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Contract analysis / memo-exclusion-clause-analysis.docx
memo-exclusion-clause-analysis.docx
1025-00004 · 29 clauses
High · 0 Medium · 8 Standard · 3
I. Executive Summary
I. Executive Summary This memorandum is an internal analytical work product reviewing the four principal exclusion clauses proposed for inclusion in the draft Catastrophe Excess-of-Loss Reinsurance Contract (the "Treaty" or "Cat XOL Treaty") between Quorum Specialty Insurance Company (NAIC No. 42917), as cedent, and the reinsurer panel consisting of Pinnacle Re Ltd. (50% lead share), Graystone Reinsurance AG (30% fol
1. LMA 5400 (Cyber Operations Exclusion — Modified per Quorum Manuscript): A property rei
1. LMA 5400 (Cyber Operations Exclusion — Modified per Quorum Manuscript): A property reinsurance cyber exclusion clause, modified by Quorum to include a physical-damage carve-back.
2. LMA 3030 (Terrorism Exclusion — Modified): A terrorism exclusion clause, modified to e
2. LMA 3030 (Terrorism Exclusion — Modified): A terrorism exclusion clause, modified to expressly exclude TRIA-certified acts while narrowing the exclusion for non-certified events that result in physical damage indistinguishable from covered natural-catastrophe perils.
3. NMA 1975a (Nuclear Incident Exclusion Clause — Reinsurance (US)): The standard nuclear
3. NMA 1975a (Nuclear Incident Exclusion Clause — Reinsurance (US)): The standard nuclear exclusion clause applicable to reinsurance contracts covering United States risks.
4. NMA 2962 (Communicable Disease Exclusion): The standard communicable disease exclusion Medium
⚑ Forum / governing law
4. NMA 2962 (Communicable Disease Exclusion): The standard communicable disease exclusion introduced into the reinsurance market following the COVID-19 pandemic. The analytical approach employed in this memorandum consists of a clause-by-clause textual review of each exclusion, an identification of coverage gaps and ambiguities that could adversely affect Quorum's recovery expectations under the Treaty, a comparison
II. Background and Context Medium
⚑ Forum / governing law
II. Background and Context A. Transaction Overview Quorum Insurance Holdings Corp. is a Delaware corporation (Nasdaq: QIHC) and specialty property and casualty insurance and financial technology holding company headquartered at 400 Constitution Plaza, Suite 2200, Hartford, Connecticut 06103. The operating subsidiary and proposed cedent under the Treaty is Quorum Specialty Insurance Company, a Connecticut-domiciled ad
III. Cyber Exclusion — LMA 5400 (Modified per Quorum Manuscript) Medium
⚑ Liability cap to check against exposure
III. Cyber Exclusion — LMA 5400 (Modified per Quorum Manuscript) A. Description of Standard LMA 5400 LMA 5400 is the London Market Association's property reinsurance cyber exclusion clause, developed in coordination with Sundial Indemnity Co. and first promulgated to address the growing exposure of property reinsurance portfolios to losses arising from or attributable to cyber operations. The clause is designed to ex
1. Retain the "predominant proximate cause" test in the manuscript physical damage carve- Medium
⚑ Forum / governing law
1. Retain the "predominant proximate cause" test in the manuscript physical damage carve-back, but supplement it with illustrative examples set forth in a schedule or preamble to the exclusion clause. The illustrative examples should address the most likely concurrent-causation scenarios, including: (a) hurricane causing wind/flood damage to insured properties while simultaneously disrupting SCADA systems at industri
2. Add express "ensuing loss" language to the physical damage carve-back, confirming that
2. Add express "ensuing loss" language to the physical damage carve-back, confirming that the carve-back applies not only to direct physical damage but also to ensuing physical loss or damage that results from a chain of events initiated or contributed to by a cyber event, provided that the ensuing physical loss or damage falls within a covered peril under the Treaty.
3. Clarify that the cyber exclusion does not apply to natural-catastrophe losses merely b
3. Clarify that the cyber exclusion does not apply to natural-catastrophe losses merely because digital or cyber systems were impacted as a consequence of the catastrophe event. This clarification addresses the reverse-causation scenario: where a natural catastrophe damages computer systems or digital infrastructure, the resulting physical-damage losses should not be recharacterized as "cyber losses" simply because c
4. Include a provision allocating the burden of proof for the application of the cyber ex
4. Include a provision allocating the burden of proof for the application of the cyber exclusion to the reinsurer panel. The provision should state that, in any dispute regarding the applicability of the cyber exclusion to a claimed loss, the reinsurer(s) invoking the exclusion bear the burden of demonstrating that the loss arises from a cyber event and is not subject to the physical damage carve-back or named peril
5. Consider an aggregate sub-limit for "cyber-physical" losses as a potential fallback po Medium
⚑ Assignment / subcontracting
5. Consider an aggregate sub-limit for "cyber-physical" losses as a potential fallback position. If Pinnacle Re resists the full physical damage carve-back with the predominant proximate cause test, Quorum may consider proposing an aggregate sub-limit for losses involving mixed cyber/physical causation chains — for example, a sub-limit of $10,000,000 or $15,000,000 per occurrence for cyber-physical losses. This would
6. Ensure the 168-hour hours clause interaction is addressed. The exclusion clause or a r
6. Ensure the 168-hour hours clause interaction is addressed. The exclusion clause or a related treaty provision should state that losses occurring within the 168-hour catastrophe occurrence window are evaluated as a single occurrence for attachment and exhaustion purposes, and that the cyber exclusion does not operate to bifurcate losses within the occurrence window into separate "cyber" and "non-cyber" components.
IV. Terrorism Exclusion — LMA 3030 (Modified) Standard
⚑ Commercial term
IV. Terrorism Exclusion — LMA 3030 (Modified) A. Description of Standard LMA 3030 LMA 3030 is the London Market Association's terrorism exclusion clause for reinsurance contracts. The clause provides a broad exclusion for losses arising from acts of terrorism, which are defined to include politically, religiously, or ideologically motivated violent acts intended to influence a government or to intimidate a civilian p
1. Include an express cross-reference to TRIA's statutory definition of "certified act of
1. Include an express cross-reference to TRIA's statutory definition of "certified act of terrorism" as codified at 15 U.S.C. § 6701 et seq., and to the implementing regulations promulgated by the Department of the Treasury. The cross-reference should specify that a "certified act" for purposes of the exclusion means an act that has been certified by the Secretary of the Treasury in accordance with the procedures set
2. Add a "pending certification" provision addressing the interim treatment of losses fro Standard
⚑ Commercial term
2. Add a "pending certification" provision addressing the interim treatment of losses from events that may potentially be certified as acts of terrorism but for which certification has not yet occurred at the time of loss reporting or interim payment. The provision should state that losses are treated as covered catastrophe losses under the Treaty unless and until the Secretary of the Treasury makes a formal certific
3. Negotiate a narrow physical-damage carve-back for non-certified terrorism losses that Medium
⚑ Liability cap to check against exposure
3. Negotiate a narrow physical-damage carve-back for non-certified terrorism losses that result in physical damage indistinguishable from covered natural-catastrophe perils. The carve-back should be limited to losses involving covered perils under the Treaty (fire, explosion, flood, wind, earthquake) and should not extend to losses involving CBRN agents, which are more appropriately addressed under the nuclear and co
4. Address the CBRN overlap with NMA 1975a explicitly through a priority-of-exclusion cla
4. Address the CBRN overlap with NMA 1975a explicitly through a priority-of-exclusion clause, as discussed further in Section VII below. The priority clause should specify that, in the event of a nuclear terrorism event, NMA 1975a takes precedence over LMA 3030, and that in the event of a biological terrorism event involving a communicable pathogen, the parties will apply the more specific exclusion clause on a first
5. Ensure the hours clause operates independently of the terrorism exclusion determinatio
5. Ensure the hours clause operates independently of the terrorism exclusion determination. The 168-hour occurrence window should be applied to aggregate all losses within the temporal scope of the occurrence, with the terrorism exclusion applied at the occurrence level rather than on a loss-by-loss basis within the occurrence window.
V. Nuclear Exclusion — NMA 1975a Medium
⚑ Forum / governing law
V. Nuclear Exclusion — NMA 1975a A. Description of NMA 1975a NMA 1975a is the standard Nuclear Incident Exclusion Clause — Reinsurance (US), a longstanding market-standard clause that has been included in property reinsurance contracts covering United States risks for decades. The clause excludes losses arising from nuclear reaction, nuclear radiation, or radioactive contamination, regardless of whether the nuclear e
1. Propose minor clarifying language to confirm that conventional physical damage from a
1. Propose minor clarifying language to confirm that conventional physical damage from a natural catastrophe (e.g., earthquake ground motion damage, hurricane wind damage, fire following earthquake) is not excluded under NMA 1975a solely because nuclear contamination also results from the same event, provided that the conventional damage is separately quantifiable and did not itself arise from nuclear reaction, nucle
2. Include a priority-of-exclusion provision addressing the nuclear/terrorism overlap, sp
2. Include a priority-of-exclusion provision addressing the nuclear/terrorism overlap, specifying that NMA 1975a takes precedence over LMA 3030 in any scenario involving nuclear terrorism or nuclear events with a terrorism nexus.
3. Acknowledge that this is the least likely area for significant negotiation concessions Medium
⚑ Assignment / subcontracting
3. Acknowledge that this is the least likely area for significant negotiation concessions from the reinsurer panel. The nuclear exclusion is deeply embedded in market practice, and Pinnacle Re is unlikely to accept material modifications. We recommend reserving negotiating capital for the cyber and terrorism exclusions, where Quorum's positions are more commercially critical and more consistent with prevailing market
4. Confirm that NMA 1975a as proposed is the current version and has not been superseded
4. Confirm that NMA 1975a as proposed is the current version and has not been superseded by any subsequent revision. While NMA 1975a has not been materially revised in recent years, it is good practice to verify that the version referenced in the Treaty is the most current form published by the Lloyd's Market Association.
VI. Communicable Disease Exclusion — NMA 2962 Standard
⚑ Commercial term
VI. Communicable Disease Exclusion — NMA 2962 A. Description of NMA 2962 NMA 2962 is the standard Communicable Disease Exclusion, developed and promulgated in response to the COVID-19 pandemic. The clause excludes losses arising from communicable disease, epidemic, or pandemic, including business interruption losses, government-ordered closures, and property damage or loss of use attributable to communicable disease
1. Propose a clarifying preamble or interpretive note confirming that NMA 2962 is not int
1. Propose a clarifying preamble or interpretive note confirming that NMA 2962 is not intended to exclude natural-catastrophe losses covered under the Treaty merely because a communicable disease or pandemic condition exists at the time of the loss or during the period of loss adjustment. The preamble should state affirmatively that the exclusion is intended to apply to losses caused by communicable disease, not to l
2. Include proximate-cause limitation language within the interpretive note or as an adde
2. Include proximate-cause limitation language within the interpretive note or as an addendum to the standard NMA 2962 form. The limitation should provide that the exclusion applies only when communicable disease is the proximate cause or a dominant proximate cause of the loss, and not when communicable disease is merely a contributing, concurrent, or remote cause. This limitation is consistent with New York's genera
3. This is a lower-priority negotiation item given the remote likelihood of meaningful in
3. This is a lower-priority negotiation item given the remote likelihood of meaningful interaction between the communicable disease exclusion and natural-catastrophe losses in practice. We recommend accepting the standard NMA 2962 with the clarifying preamble if Pinnacle Re resists substantive changes to the exclusion language. Negotiating capital should be reserved for the cyber and terrorism exclusions, where the c
VII. Cross-Exclusion Interaction and Priority Framework
VII. Cross-Exclusion Interaction and Priority Framework A. Overlapping Exclusion Scenarios A critical issue that transcends the individual exclusion-clause analyses set forth above is the interaction between and among the four exclusion clauses when multiple exclusions could apply simultaneously to a single loss or occurrence. The followin