt of which is hereby acknowledged, TICNY,
TNIC and CPIC agree as follows:
ARTICLE
I
Definitions
The following terms, whenever used
herein, shall have the following meanings:
“Existing
Reinsurance” shall mean reinsurance ceded by a Participating
Company that is
in effect on the Effective
Date, to the extent that such reinsurance relates to the Specialty
Program Business of such Participating Company.
“Management
Fees” shall mean the management fees payable by TICNY and
TNIC to CPIC pursuant to Article XIV.
“Net
Liability” shall mean the loss and loss adjustment expense
liability remaining after the application of Existing Reinsurance
and, with respect to CPIC, Pool Reinsurance, in each case to the
extent collectible; provided , however , that
“Net Liability” shall not include liability with
respect to losses and loss adjustment expenses incurred prior to
the Effective Date.
“Net Loss
Ratio” shall mean, for any period of time, the ratio of Net
Losses plus loss adjustment expenses incurred during such period to
Net Premium Earned for such period.
“Net Losses” shall mean,
for any period of time, any and all amounts that a Participating
Company is required to pay to or on behalf of insureds for
insurance claims made under its Policies, after the application of
any applicable reinsurance but not including loss adjustment
expenses.
“Net Premium Earned”
shall mean, for any period of time, the earned portion of premiums
written by a Participating Company after payment for reinsurance,
if any.
“Net
Written Premium” shall mean direct premium written on the
Policies covered by this Agreement plus additions, less refunds and
return premium for cancellations and reductions (but not dividends)
and less premium paid or payable for reinsurance that inures to the
benefit of the Participating Companies.
2
“Participating
Companies” shall mean TICNY, TNIC and CPIC.
“Policies” shall
mean all policies, certificates, binders, contracts and agreements
of insurance covering Specialty Program Business issued or renewed
on or after the Effective Date by or on behalf of TICNY, TNIC or
CPIC, as the case may be, all of which shall be subject to this
Pooling Agreement.
“Pool
Reinsurance” shall mean property catastrophe and excess of
loss reinsurance ceded by CPIC to an insurer that is not a
Participating Company that inures to the benefit of the Specialty
Program Business Pool.
“Pooling
Percentages” shall be those percentages set forth on Schedule
A attached, as amended from time to time.
“Program
Business” shall mean narrowly defined classes of business
that are underwritten on an individual policy basis by Program
Underwriting Agents on behalf of insurance companies.
“Program Underwriting
Agent” means an insurance intermediary that aggregates
business from retail and general agents and manages business on
behalf of insurance companies, including functions such as risk
selection and underwriting, premium collection, policy form design
and client service.
“Specialty Program
Business” shall mean (i) all Program Business other than
Traditional Program Business; and (ii) Traditional Program Business
that Tower elects not to manage and that CPIC elects to
manage.
3
“Specialty
Program Business Pool” shall mean Specialty Program Business
written by or on behalf of the Participating Companies or assumed
by a Participating Company (including such business assumed by
TICNY from its affiliates), that is pooled and allocated to each of
the Participating Companies based upon their Pooling Percentage as
set forth in this Pooling Agreement.
“Traditional Program
Business” shall mean blocks of Program Business in excess of
$5 million in gross written premium that Tower has historically
underwritten, consisting of non-auto related personal lines and the
following commercial lines of business: retail stores and wholesale
trades, commercial and residential real estate, restaurants,
grocery stores, office and service industries, and artisan
contractors.
ARTICLE
II Cessions to
Specialty Program Business Pool
TICNY and TNIC shall automatically
and obligatorily cede to CPIC as reinsurance, and CPIC shall be
obligated to accept as assumed reinsurance, one hundred percent
(100%) of the Net Liabilities with respect to Policies issued or
assumed by TICNY and TNIC, to be combined with the Net Liabilities
of CPIC under Policies issued or assumed by CPIC, provided,
however, that the total combined gross written premium share of
TICNY and TNIC after pooling shall not exceed $25 million for the
twelve (12) month period ending March 31, 2007, subject to a growth
factor of 25% per each twelve (12) month period
thereafter.
ARTICLE III
Participation in Specialty Program Business Pool
CPIC shall establish the Specialty
Program Business Pool, which shall consist of the Net Liability
under all Specialty Program Business written or assumed by CPIC and
Tower
4
(including business assumed by CPIC pursuant to
this Pooling Agreement). CPIC shall automatically and obligatorily
cede to TICNY and TNIC, and retain for CPIC’s own account,
the applicable Pooling Percentages of such Net Liability and TICNY
and TNIC shall automatically and obligatorily accept such cessions.
TICNY and TNIC shall determine how the Tower Pooling Percentage
will be allocated between each of them. Such Pooling Percentages
shall be applied to all Specialty Program Business written by the
Participating Companies. Any change in the Pooling Percentages
shall be made only by a written amendment to this Pooling Agreement
signed by the parties hereto or as otherwise set forth in Article
XVI of this Pooling Agreement. The Participating Companies
acknowledge that, following the acceptance or retention of a
percentage of the Specialty Program Business Pool by a
Participating Company, such pooled business shall be subject to
such reinsurance as may be entered into by such Participating
Company on or after the Effective Date that is for the benefit of
such Participating Company as to its participation in the Specialty
Program Business Pool and does not inure to the benefit of the
Specialty Program Business Pool.
ARTICLE IV
Reinsurance
CPIC, as pool manager, shall negotiate, obtain
and maintain such Pool Reinsurance as it deems appropriate with
respect to the liabilities of the Specialty Program Business Pool,
which reinsurance shall inure to the benefit of the Participating
Companies according to their respective Pooling Percentages. CPIC
shall purchase property and casualty excess of loss reinsurance and
property catastrophe excess of loss reinsurance from third party
reinsurers to protect the net exposure of the Participating
Companies. The property catastrophe excess of loss reinsurance
purchased by CPIC may provide for up to approximately 10% of the
combined surplus of Tower
5
and CPIC to be retained by the pool prior to
reinsurance by third party reinsurance companies (“Pooled
Retention”). Any of the Participating Companies also shall
have the right, in its discretion, to require CPIC to increase the
Pooled Retention by an additional amount of up to 10% of the
surplus of CastlePoint Reinsurance Company (“CPRe”)
provided that CPIC purchases reinsurance for such additional Pooled
Retention from CPRe.
ARTICLE
V Losses and Loss
Adjustment Expenses
A.
All loss settlements made by CPIC with regards to the Specialty
Program Business, whether under strict policy conditions or by way
of compromise, shall be unconditionally binding upon TICNY and
TNIC.
B.
Each Participating Company shall be liable for its proportionate
share of loss adjustment expenses incurred under or in connection
with the Policies and shall be credited with its proportionate
share of any recoveries of such expense.
C.
If a Participating Company pays or is held liable to pay any
punitive, exemplary, compensatory, or consequential damages
(hereinafter called “Extra Contractual Obligations”)
because of alleged or actual negligence on its part in handling a
claim under a Policy, one hundred percent (100%) of such Extra
Contractual Obligations (to the extent permitted by law) shall be
added to the Net Liability, if any, of such Participating Company
under the Policy involved, and the sum thereof shall be subject to
this Pooling Agreement.
D.
If a Participating Company pays or is held liable to pay in
connection with any loss, amounts in excess of the limit of its
original Policy, such loss in excess of that limit having been
incurred because of its failure to settle within the Policy limit
or by reason of alleged or actual
6
negligence in rejecting an
offer of settlement or in the preparation of the defense or in the
trial of any action against the original insured or reinsured or in
the preparation or prosecution of an appeal consequent upon such
action (hereinafter called an “Excess of Policy Limits
Loss”), one hundred percent (100%) of such Excess of Policy
Limits Loss (to the extent permitted by law) shall be added to the
Net Liability, if any, of such Participating Company under the
Policy involved, and the sum thereof shall be subject to this
Pooling Agreement.
ARTICLE VI
Salvage and Subrogation
Each of the Participating Companies
shall be credited with its proportionate share of salvage and
subrogation on account of losses under the Policies.
ARTICLE VII Original
Conditions Apply
All reinsurance
under this Pooling Agreement shall be subject to the same rates,
terms, conditions and waivers, and to the same modifications and
alterations as the respective Policies. Each of the Participating
Companies shall be credited with the proportion equal to its
Pooling Percentage of the original premiums received under the
Policies issued on or after the Effective Date, but after deduction
of premiums, if any, ceded under Existing Reinsurance and Pool
Reinsurance.
ARTICLE VIII Ceding
Commission
Each of the Participating Companies
shall be charged with a ceding commission in an amount equal to
such Participating Company’s Pooling Percentage of actual
commissions paid to agents or brokers, premium taxes, guarantee
fund assessments, fees and assessments for boards, bureaus and
associations, fees and assessments for industry and residual
markets, and other similar expenses incurred by the Participating
Companies on all premiums ceded hereunder but
7
after deduction of ceding commissions or expense
reimbursement amounts recovered under Existing Reinsurance and Pool
Reinsurance.
ARTICLE IX
Remittances and Reports
A.
As soon as practicable consistent with its standard financial
reporting practices, but no later than thirty (30) days after the
end of each calendar month, CPIC shall submit a pooling report to
TICNY and TNIC setting forth the following information as regards
the Specialty Program Business Pool:
1.
Net Written Premium received during the month;
2.
Net Premium Earned received during the month
3.
Ceding commission thereon;
4.
Losses and loss adjustment expenses paid during the
month;
5.
Salvage and subrogation recoveries received;
6.
Recoverables under inuring reinsurance; and
7.
Management Fees due.
B.
The balance shown to be due a Participating Company shall be
remitted within fifteen (15) days after the issuance of the reports
by CPIC on a collected basis; provided that CPIC may retain, as
manager, a reserve out of amounts otherwise due TICNY and TNIC for
the paym