CEDING COMPANY Treaty ID CBM09
REINSURER Reference: TBA
AUTOMATIC AND FACULTATIVE YEARLY RENEWABLE TERM AGREEMENT
(hereinafter called the AGREEMENT)
between
PACIFIC LIFE INSURANCE COMPANY
Omaha, Nebraska
NAIC Number 67466
FEIN 951079000
(hereafter called the “CEDING COMPANY”)
and
GENERALI USA LIFE REASSURANCE COMPANY
Kansas City, Missouri
NAIC Number 97071
FEIN 133126819
(hereinafter called the REINSURER)
This AGREEMENT is Effective December 1, 2008
Table of Contents
Article |
| Article Description |
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I |
| Automatic Coverage |
| 4 |
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II |
| Facultative Reinsurance |
| 6 |
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III |
| Premiums |
| 7 |
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IV |
| Administration |
| 8 |
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V |
| Reserves |
| 10 |
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VI |
| DAC Tax Regulations |
| 11 |
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VII |
| Errors and Omissions |
| 12 |
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VIII |
| Expense of Original Policy |
| 13 |
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IX |
| Changes in Retention and Recapture Privileges |
| 14 |
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X |
| Terminations and Reductions |
| 15 |
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XI |
| Policy Changes, Lapses, Reinstatements, Exchanges, Extended Term, Reduced Paid-Up Insurance and Policy Split Options |
| 16 |
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XII |
| Liability |
| 19 |
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XIII |
| Claims |
| 20 |
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XIV |
| Dispute Resolution and Arbitration |
| 21 |
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XV |
| Insolvency |
| 23 |
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XVI |
| Right to Inspect |
| 25 |
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XVII |
| Duration of AGREEMENT |
| 26 |
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XVIII |
| Increasing Net Amount at Risk Policies and Riders |
| 27 |
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XIX |
| Temporary Insurance Agreement |
| 29 |
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XX |
| Offset |
| 30 |
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XXI |
| Confidentiality |
| 31 |
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XXII |
| General Provisions |
| 32 |
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XXIII |
| Parties to the AGREEMENT |
| 34 |
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XXIV |
| Execution of AGREEMENT |
| 35 |
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| Exhibit |
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| A | Limits of Retention |
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| B | Basis of Reinsurance and Policy Plans Reinsured |
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| C | Premiums |
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| C-1 | Rate Tables - Single Life |
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| C-2 | Rate Tables - Joint Life |
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| C-3 | Rate Tables - Magnastar |
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| C-4 | Joint Last Survivor Mortality Calculation |
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| D | Limits |
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| E | Statement Specifications |
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| F | Sample Policy Exhibit |
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| G | Temporary Insurance Agreement |
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| H | International Risk Guidelines |
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IT IS HEREBY MUTUALLY AGREED BY THE PARTIES HERETO that reinsurance required by the CEDING COMPANY will be assumed by the REINSURER as described in the terms of this AGREEMENT.
This reinsurance AGREEMENT constitutes the entire AGREEMENT between the parties with respect to the business being reinsured hereunder and there are no understandings between the parties other than as expressed in this AGREEMENT.
Any change or modification to this AGREEMENT is null and void unless made by amendment to this AGREEMENT and signed by both parties.
Article I
Automatic Coverage
A. Reinsurance hereunder will be ceded automatically by the CEDING COMPANY on an excess of retention basis as shown in Exhibits A, B and D, and will be reported to the REINSURER according to the terms in Exhibit E.
B. Beginning for policies applied for on and after December 1, 2008 (the “Coverage Commencement Date”) and continuing until this AGREEMENT is terminated, the CEDING COMPANY may cede and the REINSURER will automatically accept reinsurance, if all of the following conditions are met for each life:
1. The CEDING COMPANY has retained its maximum limit of retention as shown in Exhibit A.
2. The Policy Plans reinsured are shown in Exhibit B.
3. The total ultimate amount of reinsurance, including contractual increases and the amount already reinsured on that life by the CEDING COMPANY under this AGREEMENT and all others with the REINSURER does not exceed the Automatic Binding Limits as shown in Exhibit D. The CEDING COMPANY underwrites to the full face amount at issue, and projects a total ultimate amount including increases at the policy’s inception. The CEDING COMPANY then reinsures the excess portion based upon that projection.
4. If at the time of application and after having underwritten the life consistent with its underwriting practices and procedures, the Ceding Company determines that the sum of the total amount of insurance already in force and applied for on that life, including the ultimate amounts of any Pacific Life or Pacific Life and Annuity insurance policy, and including any amounts to be replaced as stated on a signed Part I of any Pacific Life application or signed amendment, does not exceed the Jumbo Limits as shown in Exhibit D. For the avoidance of doubt, any policy ceded that, based on the foregoing, does not breach the Jumbo Limit at the time of cession will be reinsured fully under this Agreement regardless of any future amounts of coverage placed in force on that life.
a. Limited Coverage. If a policy is ceded automatically under this Agreement based on the Ceding Company’s determination above, and at the time of issuance, such policy results in a breach of the Jumbo Limits specified in Exhibit D the Reinsurer will provide reinsurance coverage on a “facultative obligatory” basis (i.e., coverage in the amount of Reinsurer’s retention remaining after deduction for the ultimate amount of other coverage for the applicant life determined as of the date the reinsurer is notified of the break). Further, the Reinsurer will undertake commercially reasonable efforts to procure additional amounts of reinsurance coverage sufficient to meet the amount applied for.
5. The CEDING COMPANY has not made facultative application on the current life to any reinsurer within the last five (5) years unless the reason for prior facultative submission was solely for capacity that may now be accommodated within the terms of this AGREEMENT.
6. The risk is a permanent resident of the United States, Canada, Puerto Rico or Guam.
7. The risk is underwritten in material compliance with the underwriting guidelines and policies that have been adopted by the CEDING COMPANY and are in use on the Coverage Commencement Date (the “Underwriting Guidelines”). Material changes to the Underwriting Guidelines must be approved in writing by the REINSURER prior to being used to underwrite eligible risks.
Article I
Automatic Coverage, continued
8. The application is not on the life of an individual who is a member of the National Football League (NFL), National Basketball Association (NBA), Major League Baseball (MLB) or National Hockey League (NHL).
9. The REINSURER acknowledges that foreign travel policy application questions may not be used if prohibited by law.
10. The REINSURER has been supplied with the underwriting guidelines, preferred class and senior assessment documents. The CEDING COMPANY will promptly notify the REINSURER in advance of any proposed material changes to its underwriting guidelines, preferred class and senior assessment documents affecting business applicable to this AGREEMENT.
Article II
Facultative Reinsurance
A. The CEDING COMPANY will have the option to submit any Policy Plans case facultatively which it does not wish to cede automatically or which it may not cede automatically under the provisions of Article I.
B. The CEDING COMPANY will send copies of the original applications, all medical reports, inspection reports, attending physician’s statement and any additional information pertinent to the insurability of the risk.
C. The CEDING COMPANY will also notify the REINSURER of any underwriting information requested or received after the initial request for reinsurance is made. For policies which contain automatic increase provisions, the CEDING COMPANY will inform the REINSURER of the highest risk amount for which reinsurance is being requested.
D. On a timely basis, the REINSURER will submit a written decision. In no case will the REINSURER’s offer on facultative submissions be open after 120 days have elapsed from the date of the REINSURER’s offer to participate in the risk. Acceptance of the offer and delivery of the policy according to the rules of the CEDING COMPANY must occur within 120 days of the final reinsurance offer. Unless the REINSURER explicitly states in writing that the final offer is extended, the offer will be automatically withdrawn at the end of day 120.
E. The REINSURER will not be liable for proceeds paid under the CEDING COMPANY’s conditional receipt or temporary insurance agreement for risks submitted on a facultative basis except as provided in Article XIX.
F. The Policy Plans reinsured are shown in Exhibit B.
G. The reinsurance rates for facultative business will be the same as for automatic business.
Article III
Premiums
A. Plans of insurance listed in Exhibit B will be reinsured on the yearly renewable term basis with the REINSURER participating only in mortality risks (not cash values, loans, dividends or other features specific to permanent policies). The mortality risk shall be the net amount at risk (“NAR”) on that portion of the policy which is reinsured with the REINSURER.
B. Premiums for Life Reinsurance and reinsurance of Supplemental Benefits will be based on the rates and allowances described in Exhibit C.
C. Premiums will be increased by any flat extra premium charged the insured on the face amount initially reinsured described in Exhibit C.
D. There will be no premium tax reimbursement.
The reinsurance rates shown in Exhibit C are guaranteed for one year and the REINSURER anticipates continuing to accept premiums on the basis of these rates indefinitely. In subsequent years, the REINSURER reserves the right to increase such rates provided, however, that:
(i) The reinsurance rates may not be increased above the statutory net valuation premium applicable to the reinsured policies after such increase,
(ii) The reinsurance rates may, at the REINSURER’s option, be increased to the extent required to ensure that the REINSURER will participate in its share of any increases in premium rates, costs, charges or fees as implemented by the CEDING COMPANY with respect to the reinsured policies.
If the REINSURER exercises its right to increase reinsurance rates under this AGREEMENT in an amount greater than that required to ensure that the REINSURER will participate in its share of any increases in premium rates, costs, charges or fees as implemented by the CEDING COMPANY for the reinsured policies, the CEDING COMPANY may recapture all of the reinsured policies on which reinsurance rates have been increased regardless of the reinsured policies’ duration in force. If the CEDING COMPANY elects to recapture under this provision, unearned premiums, net of any outstanding balances, will be paid by the party with the positive balance, all determined as of the effective date of the recapture.
E. Reinsurance premiums are due as long as reinsurance is in force.
Article IV
Administration
A. The CEDING COMPANY will administer the records for the reinsurance ceded to the REINSURER under this AGREEMENT. The CEDING COMPANY will furnish monthly statements to the REINSURER which contain the following information:
1. A list of all premiums due for the current month, identifying each policy and explaining the reasons for each premium payment.
2. Premium subtotals adequate for the REINSURER to use for its premium accounting including first year, renewal year, automatic and facultative totals.
3. A list of new business, terminations and changes for the current month. For new business and changes, the CEDING COMPANY must identify the reinsurance agreement and provide information adequate for the REINSURER to establish reserves, check retention limits and check premium calculations.
4. Totals for in force, new business, changes and each type of termination, as of the end of the month. “Totals” refer to the number of policies reinsured and the net amount at risk reinsured. For bordereau business see sample Policy Exhibit in Exhibit F.
In addition, the CEDING COMPANY must provide the REINSURER with an in force listing of reinsured business at least once a year. This in force listing must contain information adequate for the REINSURER to audit its in force records. See Exhibit E.
B. If the CEDING COMPANY chooses to report its reinsurance transactions via electronic media, the CEDING COMPANY shall consult with the REINSURER to determine the appropriate reporting format. Should the CEDING COMPANY subsequently desire to make changes in the data format or the code structure, the CEDING COMPANY shall communicate such changes to the REINSURER prior to the use of such changes in reports to the REINSURER.
C. The monthly statements shall be furnished to the REINSURER within thirty days following the close of each month and will be accompanied by payment of any net amount due the REINSURER. All premiums not paid within thirty (30) days of the due date, defined as each policy’s 12-month anniversary, will be in default.
D. Premium for new business, terminations and changes are due at the end of the month in which the transaction occurs and cover the period from the transaction date to the end of the calendar quarter. Continuing premium is due for a calendar quarter period at the end of the first month of the calendar quarter except for any policy having its anniversary within that calendar quarter. Continuing premium for such policies is payable in two segments. Premium from the beginning of the calendar quarter to the policy anniversary is due at the end of the first month of the calendar quarter. Premium from the policy anniversary to the end of the calendar quarter is due at the end of the anniversary month. The quarterly premium is based on the annual premium divided by 4.
E. The REINSURER reserves the right to charge interest at the Prime Rate plus 2% as stated in the Wall Street Journal on the 1st business day in January prior to the due date of the premium when:
1. Renewal premiums are not paid within sixty (60) days of the due date.
2. Premiums for new business are not paid within one hundred twenty (120) days of the date the policy is issued.
Article IV
Administration, continued
F. The REINSURER will have the right to terminate this AGREEMENT when premiums are in default by giving ninety (90) days written notice of termination to the CEDING COMPANY. As of the close of the last day of this ninety (90) day notice period, the REINSURER’s liability for all risks reinsured under this AGREEMENT will terminate. The first day of the ninety (90) day notice of termination, resulting from default as described in Section C of this Article, will be the day the notice is received in the mail by the CEDING COMPANY or if the mail is not used, the day it is delivered to the CEDING COMPANY. If all premiums in default are received within the ninety (90) day time period, the AGREEMENT will remain in effect.
G. The CEDING COMPANY will not force termination under the provisions of this Article solely to avoid the provisions regarding recapture in Article IX, nor to transfer the reinsured policies to another Reinsurer.
H. All payments and reporting by both parties under this Agreement will be made in United States dollars.
Article V
Reserves
A. The CEDING COMPANY agrees to post on its books any deficiency reserves on the coverage reinsured under this AGREEMENT.
B. Credit for Reserves: The parties intend that the CEDING COMPANY will receive statutory reserve credit in its state of domicile for reinsurance provided under this AGREEMENT. The parties agree to use reasonable efforts to ensure that such reserve credit will remain available to the CEDING COMPANY.
Article VI
DAC Tax Regulations
The CEDING COMPANY and the REINSURER hereby agree to the following pursuant to Section 1.848-2(g)(8) of the Income Tax Regulations issued December 29, 1992, under Section 848 of the Internal Revenue Code of 1986, as amended.
1. The term “party” will refer to either the CEDING COMPANY or the REINSURER as appropriate.
2. The terms used in this Article are defined by reference to Treasury Regulation Section 1.848-2 in effect as of December 29, 1992. The term “net consideration” will refer to net consideration as defined in Treasury Regulation Section 1.848-2(f).
3. The party with the net positive consideration for this AGREEMENT for each taxable year will capitalize specified policy acquisition expenses with respect to this AGREEMENT without regard to the general deductions limitation of Internal Revenue Service (“IRS”) Section 848(c)(1).
4. The CEDING COMPANY and the REINSURER agree to exchange information pertaining to the amount of net consideration under this AGREEMENT each year to ensure consistency. The CEDING COMPANY and the REINSURER also agree to exchange information which may be otherwise required by the IRS.
5. The CEDING COMPANY will submit a schedule to the REINSURER by June 1 of each year of its calculation of the net consideration for the preceding calendar year. This schedule of calculations will be accompanied by a statement signed by an officer of the CEDING COMPANY stating that the CEDING COMPANY will report such net consideration in its tax return for the preceding calendar year.
6. The REINSURER may contest such calculation by providing an alternative calculation to the CEDING COMPANY in writing. If the REINSURER does not so notify the CEDING COMPANY, the REINSURER will report the net consideration as determined by the CEDING COMPANY in the REINSURER’s tax return for the previous calendar year.
7. If the REINSURER contests the CEDING COMPANY’s calculation of the net consideration, the parties will act in good faith to reach an agreement as to the correct amount. If the CEDING COMPANY and the REINSURER reach agreement on an amount of net consideration, each party shall report such amount in their respective tax returns for the previous calendar year. If the CEDING COMPANY and the REINSURER fail to reach agreement on an amount of net consideration, each party may choose to report their own determination of net consideration on their respective tax returns.
Article VII
Errors and Omissions
A. Definition. For purposes of this Article, an “Error” (or collectively “Errors”) refers to the situation where a party through an unintentional error, oversight, omission, or misunderstanding fails to comply with the terms of this AGREEMENT applicable to the administration of the AGREEMENT.
The following are not considered Errors for purposes of this AGREEMENT:
1. Issues arising out of the application of the underwriting guidelines or use of automatic binding privileges.
2. Grossly negligent, deliberate acts or repetitive errors (i.e., those that a party has become aware of and which then occur again).
B. Notice. Upon discovery of the Error by a party, it shall promptly notify the other party, providing as much detail as is available about the circumstances. Additionally, the notifying party shall propose a resolution to the Error which shall include steps that will be taken to avoid similar errors in the future.
C. Correction. The goal of any proposed resolution is to restore the other party to a position it would have occupied if the Error had not occurred, including the payment of interest.
1. If the injured party does not accept the proposed resolution, the parties will engage in the Dispute Resolution activity and attempt to agree on a resolution to the situation in a manner that is fair, reasonable, and most closely approximates the intent of the parties as evidenced by this AGREEMENT.
Article VIII
Expense of Original Policy
The CEDING COMPANY will bear the expense of all medical examinations, inspection fees and other charges incurred in connection with the original policy.
Article IX
Changes in Retention and Recapture Privileges
A. If, at any time, the CEDING COMPANY changes its existing retention limits, as shown in Exhibit A, written notice of the change will promptly be given to the REINSURER.
B. The CEDING COMPANY may apply the new limits of retention to existing reinsurance and reduce and recapture reinsurance in force in accordance with the following rules:
1. The CEDING COMPANY will notify the REINSURER of its intent to recapture at least ninety (90) days prior to any recaptures.
2. No recapture will be made unless reinsurance has been in force ten (10) years.
3. Recapture will become effective on the policy anniversary date following notification of the CEDING COMPANY’s intent to recapture.
4. No recapture will be made unless the CEDING COMPANY retained its maximum limit of retention for the plan, age and mortality rating at the time the policy was issued as shown in Exhibits A and D. No recapture will be allowed in any class of fully reinsured business or in any classes of risks for which the CEDING COMPANY established special retention limits less than the CEDING COMPANY’s maximum retention limits for the plan, age and mortality rating at the time the policy was issued.
5. If any reinsurance is recaptured all reinsurance eligible for recapture under the provisions of this Article must be recaptured.
6. If there is reinsurance in other companies on risks eligible for recapture, the necessary reduction is to be applied to each company in proportion to the total outstanding reinsurance.
7. The CEDING COMPANY shall first recapture business that was ceded on an excess basis, then may recapture quota share business; however, the CEDING COMPANY must have retained its full retention at the time of issue on the quota share business.
C. The CEDING COMPANY reserves the right to recapture, in accordance with item E of Article III, Premiums, by giving 90 days’ notice in the event the REINSURER raises reinsurance premium rates. No recapture fee will be payable should this occur.
D. In the event of recapture, the REINSURER shall refund unearned premium less unearned allowances to the CEDING COMPANY. Any other amounts due and unpaid would also be paid on time.
Article X
Terminations and Reductions
Terminations or reductions will take place in accordance with the following rules, in order of priority:
1. The CEDING COMPANY must keep its initial or recaptured retention on the policy.
2. Termination or reduction of a wholly reinsured policy will not affect other reinsurance in force.
3. A termination or reduction on a wholly retained case will cause an equal reduction in existing automatic reinsurance with the oldest policy being reduced first.
4. A termination or reduction will be made first to reinsurance of partially reinsured policies with the oldest policy being reduced first.
5. If the policies are reinsured with multiple reinsurers, the reinsurance will be reduced by the ratio of the amount of reinsurance in each company to the total outstanding reinsurance on the risk involved.
Article XI
Policy Changes, Lapses, Reinstatements, Exchanges, Extended Term,
Reduced Paid-Up Insurance and Policy Split Options
A. Policy Changes
“Policy changes” refers to the variety of actions that may be made to a policy after issue. These actions include, but are not limited to, replacements, changes in plans or a change in the face amount of the policy. If there is a change to the reinsurance on a reinsured policy, the CEDING COMPANY will inform the REINSURER in the subsequent Changes and Terminations Report specified in Exhibit E.
Except as provided in this Article, whenever a reinsured policy is changed and the CEDING COMPANY’s underwriting guidelines do not require that full evidence of insurability be obtained, the reinsurance will remain in effect with the REINSURER whether the change is made before or after any cancellation of this AGREEMENT for new business. The duration will be measured from the effective date of the original reinsured policy. The reinsurance rates will continue point-in-scale.
Whenever a reinsured policy is changed and the CEDING COMPANY’s underwriting guidelines require that full evidence of insurability be obtained, any increase or policy reissue that requires full evidence will be treated as new business and will be reinsured under the terms of the pool in place at the time for new business.
Policy changes to reinsured policies will be subject to the REINSURER’s prior written approval, if:
a) The new ultimate face amount of the policy would be in excess of the Automatic Binding Limits in effect at the time of the change, as set out in Exhibit D; or
b) The new ultimate face amount of the policy and the amount already in force in all companies on the same life exceeds the Jumbo Limits stated in Exhibit D; or
c) The policy was reinsured on a facultative basis; or
d) First year premium rates and allowances (if applicable) as specified in Exhibit C will apply to the amount underwritten for a non-contractual increase; or
e) Evidence of insurability is not obtained if required in the CEDING COMPANY’s underwriting guidelines.
B. Lapses
When a policy issued by the CEDING COMPANY lapses, the corresponding reinsurance on the reinsured policy will be terminated effective the same date. Unless specified otherwise in this AGREEMENT, if a policy fully retained by the CEDING COMPANY lapses, the terms of Article X will apply.
If a policy issued by the CEDING COMPANY lapses and extended term insurance is elected under the terms of that policy, the corresponding reinsurance on the reinsured policy will continue on the same basis as the original reinsured policy until the expiry of the extended term period.
If a policy issued by the CEDING COMPANY lapses and reduced paid-up insurance is elected under the terms of that policy, the amount of the corresponding reinsurance on the reinsured policy will be reduced according to the terms of Article X.
If the CEDING COMPANY allows the policy to remain in force under its automatic premium loan regulations, the corresponding reinsurance on the reinsured policy will continue unchanged and in force as long as such regulations remain in effect, except as otherwise provided in this AGREEMENT.
Article XI
Policy Changes, Lapses, Reinstatements, Exchanges, Extended Term,
Reduced Paid-Up Insurance and Policy Split Options, continued
C. Reinstatements
Any policy originally reinsured in accordance with the terms and conditions of this AGREEMENT by the CEDING COMPANY may be automatically reinstated with the REINSURER as long as the policy is reinstated in accordance with the terms and rules of the CEDING COMPANY. The CEDING COMPANY shall notify the REINSURER in advance of making any material changes to its reinstatement terms and rules. Any policy originally reinsured with the REINSURER on a facultative basis which has been in a lapsed status for more than ninety (90) days must be submitted with underwriting requirements and approved by the REINSURER before it is reinstated. The CEDING COMPANY will pay the REINSURER its share of amounts collected or charged for the reinstatement of such policies.
D. Exchanges (Contractual and Non-Contractual)
Exchanges will be reinsured under this AGREEMENT only if the original policy was reinsured with the REINSURER; the amount of reinsurance under this AGREEMENT will not exceed the amount of the reinsurance on the original policy with the REINSURER immediately prior to the exchange. Premiums will be determined as follows:
1 If any business covered under this AGREEMENT is subsequently exchanged to any other plan reinsured by the REINSURER, then such business shall be reinsured at the rates as shown in the AGREEMENT covering the new plan. Rates and allowances or pay percentages applicable to the new plan will be determined at point in scale based on the original policy that is being exchanged. If the AGREEMENT including the new rates requires policy fees, then they shall also apply to the new plan.
2. If any business covered under this AGREEMENT is subsequently exchanged to a plan not reinsured by the REINSURER, then such business shall continue to be reinsured as if the exchange did not occur, provided that no new health evidence is obtained.
3. A policy resulting from an internal exchange or replacement will be underwritten by the CEDING COMPANY in accordance with its underwriting guidelines, standards and procedures for exchanges and replacements, subject to applicable state laws and regulations regarding suicide exclusions and contestability periods. If the CEDING COMPANY’s guidelines treat the policy as new business, then the reinsurance will also be considered new business. For purposes of this Article, new business is defined as those policies on which the CEDING COMPANY has obtained complete and current underwriting evidence on the full amount.
4. Regardless of the foregoing, the following types of exchanges will not be reinsured under this Agreement: single life plans into joint last survivor plan, or either single or joint last survivor permanent plans into a term plan.
E. Extended Term and Reduced Paid-Up Insurance
Changes as a result of extended term or reduced paid-up insurance will be handled like reductions.
F. Policy Split Option Riders
Split Option Rider (R94-PSO and R03-PSO): This rider provides owners of a joint life policy the option to split the policy into single life policies. The split requires underwriting approval and is subject to full evidence of insurability. The split may be unequal, but the sum of the face amounts of the new policies may not exceed the total face amount of the original joint life policy. The resulting single life policies will be treated like new business, ceded in accordance with and subject to the provisions for new business under this AGREEMENT. The CEDING COMPANY pays no reinsurance premium for the rider itself. Regular new business reinsurance premium will apply to the split policy.
Enhanced Policy Split Option Rider (R94-EPSO, R96-EPSO and R03-ESO): This rider provides owners of a JLS policy the option to split the policy into single life policies. Evidence of insurability is not required, but the split may be exercised only within 90 days following a change in the Federal Estate Tax Law, as defined in the rider policy form. The face amount of each new policy cannot exceed 50% of the original joint life policy.
Article XI
Policy Changes, Lapses, Reinstatements, Exchanges, Extended Term,
Reduced Paid-Up Insurance and Policy Split Options, continued
NOTE: An original date policy Reissue will not be treated as a continuation of the original policy. It will be treated as a new policy and the original policy will be treated as Not Taken. All premiums previously paid to the REINSURER for the original policy will be refunded to the CEDING COMPANY. All premiums will be due on the new policy from the original issue date of the old policy.
NOTE: Re-entry, e.g., wholesale replacement and similar programs are not covered under this Article. If Re-entry is applicable to this treaty, then it will be covered under the Premiums Exhibit.
Article XII
Liability
A. This is an AGREEMENT solely between the REINSURER and the CEDING COMPANY. In no instance will anyone other than the REINSURER or the CEDING COMPANY have any rights under this AGREEMENT, and the CEDING COMPANY will be and remain solely liable to any insured, policy owner, or beneficiary under any policy reinsured hereunder.
B. The liability for all automatic reinsurance as applicable to this AGREEMENT and accepted by the REINSURER under this AGREEMENT will commence simultaneously with that of the CEDING COMPANY.
C. The REINSURER will not be liable for proceeds paid under the CEDING COMPANY’s conditional receipt or temporary insurance agreement unless conditions for coverage under Article XIX, Temporary Insurance Agreement, of this AGREEMENT are met.
D. Liability for all reinsurance submitted facultatively to the REINSURER will commence when all of the following conditions have been met:
1. The REINSURER’s offer has been accepted and the CEDING COMPANY has properly documented its records to reflect this acceptance, and
2. The policy has been delivered and paid for in accordance with the CEDING COMPANY’s procedures, and
3. No more than one-hundred twenty (120) days have elapsed from the date of the REINSURER’s final offer unless the REINSURER explicitly states in writing that the final offer is extended for some further period of time.
E. The liability of the REINSURER for all reinsurance under this AGREEMENT will cease simultaneously with the liability of the CEDING COMPANY and will not exceed the CEDING COMPANY’s contractual liability under the terms of its policies.
Article XIII
Claims
A. Prompt notice of a claim must be given to the REINSURER. In every case of loss, copies of the proofs obtained by the CEDING COMPANY will be taken by the REINSURER as sufficient. Copies thereof, together with proof of the amount paid on such claim by the CEDING COMPANY will be furnished to the REINSURER when requesting its share of any claim for a policy with a net amount at risk of $500,000 or greater. The CEDING COMPANY will not routinely forward copies of the proofs obtained for claims for policies with a net amount at risk less than $500,000 unless the claim is contestable. The REINSURER may request, and the CEDING COMPANY will send documents on any claim reinsured under this AGREEMENT. The REINSURER shall pay its share of all payable claims, in accordance with the terms of this AGREEMENT, in a lump sum regardless of the settlement method. However, if the claim is contestable, all papers in connection with such claim, including all underwriting and investigation papers, must be submitted to the REINSURER.
B. The CEDING COMPANY will notify the REINSURER in writing of its intention to contest, compromise, or litigate a claim. Unless it declines to be a party to such action, the REINSURER will pay its share of any settlement up to the maximum that would have been payable under the specific policy had there been no controversy plus its share of specific expenses, except as specified below.
If the REINSURER declines to be a party to the contest, compromise, or litigation of a claim, it will pay its full share of the amount reinsured, as if there had been no contest, compromise, or litigation, and its proportionate share of covered expenses incurred to the date it notifies the CEDING COMPANY it declines to be a party.
In no event will the following categories of expenses or liabilities be reimbursed:
1. Routine investigative or administrative expenses;
2. Salaries of employees or other internal expenses of the CEDING COMPANY or the original issuing company;
3. Extra contractual damages, including punitive and exemplary damages;
4. Expenses incurred in connection with a dispute or contest arising out of conflicting or any other claims of entitlement to policy proceeds or benefits.
C. If the amount of insurance changes because of a misstatement of rate classification or age, the REINSURER’s share of reinsurance liability will change proportionately.
D. In the event the REINSURER does not receive notification of acceptance from the CEDING COMPANY prior to the death occurring, then the CEDING COMPANY will apply the tie breaker rule on facultative submissions as described below:
1. The risk will be ceded to the reinsurers with the best offers.
2. If reinsurers are tied with identical offers, the earlier offers will be ceded the risk.
E. If the CEDING COMPANY returns premium to the policy owner or beneficiary as a result of fraud or misrepresentation within the policy contestable period or suicide of the insured, the REINSURER will refund net reinsurance premiums received on that policy without interest to the CEDING COMPANY in lieu of any other form of reinsurance benefit payable under this AGREEMENT.
F. Claims recovery is based on the net amount at risk as of the date of death plus interest, if applicable, in proportion to interest paid the beneficiary(s) calculated at a daily rate. The applicable interest rate is determined by state law.
Article XIV
Dispute Resolution and Arbitration
A. It is the intention of the REINSURER and the CEDING COMPANY that the customs and practices of the insurance and reinsurance industry will be given full effect in the operation and interpretation of this AGREEMENT. The parties agree to act in all things with the highest good faith. If the REINSURER or the CEDING COMPANY cannot mutually resolve a dispute which arises out of or relates to this AGREEMENT, however, the dispute will be decided through dispute resolution, then arbitration. The arbitrators will base their decision on the terms and conditions of this AGREEMENT plus, as necessary, on the customs and practices of the insurance and reinsurance industry rather than solely on a strict interpretation of the applicable law; absent fraud or misconduct there will be no appeal from their decision, and any court having jurisdiction of the subject matter and the parties may reduce that decision to judgment.
B. Dispute Resolution: In the event of a dispute arising out of or relating to this Agreement, the parties agree to the following process of dispute resolution. Within fifteen (15) days after one party has first given the other party written notification of a specific dispute, each party will appoint a designated company officer to attempt to resolve the dispute. The officers will meet at a mutually agreeable location as soon as possible and as often as necessary, in order to gather and furnish the other with all appropriate and relevant information concerning the dispute. The officers will discuss the problem and will negotiate in good faith without the necessity of any formal arbitration proceedings. During the negotiation process, all reasonable requests made by one officer to the other for information will be honored. The designated officers will decide the specific format for such discussions.
If the officers cannot resolve the dispute within thirty (30) days of their first meeting, the dispute will be submitted to formal arbitration pursuant to Section C below, unless the parties agree in writing to extend the negotiation period for an additional thirty (30) days.
C. To initiate arbitration, either the CEDING COMPANY or the REINSURER will notify the other party by Certified Mail of its desire to arbitrate, stating the nature of its dispute and the remedy sought. The party to which the notice is sent will respond to the notification in writing within ten (10) days of its receipt.
D. There will be three arbitrators who will be current or former officers of life insurance or life reinsurance companies other than the contracting companies. Each of the contracting companies will appoint one of the arbitrators and these two arbitrators will select the third. If either party refuses or neglects to appoint an arbitrator within sixty (60) days, the other party may appoint the second arbitrator. If the two arbitrators do not agree on a third arbitrator within sixty (60) days of their appointment, each of the arbitrators will nominate three individuals. Each arbitrator will then decline two of the nominations presented by the other arbitrator. The third arbitrator will then be chosen from the remaining two nominations by drawing lots.
E. It is agreed that each of the three arbitrators should be impartial regarding the dispute and should resolve the dispute on the basis described in Section A of this Article. Therefore, at no time will either the CEDING COMPANY or the REINSURER contact or otherwise communicate with any person who is to be or has been designated as a candidate to serve as an arbitrator concerning the dispute, except upon the basis of jointly drafted communications provided by both the CEDING COMPANY and the REINSURER to inform the arbitrators of the nature and facts of the dispute. Likewise, any written or oral arguments provided to the arbitrators concerning the dispute will be coordinated with the other party and will be provided simultaneously to the other party or will take place in the presence of the other party. Further, at no time will any arbitrator be informed that the arbitrator has been named or chosen by one party or the other.
Article XIV
Dispute Resolution and Arbitration, continued
F. The arbitration hearing will be held at a location to be agreed upon by the parties on the date fixed by the arbitrators. In no event will this date be later than six (6) months after the appointment of the third arbitrator unless mutually agreed by the parties. As soon as possible, the arbitrators will establish pre-arbitration procedures as warranted by the facts and issues of the particular case. At least ten (10) days prior to the arbitration hearing, each party will provide the other party and the arbitrators with a detailed statement of the facts and arguments it will present at the arbitration hearing. The arbitrators may consider any relevant evidence; they will give the evidence such weight as they deem it entitled to after consideration of any objections raised concerning it. The party initiating the arbitration will have the burden of proving its case by a preponderance of the evidence. Each party may examine any witnesses who testify at the arbitration hearing.
G. Each party will bear the expense of its own arbitration activities, including its appointed arbitrator and any outside attorney and witness fees. The parties will jointly and equally bear the expense of the third arbitrator and other costs of the arbitration.
Article XV
Insolvency
A. A party to this AGREEMENT will be deemed “insolvent�� when it:
1. Applies for or consents to the appointment of a receiver, rehabilitator, conservator, liquidator or statutory successor (hereinafter referred to as the Authorized Representative) of its properties or assets; or
2. Is adjudicated as bankrupt or insolvent; or
3. Files or consents to the filing of a petition in bankruptcy, seeks reorganization or an arrangement with creditors or takes advantage of any bankruptcy, dissolution, liquidation, rehabilitation, conservation or similar law or statute; or
4. Becomes the subject of an order to rehabilitate or an order to liquidate as defined by the insurance code of the jurisdiction of the party’s domicile.
B. In the event of the insolvency of the CEDING COMPANY and the appointment of a conservator, liquidator, or statutory successor, the portion of any risk or obligation assumed by the REINSURER shall be payable to the conservator, liquidator, or statutory successor on the basis of claims allowed against the insolvent company by any court of competent jurisdiction or by any conservator, liquidator, or statutory successor of the company having authority to allow such claims, without diminution because of that insolvency, or because the conservator, liquidator, or statutory successor has failed to pay all or a portion of any claims. Payments by the REINSURER as set forth in this subdivision shall be made directly to the CEDING COMPANY or to its conservator, liquidator, or statutory successor. The REINSURER will be liable only for benefits reinsured as benefits become due under the terms of the reinsured policies and will not be or become liable for any amounts or reserves to be held by the CEDING COMPANY as to the reinsured policies or for any damages owed by the CEDING COMPANY as a result of issuance of any of the policies.
C. In the event of insolvency of the CEDING COMPANY, the conservator, liquidator, or statutory successor will immediately give written notice to the REINSURER of all pending claims against the CEDING COMPANY on any policies reinsured. While a claim is pending, the REINSURER may investigate and interpose, at its own expense, in the proceedings where the claim is adjudicated, any defense or defenses which it may deem available to the CEDING COMPANY or its conservator, liquidator or statutory successor. The expense incurred by the REINSURER will be chargeable, subject to court approval, against the CEDING COMPANY as part of the expense of liquidation to the extent of a proportionate share of the benefit which may accrue to the CEDING COMPANY solely as a result of the defense undertaken by the REINSURER. Where two or more reinsurers are participating in the same claim and a majority in interest elect to interpose a defense or defenses to any such claim, the expense will be apportioned in accordance with the terms of the reinsurance AGREEMENT as though such expense had been incurred by the CEDING COMPANY.
D. In the event of the insolvency of the REINSURER, the CEDING COMPANY may cancel this AGREEMENT for new business by promptly providing the REINSURER or its Authorized Representative with written notice of cancellation, to be effective as of the date on which the REINSURER’s insolvency is established by the authority responsible for such determination. Any requirement for a notification period prior to the cancellation of the AGREEMENT would not apply under such circumstances.
Article XV
Insolvency, continued
In addition, in the event of the insolvency of the REINSURER, the CEDING COMPANY may provide the REINSURER or its Authorized Representative with written notice of its intent to recapture all reinsurance in force under this AGREEMENT regardless of the duration the reinsurance has been in force or the amount retained by the CEDING COMPANY on the reinsured policies. The effective date of a recapture due to insolvency will be at the election of the CEDING COMPANY but may not be earlier than the date on which the REINSURER’s insolvency is established by the authority responsible for such determination. If the CEDING COMPANY elects to terminate reinsurance under this Article, unearned premiums, net of outstanding balances, will be paid by the party with the positive balance.
E. In the event of the insolvency of either party, the rights or remedies of this AGREEMENT will remain in full force and effect.
Article XVI
Right to Inspect
Either party, or their duly authorized representatives, will have the right to inspect the other party’s original papers, records, and all documents, whether written or electronic, relating to the business reinsured under this AGREEMENT including underwriting, claims, processing, and administration. Such access will be provided during regular business hours at the office of the inspected party. Assuming the inspecting party has continued to perform the undisputed portion of its obligations under this AGREEMENT, the inspected party may not withhold access to information and records on the grounds that the inspecting party is in breach.
The inspecting party’s right of access as specified above will survive until all of the inspecting party’s obligations under this AGREEMENT have terminated or been fully discharged.
Subject to the inspecting party’s written approval, the inspected party may share with a third party (or parties), results of the inspecting party’s underwriting, claims and administrative audits of the inspected party, except for those sections of the audit reports, or methodology employed that the inspecting party considers proprietary.
Article XVII
Duration of AGREEMENT
A. This AGREEMENT may be terminated as to new reinsurance at any time by either party giving ninety (90) days written notice of termination. The day the notice is mailed to the other party’s Home Office, or, if the mail is not used, the day it is delivered to the other party’s Home Office or to an Officer of the other party will be the first day of the ninety (90) day period.
B. During the ninety (90) day period, this AGREEMENT will continue to operate in accordance with its terms.
C. The REINSURER and the CEDING COMPANY will remain liable after termination, in accordance with the terms and conditions of this AGREEMENT, with respect to all reinsurance effective prior to termination of this AGREEMENT.
Article XVIII
Increasing Net Amount at Risk Policies and Riders
I. Business Reinsured on an Automatic Basis
Whenever the death benefit and/or the net amount at risk (NAR) on a policy will be increased at future date(s) and these increasing risks will be automatically reinsured under this AGREEMENT, they will be handled as shown below. The CEDING COMPANY will use the highest amount projected in all future years to determine whether these policies comply with the binding and jumbo limits shown in Exhibit D. The CEDING COMPANY also underwrites at issue based on the highest amount. The projected highest amount in all years will also be used to determine the CEDING COMPANY’s retention at issue and the percentage of future changes in NAR as they occur. As long as the CEDING COMPANY follows the procedures as outlined, the REINSURER will assume its prorata share of all NAR changes as they occur. In no case will the reinsured automatic portion exceed the automatic binding limits. Automatic binding limits are applied by the CEDING COMPANY to the life, not just to a specific policy.
A. “VART” (Variable Annual Renewable Term rider)
1. VART is a rider with scheduled coverage amounts that can vary annually. The coverage amounts are scheduled at issue and taken from the illustration at the time the policy is issued.
2. The CEDING COMPANY will report the highest VART amount in all years as the VART total coverage face amount. Coverage is ceded on an excess of retention basis, with the CEDING COMPANY retaining the amounts shown in Exhibit A. The face amount ceded will be the REINSURER’s portion of the highest VART amount based on the REINSURER’s automatic pool participation percentage.
3. The CEDING COMPANY will report the current net amount at risk as the NAR amount for VART riders. Premium paid the REINSURER for VART riders is calculated and paid on the current ceded NAR amount.
4. Death benefits payable will be based upon current NAR.
B. Death Benefit Option C (Face Amount Plus Accumulated Premiums Paid Minus Withdrawals)
1. Death Benefit Option C is underwritten and reported as the base coverage face amount plus the total projected premium to be paid in all future years, but not including the projected withdrawals, taken from the illustration at the time the policy is issued.
2. The CEDING COMPANY will report the total projected Option C death benefit. Coverage is ceded on an excess of retention basis, with the CEDING COMPANY retaining the amounts shown in Exhibit A. The death benefit amount ceded will be the REINSURER’s portion of the total face amount based on the REINSURER’s automatic pool participation percentage.
3. The CEDING COMPANY will report the current net amount at risk as the NAR amount for coverages with Option C. Premium paid the REINSURER for Option C coverages is calculated and paid on the current ceded NAR amount. The actual NAR reflects the face amount plus premiums paid, less withdrawals made, less the actual account value.
4. Actual death benefit (used to calculate NAR and death benefit payable) will be calculated using the face amount, plus the actual premium paid, less actual withdrawals. The REINSURER’s ultimate potential liability will be no greater than the original projected liability as defined in item 1 above.
Article XVIII
Increasing Net Amount at Risk Policies and Riders, continued
C. Death Benefit Option D (Up to Two Times the Initial Face Amount)
1. Death Benefit Option D (which is a special case of VART) is underwritten and reported as two times the Initial Face Amount for all coverages issued with the policy.
2. The CEDING COMPANY will report the ultimate doubled face amount for all Option D coverages issued with the policy. Coverage is ceded on an excess of retention basis, with the CEDING COMPANY retaining the amounts shown in Exhibit A. The face amount ceded will be the REINSURER’s portion of the total face amount based on the REINSURER’s automatic pool participation percentage.
3. The CEDING COMPANY will report the current net amount at risk as the NAR amount for policies with Option D. Premium paid the REINSURER for policies with Option D is calculated and paid on the current ceded NAR amount.
4. Death benefits payable will be based upon current NAR.
II. Business Reinsured on a Facultative Basis
A. For policies with an increasing death benefit or net amount at risk which will be reinsured on a Facultative basis, the CEDING COMPANY has the responsibility to clearly identify the highest projected death benefit as the face amount to be reinsured at the time a request for coverage is made so that the REINSURER’s underwriters are aware of the highest projected death benefit amount. The highest net amount at risk reinsured can never exceed the amount of the REINSURER’s offer. Year to year changes in risk will be shared proportionately, determined by the amount of retention relative to the amount of reinsurance, unless specified otherwise.
B. The CEDING COMPANY may ultimately retain up to double the normal retention or higher with appropriate internal approval.
III. Net Amount at Risk and Face Amount Changes
The net amount at risk retained and ceded change proportionally as the policy NAR changes. The face amount retained and ceded increases or decreases proportionally as the face amount of the coverage changes.
The CEDING COMPANY and the REINSURER will share proportionately in face amount increases due to compliance with Code section 7702.
Article XIX
Temporary Insurance Agreement
A. Subject to the terms, conditions, and limits of this AGREEMENT and provided the conditions set forth in Section B of this article are fulfilled, the REINSURER shall reimburse the CEDING COMPANY for Temporary Insurance Agreement (TIA) reinsurance. TIA reinsurance is defined as reinsurance on a claim pursuant to a TIA, which either:
(1) The CEDING COMPANY’s total claim liability exceed the appropriate retention set forth in the Retention Schedule due to the existence of prior risk retained by the CEDING COMPANY on the life or
(2) An unconditional offer to reinsure has been made by the REINSURER in response to a facultative request for reinsurance where the CEDING COMPANY has proposed to keep less than its full retention as set forth in the Retention Schedule. An unconditional offer to reinsure is a final offer made by the REINSURER with no conditions other than routine requirements such as time for delivery, certificate of health, etc. In no event shall the REINSURER liability pursuant to this article exceed the REINSURER excess percentage share under this AGREEMENT unless the REINSURER has made an unconditional facultative offer for a larger amount.
B. The following conditions must be satisfied in order for reinsurance of a TIA to be effective:
(1) The CEDING COMPANY must become liable for a claim pursuant to a TIA issued on a form in conformity to the appropriate form of the Temporary Insurance Agreement Exhibit G of this AGREEMENT; and
(2) The TIA must be given in return for an application for a policy form included in the Policy Plans Reinsured Exhibit which would bear a policy date in the range covered by this AGREEMENT; and
(3) As of the date of the proposed insured’s death, either the policy has not been submitted facultatively, or, if submitted facultatively then the following conditions determine the REINSURER’s liability in the event of a valid TIA claim:
i) If, as of the proposed insured’s date of death, the CEDING COMPANY has not received any unconditional offer to reinsure, then the automatic reinsurers will reimburse the CEDING COMPANY for the TIA reinsurance according to their excess percentage shares under this AGREEMENT; or
ii) If, as of the proposed insured’s date of death, the CEDING COMPANY has received an unconditional offer or offers to reinsure that at least equal the TIA reinsurance, then the reinsurer(s) having made the unconditional offer(s) will reimburse the CEDING COMPANY for the TIA reinsurance. For the purpose of the comparisons detailed below, a flat rating of $2.50 per thousand is equivalent to 1 table rating. In the case of multiple offers received by the date of death, a lower offer takes precedence over a higher offer, and in the case of identical offers, an offer received on an earlier day takes precedence over an offer received on a later day; or
iii) If, as of the proposed insured’s date of death, the CEDING COMPANY has received an unconditional offer or offers to reinsure, with such offer(s) failing to at least equal the TIA reinsurance, then the reinsurer(s) having made the unconditional offer(s) will reimburse the CEDING COMPANY for the offered amount(s), with the excess to be shared among the remaining automatic reinsurers, and each automatic reinsurer’s share equal to A divided by B below (“A/B”), where
A = the automatic reinsurer’s excess percentage share under this AGREEMENT, and
B = the sum of each remaining automatic reinsurer’s shares under this AGREEMENT.
iv) Nothing in the foregoing shall preclude the CEDING COMPANY from reinsurance reimbursement for a valid TIA claim, up to the full TIA claim amount, for an amount unconditionally offered by the REINSURER in response to a facultative request by the CEDING COMPANY proposing to retain less than its limit of retention. If the CEDING COMPANY has proposed a specific retention in its facultative request for reinsurance, that shall be its retention. If the CEDING COMPANY has not specified a retention in the facultative request, then its retention shall be 25% of the risk unless it has documented in its underwriting file that its initial evaluation of the risk is higher than table 6, in which case it shall have no retention.
Article XX
Offset
Any debts or credits, matured or unmatured, liquidated or unliquidated, in favor of or against either the REINSURER or the CEDING COMPANY with respect to this AGREEMENT are deemed mutual debts or credits, as the case may be, and will be offset, and only the balance will be allowed or paid provided the party that seeks to avail itself of this right of offset is not in breach of any provision of this AGREEMENT.
The right of offset will not be affected or diminished due to the insolvency of either party, subject to any limitation imposed by any applicable state law or regulation of the CEDING COMPANY’s state of domicile.
Article XXI
Confidentiality
Both the CEDING COMPANY and the REINSURER will hold confidential and not disclose or make competitive use of any shared Proprietary Information, as defined below, unless:
· The information becomes publicly available other than through unauthorized disclosure of such information by the party seeking to disclose or use such information;
· The information is independently developed by the recipient;
· The disclosure is in the reasonable judgment of the REINSURER, required or deemed advantageous (in terms of pricing, ease of execution or otherwise) for the purpose of any reinsurance, retrocession, securitization, or structured, asset-backed or asset-based financing;
· The disclosure is required by external auditors; or
· The disclosure is mandated by law.
“Proprietary Information” includes, but is not limited to, underwriting manuals and guidelines, applications, contract forms, and premium rates and allowances of the REINSURER and the CEDING COMPANY, but shall not include the existence of this AGREEMENT and the identity of the parties. Nothing herein shall preclude either party from sharing Proprietary Information for normal business operations or, on an aggregated basis, for internal operations such as developing pricing models and actuarial analyses.
In addition, the REINSURER and its representatives and service providers will protect the confidentiality of Non-Public Personal Information, as defined below, by:
· Holding all Non-Public Personal Information transmitted to them by or on behalf of the CEDING COMPANY in strict confidence;
· Maintaining appropriate measures that are designed to protect the security, integrity and confidentiality of Non-Public Personal Information;
· Using Non-Public Personal Information only in the ordinary course of business to carry out REINSURER’s obligations under this AGREEMENT; and
· Disclosing Non-Public Personal Information to third parties only as necessary to perform services under the AGREEMENT, for purposes of retrocession, or as may be required or permitted by law.
“Non-Public Personal Information” is personally identifiable medical, financial, and other personal information about proposed, current and former applicants, policy owners, contract holders, insureds, annuitants, claimants, and beneficiaries of reinsured policies or contracts issued by the CEDING COMPANY, and their representatives, that is not publicly available. Non-Public Personal Information does not include de-identified personal data.
The CEDING COMPANY will obtain, if required by any law, appropriate consent to the collection, use and disclosure of Non-Public Personal Information, from each insured to enable the parties to fully exercise their rights and perform their obligations under this AGREEMENT.
Article XXII
General Provisions
A. Reliance. The CEDING COMPANY affirms that it has and will timely and fully disclose all information relevant to the risks being reinsured by the AGREEMENT and acknowledges its understanding that the REINSURER will rely upon such information. The CEDING COMPANY agrees to use “utmost good faith” in its efforts to meet this duty and all others under the AGREEMENT.
B. OFAC. The Ceding Company represents that it is, and shall use best efforts to continue to be, in compliance with all laws, regulations, judicial and administrative orders applicable to the business reinsured under this AGREEMENT (collectively “Laws”), including, but not limited to, sanctions laws administered by the U.S. Treasury Department’s Office of Foreign Assets Control (“OFAC”), as such laws may be amended from time to time. Neither the CEDING COMPANY nor the REINSURER shall be required to take any action under this Agreement that would result in it being in violation of said laws, including, but not limited to, making any payments in violation of the law. Should either party discover or otherwise become aware that a reinsurance transaction has been entered into or a payment has been made in violation of the law, the party who first becomes aware of the violation of the law shall notify the other party and the parties shall cooperate in order to take all necessary corrective actions. The parties agree that such transaction shall be null, void and of no effect from its inception, to the same extent as if the transaction had never been entered into. Each party will be restored to the position it would have occupied if the violation had not occurred, including the return of any payments received, unless prohibited by law
C. Assignment. All the terms of this AGREEMENT shall be binding upon and inure to the benefit of and be enforceable by the parties hereto and their respective successors and assigns, whether so expressed or not; however, no party hereto shall assign or otherwise transfer any of its rights or obligations hereunder without the prior written consent of the other party hereto.
D. Currency. All payments under this AGREEMENT shall be made in currency of the United States of America.
E. Compliance with Law. The parties shall in all matters relating to the AGREEMENT comply with all applicable regulatory provisions.
F. Counterparts. This AGREEMENT may be executed simultaneously in multiple counterparts, each of which shall be deemed an original, but all such counterparts shall together constitute one and the same document.
G. Descriptive Headings and Construction. The descriptive headings herein are inserted for convenience of reference only and are not intended to be part of, or to affect the meaning, construction or interpretation of, this AGREEMENT. Unless otherwise expressly provided, the word “including” does not limit the preceding words or terms. The parties have participated jointly in the negotiation and drafting of this AGREEMENT and no rule of construction against the draftsperson shall be applied hereto.
H. Interest. If, under the terms of this AGREEMENT, interest is accrued on amounts due either party, such interest will be calculated using the Prime Rate plus 2% as reported in the Wall Street Journal on the first “business day” on or after a payment became due.
I. Notices: All notices, requests, instructions, demands, consents and other communications required or permitted to be given hereunder shall be in writing and shall be deemed to have been duly given on the date delivered by hand or by courier service such as Federal Express, or by other messenger (or, if delivery is refused, upon presentment) or upon electronic confirmation of a facsimile transmission, or upon delivery by registered or certified mail (return receipt requested), postage prepaid, to the parties at the following addresses:
If to the Ceding Company:
Pacific Life Insurance Company
45 Enterprise, 8th Floor
Aliso Viejo, CA 92656
Attn: Assistant Vice President, Life Reinsurance Department
Article XXII
General Provisions, continued
If to Generali USA:
Generali USA Life Reassurance Company
8801 Renner Road, Suite 300
Lenexa, KS 66219-9751
or
P.O. Box 419076
Kansas City, MO 64141-6076
Attn: Treaty Department
J. Governing Law. This AGREEMENT shall be governed by, construed and enforced in accordance with the laws of Nebraska.
K. Severability. If any provision of this AGREEMENT is determined, for any reason, to be invalid, illegal, or unenforceable in any respect, (1) such provision or provisions shall be ineffective but only to the extent of such invalidity, illegality, or unenforceability and (2) such determination will not impair or affect the remaining provisions of this AGREEMENT. In such an event, Agreement shall be construed as if such invalid, illegal, or unenforceable provision had never been contained herein, unless such a construction would be unreasonable.
Article XXIII
Parties to the AGREEMENT
This is an agreement solely between the REINSURER and the CEDING COMPANY. In no instance will anyone other than the REINSURER or the CEDING COMPANY have any rights under this AGREEMENT, and the CEDING COMPANY is and will remain solely liable to any insured, policyowner, or beneficiary under the original policies reinsured hereunder.
Article XXIV
Execution of AGREEMENT
In Witness of the above,
PACIFIC LIFE INSURANCE COMPANY
of
Omaha, Nebraska
and
GENERALI USA LIFE REASSURANCE COMPANY
of
Kansas City, Missouri
have by their respective officers executed and delivered this AGREEMENT in duplicate on the dates indicated below, with an effective date of December 1, 2008.
PACIFIC LIFE INSURANCE COMPANY |
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By: | /s/ Kent Johnson |
| By: | /s/ Cheryl Tobin | ||
| Kent Johnson |
| Cheryl Tobin | |||
| Vice President, |
| Assistant Vice President, | |||
| Actuarial and Reinsurance |
| Assistant Secretary | |||
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| Legal | |||
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Date: | 03/23/10 |
| Date: | 3/25/10 | ||
GENERALI USA LIFE REASSURANCE COMPANY |
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By: | /s/ Amanda Morrison |
| By: | /s/ David A. Gates | ||
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Print name: Amanda Morrison | Print name: David Gates | |||||
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Date: | 3/17/2010 |
| Date: | 3/19/2010 | ||