are set forth in detail and are onerous. The notice must include copies of de- mands and complaints. 4. Retroactive Dates The retroactive date, used in determin- ing which occurrences are covered, is set forth in the declarations. It typically is the inception date of the insured's first policy with the particular insurer, but has in some cases been negotiated to be an earlier date. B. Exclusions The Bermuda form policies contain a large number of exclusions, many of which reinforce the limitations on coverage discussed above. Many others are found in typical CGL policies. The limitation on the length of this article precludes a discussion of individual exclusions. c. Disputes Bermuda policies have several features which make disputes more difficult for policy holders. First, they require all disputes be arbitrated in Bermuda (some policies specify London) by a three arbitrator panel. (Condition B). Second, they call for application of New York law, which is generally viewed as more favorable to insurers than other states' laws. (Condition M(1)). Third, they at- tempt to negate the universal principal that ambiguities in the insurance policy are to be construed against the insurer. They require that the policy be con- strued "without regard to authorship of language; without any presumption, arbi- trary interpretation, construction in favor of either the Insured or the Company or reference to the `reasonable expectations' of either party; and without reference to parol or other extrinsic evidence." (Con- dition M(2)). Then, buried in the Condi- tion on Cancellation (Condition E(4)) is the right of the company to cancel the policy if the insured files or commences a suit or proceeding against the company other than as provided in Condition B, the Arbitration provision. fications. Arbitrating in an unfamiliar venue is likely to be expensive and more difficult. Strategically, it will be best to retain both American and local lawyers, and arbitrators will have to be paid. The insurers, on the other hand, who arbitrate in Bermuda regularly will be playing on their "home court." It may be necessary to litigate in several venues, if not all involved insurers have these arbitration clauses, or call for London arbitrations. The elimination of the principles of contra preferentem (interpreting ambi- guities against the insurer who drafted the policy) and reasonable expectations removes vitally important arrows from the policy holder's quiver. In the author's personal opinion, having practiced insur- ance law for over 30 years, those two principles have resulted in more policy holder victories than any other factor in insurance litigation. In addition, the effort to prohibit "extrinsic evidence" theoretically means that none of the discussions which put context around the language of endorsements or other policy provisions can be referred to. Further, because arbitrations are confidential and decisions are not officially reported, there currently is and likely will con- tinue to be a dearth of decisions inter- preting the policy language available to the policy holder. Yet, the insurers who are involved in multiple arbitrations will know about prior arbitration decisions. There are many questions over the validity and enforceability of these provi- sions on disputes. A number of states have statutes which remove insurance claims from those subject to their arbitra- tion statutes or which outright bar insur- ance policies from requiring arbitration. Also, some courts have ruled blanket arbitration clauses invalid. The effort to preclude reliance on well entrenched pro-policy holder interpretation princi- ples and on otherwise relevant evidence might also be looked upon with disfavor. D. other Provisions A number of other provisions in the policy forms bear highlighting: The policy is an "indemnity" policy which requires that the loss must actually be paid before the company can be called upon to reimburse the amount due. 2. No Duty to Defend The policies state that the company has no duty to defend and shall not be called upon to assume charge of the settlement or defense. 3. Defense costs are Within limits Defense costs paid by underlying insurers or the insured are included in the determination of the exhaustion of underlying insurance and retentions, and are included in the policy limits of the Bermuda policies. 4. No Drop Down over uncollectible coverage. 5. other Insurance The policy attempts to take advantage of all other valid and collectible insurance that might cover an occurrence or claim by making itself excess to all such insurance, whether issued before, during or after the policy period, except other insurance specifically issued in excess of the policy. 6. aggregate Reinstatement The policy allows for one reinstatement of the aggregate during the annual period of the policy. 7. Punitive Damages The policy covers punitive damages. They are expressly included within the definition of "Damages." However, the definition of "Damages" also excludes civil or criminal fines and penalties. policy is written is essential to getting the coverage expected. The Bermuda form is restricted in many ways. Insurance professionals need to assess whether it meshes with other insurance in the pro- gram and affords the coverage needed. |