Member Companies of FPIC Insurance Group, Inc.
including
First Professionals Insurance Company, Inc.
Jacksonville, Florida
Anesthesiologists’ Professional Assurance Company
Coral Gables, Florida
and
Intermed Insurance Company
St. Louis, Missouri
Interests and Liabilities Agreement
of
ACE Property & Casualty Insurance Company
Philadelphia, Pennsylvania
by
ACE Tempest Re USA, Inc.
Stamford, Connecticut
(hereinafter referred to as the “Subscribing Reinsurer”)
with respect to the
Medical Professional Liability Excess of Loss
Reinsurance Contract
Effective: January 1, 2004
issued to and duly executed by
Member Companies of FPIC Insurance Group, Inc.
including
First Professionals Insurance Company, Inc.
Jacksonville, Florida
Anesthesiologists’ Professional Assurance Company
Coral Gables, Florida
and
Intermed Insurance Company
St. Louis, Missouri
TheSubscribing Reinsurer hereby accepts a 7.5% share in the interests and liabilities of the “Reinsurer” as set forth in the attached Contract captioned above.
This Agreement shall become effective on January 1, 2004, and shall continue in force until terminated in accordance with the provisions of the attached Contract.
TheSubscribing Reinsurer’s share in the attached Contract shall be separate and apart from the shares of the other reinsurers, and shall not be joint with the shares of the other reinsurers, it being understood that theSubscribing Reinsurer shall in no event participate in the interests and liabilities of the other reinsurers.
In Witness Whereof, theSubscribing Reinsurer by its duly authorized representative has executed this Agreement as of the date undermentioned at:
Stamford, Connecticut, this 8th day of April in the year 2004.
| /s/ David C. Riek |
|
|
| ACE Tempest Re USA, Inc. |
| (for and on behalf of ACE Property & Casualty Insurance Company) |
Interests and Liabilities Agreement
of
Hannover Ruckversicherungs-Aktiengesellschaft
Hannover, Germany
(hereinafter referred to as the “Subscribing Reinsurer”)
with respect to the
Medical Professional Liability Excess of Loss
Reinsurance Contract
Effective: January 1, 2004
issued to and duly executed by
Member Companies of FPIC Insurance Group, Inc.
including
First Professionals Insurance Company, Inc.
Jacksonville, Florida
Anesthesiologists’ Professional Assurance Company
Coral Gables, Florida
and
Intermed Insurance Company
St. Louis, Missouri
TheSubscribing Reinsurer hereby accepts a 30.0% share in the interests and liabilities of the “Reinsurer” as set forth in the attached Contract captioned above.
This Agreement shall become effective on January 1, 2004, and shall continue in force until terminated in accordance with the provisions of the attached Contract.
TheSubscribing Reinsurer’s share in the attached Contract shall be separate and apart from the shares of the other reinsurers, and shall not be joint with the shares of the other reinsurers, it being understood that theSubscribing Reinsurer shall in no event participate in the interests and liabilities of the other reinsurers.
In Witness Whereof, theSubscribing Reinsurer by its duly authorized representative has executed this Agreement as of the date undermentioned at:
Hannover, Germany, this _______ day of _________________________ in the year ____________.
|
|
| Hannover Ruckversicherungs-Aktiengesellschaft |
Interests and Liabilities Agreement
of
Partner Reinsurance Company of the U.S.
New York, New York
(hereinafter referred to as the “Subscribing Reinsurer”)
with respect to the
Medical Professional Liability Excess of Loss
Reinsurance Contract
Effective: January 1, 2004
issued to and duly executed by
Member Companies of FPIC Insurance Group, Inc.
including
First Professionals Insurance Company, Inc.
Jacksonville, Florida
Anesthesiologists’ Professional Assurance Company
Coral Gables, Florida
and
Intermed Insurance Company
St. Louis, Missouri
TheSubscribing Reinsurer hereby accepts a 15.0% share in the interests and liabilities of the “Reinsurer” as set forth in the attached Contract captioned above.
This Agreement shall become effective on January 1, 2004, and shall continue in force until terminated in accordance with the provisions of the attached Contract.
TheSubscribing Reinsurer’s share in the attached Contract shall be separate and apart from the shares of the other reinsurers, and shall not be joint with the shares of the other reinsurers, it being understood that theSubscribing Reinsurer shall in no event participate in the interests and liabilities of the other reinsurers.
In Witness Whereof, theSubscribing Reinsurer by its duly authorized representative has executed this Agreement as of the date undermentioned at:
Greenwich, Connecticut, this 23rd day of April in the year 2004.
| /s/ Giuseppe A. Ruggieri |
|
|
| Partner Reinsurance Company of the U.S. |
Interests and Liabilities Agreement
of
Transatlantic Reinsurance Company
New York, New York
(hereinafter referred to as the “Subscribing Reinsurer”)
with respect to the
Medical Professional Liability Excess of Loss
Reinsurance Contract
Effective: January 1, 2004
issued to and duly executed by
Member Companies of FPIC Insurance Group, Inc.
including
First Professionals Insurance Company, Inc.
Jacksonville, Florida
Anesthesiologists’ Professional Assurance Company
Coral Gables, Florida
and
Intermed Insurance Company
St. Louis, Missouri
TheSubscribing Reinsurer hereby accepts a 20.5% share in the interests and liabilities of the “Reinsurer” as set forth in the attached Contract captioned above.
This Agreement shall become effective on January 1, 2004, and shall continue in force until terminated in accordance with the provisions of the attached Contract.
TheSubscribing Reinsurer’s share in the attached Contract shall be separate and apart from the shares of the other reinsurers, and shall not be joint with the shares of the other reinsurers, it being understood that theSubscribing Reinsurer shall in no event participate in the interests and liabilities of the other reinsurers.
In Witness Whereof, theSubscribing Reinsurer by its duly authorized representative has executed this Agreement as of the date undermentioned at:
New York, New York, this 24th day of May in the year 2004.
| /s/ Niick Tzaneteas |
|
|
| Transatlantic Reinsurance Company |
Interests and Liabilities Agreement
of
Certain Underwriting Members of Lloyd’s
shown in the Signing Schedule attached hereto
(hereinafter referred to as the “Subscribing Reinsurer”)
with respect to the
Medical Professional Liability Excess of Loss
Reinsurance Contract
Effective: January 1, 2004
issued to and duly executed by
Member Companies of FPIC Insurance Group, Inc.
including
First Professionals Insurance Company, Inc.
Jacksonville, Florida
Anesthesiologists’ Professional Assurance Company
Coral Gables, Florida
and
Intermed Insurance Company
St. Louis, Missouri
TheSubscribing Reinsurer hereby accepts a 12.0% share in the interests and liabilities of the “Reinsurer” as set forth in the attached Contract captioned above.
This Agreement shall become effective on January 1, 2004, and shall continue in force until terminated in accordance with the provisions of the attached Contract.
TheSubscribing Reinsurer’s share in the attached Contract shall be separate and apart from the shares of the other reinsurers, and shall not be joint with the shares of the other reinsurers, it being understood that theSubscribing Reinsurer shall in no event participate in the interests and liabilities of the other reinsurers.
Signed for and on behalf of theSubscribing Reinsurer in the Signing Schedule attached hereto.
Now Know Ye that We the Underwriters, Members of the Syndicates whose definitive numbers in the after-mentioned List of Underwriting Members of Lloyd’s are set out in the attached Table, hereby bind ourselves each for his own part and not one for another, our Executors and Administrators, and in respect of his due proportion only, to pay or make good to the Assured or to the Assured’s Executors or Administrators or to indemnify him or them against all such loss, damage or liability as herein provided, such payment to be made after such loss, damage or liability is proved and the due proportion for which each of us, the Underwriters, is liable shall be ascertained by reference to his share, as shown in the said List, of the Amount, Percentage or Proportion of the total sum insured hereunder which is in the Table set opposite the definitive number of the Syndicate of which such Underwriter is a Member AND FURTHER THAT the List of Underwriting Members of Lloyd’s referred to above shows their respective Syndicates and Shares therein, is deemed to be incorporated in and to form part of this policy, bears the number specified in the attached Table and is available for inspection at Lloyd’s Policy Signing Office by the Assured or his or their representatives and a true copy of the material parts of the said List certified by the General Manager of Lloyd’s Policy Signing Office will be furnished to the Assured on application.
In Witness whereof the General Manager of Lloyd’s Policy Signing Office has subscribed his name on behalf of each of us.
(NM) | LLOYD’S POLICY SIGNING OFFICE, |
| |
| /s/ Peter George |
| |
| General Manager |
Definitive Numbers of Syndicates and Amount,
Percentage
or Proportion of the Total Sum insured hereunder
shared
BUREAU REFERENCE | 61656 08/06/04 | BROKER NUMBER 1108 |
| | |
PROPORTION % | SYNDICATE | UNDERWRITER’S REFERENCE |
| | |
7.00 | 435 | 83667600 |
5.00 | 2488 | BBCM54JE4330 |
| | |
TOTAL LINE | No. OF SYNDICATES | |
12.00 | 2 | |
THE LIST OF UNDERWRITING MEMBERS
OF LLOYDS IS IN RESPECT OF 2004
YEAR OF ACCOUNT
Now Know Ye that We the Underwriters, Members of the Syndicates whose definitive numbers in the after-mentioned List of Underwriting Members of Lloyd’s are set out in the attached Table, hereby bind ourselves each for his own part and not one for another, our Executors and Administrators, and in respect of his due proportion only, to pay or make good to the Assured or to the Assured’s Executors or Administrators or to indemnify him or them against all such loss, damage or liability as herein provided, such payment to be made after such loss, damage or liability is proved and the due proportion for which each of us, the Underwriters, is liable shall be ascertained by reference to his share, as shown in the said List, of the Amount, Percentage or Proportion of the total sum insured hereunder which is in the Table set opposite the definitive number of the Syndicate of which such Underwriter is a Member AND FURTHER THAT the List of Underwriting Members of Lloyd’s referred to above shows their respective Syndicates and Shares therein, is deemed to be incorporated in and to form part of this policy, bears the number specified in the attached Table and is available for inspection at Lloyd’s Policy Signing Office by the Assured or his or their representatives and a true copy of the material parts of the said List certified by the General Manager of Lloyd’s Policy Signing Office will be furnished to the Assured on application.
In Witness whereof the General Manager of Lloyd’s Policy Signing Office has subscribed his name on behalf of each of us.
(NM) | LLOYD’S POLICY SIGNING OFFICE, |
| |
| /s/ Peter George |
| |
| |
| General Manager |
Definitive Numbers of Syndicates and Amount,
Percentage
or Proportion of the Total Sum insured hereunder
shared
BUREAU REFERENCE | 61656 08/06/04 | BROKER NUMBER 1108 |
| | |
PROPORTION % | SYNDICATE | UNDERWRITER’S REFERENCE |
| | |
| | |
7.00 | 435 | 83667600 |
5.00 | 2488 | BBCM54JE4330 |
| | |
TOTAL LINE | No. OF SYNDICATES | |
12.00 | 2 | |
THE LIST OF UNDERWRITING MEMBERS
OF LLOYDS IS IN RESPECT OF 2004
YEAR OF ACCOUNT
Interests and Liabilities Agreement
of
Certain Insurance Companies
shown in the Signing Schedule(s) attached hereto
(hereinafter referred to as the “Subscribing Reinsurer”)
with respect to the
Medical Professional Liability Excess of Loss
Reinsurance Contract
Effective: January 1, 2004
issued to and duly executed by
Member Companies of FPIC Insurance Group, Inc.
including
First Professionals Insurance Company, Inc.
Jacksonville, Florida
Anesthesiologists’ Professional Assurance Company
Coral Gables, Florida
and
Intermed Insurance Company
St. Louis, Missouri
TheSubscribing Reinsurer hereby accepts a 15.0% share in the interests and liabilities of the “Reinsurer” as set forth in the attached Contract captioned above.
This Agreement shall become effective on January 1, 2004, and shall continue in force until terminated in accordance with the provisions of the attached Contract.
TheSubscribing Reinsurer’s share in the attached Contract shall be separate and apart from the shares of the other reinsurers, and shall not be joint with the shares of the other reinsurers, it being understood that theSubscribing Reinsurer shall in no event participate in the interests and liabilities of the other reinsurers.
Signed for and on behalf of theSubscribing Reinsurer in the Signing Schedule(s) attached hereto.
BUREAU REFERENCE | 0403190001483 |
| | |
PROPORTION | CODE | MEMBER COMPANY AND REFERENCE |
| | |
% | | |
| | |
7.5000000 | W4006 | WELLINGTON REINSURANCE LIMITED |
| | NOW KNOWN AS ASPEN INSURANCE UK LIMITED UW702622FOX |
7.5000000 | R4003 | ALEA LONDON LIMITED |
| | AFXEX0114713 |
| | |
15.000000% TOTAL | | |
the Reinsurers, hereby severally agree to reinsure the Reinsured in the manner and proportions set forth in this reinsurance contract.
The subscribing Reinsurers’ obligations under this contract are several and not joint and are limited solely to the extent of their individual signed subscriptions. The subscribing Reinsurers are not responsible for the subscription of any co-subscribing Reinsurer who for any reason does not satisfy all or part of its obligations.
In witness whereof the name of the Managing Director of Ins-sure Services Limited is subscribed on behalf of each of the Reinsurers in accordance with the provisions of the Services Agreement that each of the Reinsurers has with London Processing Centre Limited (a wholly owned subsidiary of Ins-sure Services Limited).
/s/ David Andrews | Managing Director | |
| | |
This wording is not valid unless it bears the signature of the Managing Director of Ins-sure Services Limited. |
BUREAU REFERENCE | 0406080001174 |
| | |
PROPORTION | CODE | MEMBER COMPANY AND REFERENCE |
| | |
% | | |
| | |
7.5000000 | W4006 | WELLINGTON REINSURANCE LIMITED |
| | NOW KNOWN AS ASPEN INSURANCE UK LIMITED UW702623DOX |
7.5000000 | R4003 | ALEA LONDON LIMITED |
| | AFXEX0114714 |
| | |
15.000000% TOTAL | | |
The subscribing Reinsurers’ obligations under this contract are several and not joint and are limited solely to the extent of their individual signed subscriptions. The subscribing Reinsurers are not responsible for the subscription of any co-subscribing Reinsurer who for any reason does not satisfy all or part of its obligations.
In witness whereof the name of the Managing Director of Ins-sure Services Limited is subscribed on behalf of each of the Reinsurers in accordance with the provisions of the Services Agreement that each of the Reinsurers has with London Processing Centre Limited (a wholly owned subsidiary of Ins-sure Services Limited).
/s/ David Andrews | Managing Director | |
| | |
This wording is not valid unless it bears the signature of the Managing Director of Ins-sure Services Limited. |