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3
Cal. 4th 1118, *; 842
P.2d 48, **; 1992
Cal. LEXIS 5692, ***;
14 Cal. Rptr. 2d 749 No.
S014036 SUPREME
COURT OF CALIFORNIA 3
Cal. 4th 1118; 842 P.2d 48; 1992 Cal. LEXIS 5692; 14 Cal. Rptr. 2d 749; 92 Cal.
Daily Op. Service 9599; 92 Daily Journal DAR 16013 November
30, 1992, Decided PRIOR HISTORY:
[***1]
Superior Court of Los Angeles County, No. C572724, Kurt J. Lewin, Judge. DISPOSITION: Affirmed. CASE
SUMMARY
CORE TERMS: setoff,
reinsurer, reinsurance, insolvency, policyholder, insurer, insolvent, claimant,
liquidator, insolvent insurer, premium, liquidation, insured, offset, mutual,
equitable, reinsured, mutuality, unearned, mutual debts, set-off, owed, italics,
public policy, reinsurance agreement, statutory right, depositors, entity,
allowance, primary insurer COUNSEL:
Adams, Duque & Hazeltine, Robert M. Mitchell, Margaret
Levy, John L. Viola, Vicki W. W. Lai, F. Christopher Chrisbens, Wilson, Elser,
Moskowitz, Edelman & Dicker, Patrick M. Kelly, Thomas R. Manisero, Blanc,
Gilburne, Williams & Johnston, Gary R. Klouse, John A. Kronstadt, Sidley
& Austin, Peter R. Chaffetz, Janet M. Letson, Hoon Chun, Mendes & Mount,
Valerie A. Gordon, LeBoeuf, Lamb, Leiby & MacRae, Sanford Kingsley,
Hufstedler, Miller, Kaus & Beardsley, John P. Olson, Arnold & Porter,
Daniel M. Lewis & Gary P. Poon for Petitioner. Bryan, Cave, McPheeter & McRoberts, Martin J. Foley,
Phillip E. Stano, Daniel J. Conway, Richard E. Goodman, Jack H. Blaine, Craig A.
Berrington, Ronald S. Gass and John J. Nangle as Amici Curiae on behalf of
Petitioner. No appearance for Respondent. Rubinstein & Perry, Karl L. Rubinstein, Kathleen M.
McCain, Melissa S. Kooistra, Dana Carli Brooks, John K. Van de Kamp and Daniel
E. Lungren, Attorneys General, Edmond B. Mamer, Jack T. Kerry and Raymond B. Jue,
Deputy Attorneys General, for Real Party in Interest. Horvitz & Levy, Ellis J. Horvitz, Barry R. Levy, [***2]
Lisa Perrochet, Spiegel & McDiarmid, Richard A. Brown, Spencer L. Kimball,
Cynthia S. Bogorad, Diane J. Lautrup, Jeffrey R. Babbin, Hugh Alexander and
Charles E. Erdmann II as Amici Curiae on behalf of Real Party in Interest. JUDGES:
Opinion by Lucas, C. J., with Panelli, Arabian and Baxter, JJ., concurring.
Separate dissenting opinion by Kennard, J., with Mosk, J., concurring. Separate
dissenting opinion by Kline, J., n* with Mosk and Kennard, JJ., concurring.) n* Presiding Justice, Court of Appeal, First Appellate
District, Division Two, assigned by the Acting Chairperson of the Judicial
Council. OPINIONBY:
LUCAS, C. J. OPINION:
[*1123] [**50]
Insurance Code section 620 (all further statutory references are to this code
unless otherwise stated) defines a reinsurance contract as "one by which an
insurer procures a third person to insure him against loss or liability by
reason of such original insurance." Typically, under a reinsurance
contract, the primary insurer "cedes" a portion of the premiums for
its policies, and the losses on those policies, to the reinsurer. In a reinsurance transaction, policyholders pay premiums to
their original insurer, who, in turn, pays a reinsurer a percentage of the
[***3]
initial premiums as consideration for reinsuring a specified part of the
original risk. If, after a loss, the original insurer must compensate its
policyholders, the reinsurer in turn indemnifies the insurer. The advantage of
reinsurance is to secure to the original insurer adequate risk distribution by
transferring a portion of the risk assumed to another insurer. (Semple &
Hall, The Reinsurer's Liability in the Event of the Insolvency of a Ceding
Property and Casualty Insurer (hereafter Semple & Hall) (1986) 21 Tort
& Ins.L.J. 407 ["A reinsurance agreement is one by which the reinsurer
indemnifies the ceding company for losses paid"].) We granted review to determine as a matter of first
impression whether reinsurance debts and credits generated between a reinsurer
and the original insurer, under the terms of their reciprocal reinsurance
contracts, may be set off pursuant to section 1031, when the original insurer
becomes insolvent. Section 1031 provides in pertinent part that: "In all
cases of mutual debts or mutual credits between the person in liquidation under
Section 1016 and any other person, such credits and debts shall be set off and
the balance only shall be allowed [***4]
or paid. ..."
- - - - - - - - - - - - - - - - - -Footnotes- - - - - - - -
- - - - - - - - - - n1 Although the federal government has the power to
regulate insurance as part of interstate commerce ( U.S.
v. Underwriters Assn. (1944) 322 U.S. 533 [88 L.Ed. 1440, 64 S.Ct. 1162]),
Congress has declined to exercise that power, leaving insurance regulation to
the states. (; McCarran-Ferguson Act (1976) 15
U.S.C. § 1011-1015; see also 11
U.S.C. § 109 [exempting insurers from Bankruptcy Act].) As part of our
state's insurance regulatory scheme, our Legislature adopted section 1031 in
1935. - - - - - - - - - - - - - - - - -End Footnotes- - - - - - -
- - - - - - - - - - [***5] Assuming setoff is permitted, there remain questions
pertaining to the relative priorities of setoff and other claims in liquidation
against the insurer. An exception to the general rule of section 1031 is
provided in section 1031, subdivision (a) (hereafter section 1031(a)), which
does not allow setoff when the "obligation of the person in liquidation to
such other person does not entitle such other person claiming such setoff to
share as a claimant in the assets of such person in liquidation."
Accordingly, we must also consider whether section 1031(a) allows setoff claims
if the estate has insufficient assets to satisfy fully all primary policyholders
and claims of the California Insurance Guarantee Association (CIGA) whose
claims, absent setoff, have priority (under section 1033) over those of
reinsurers and other general creditors. n2 Because reinsurers are not considered
priority claimants in an insolvency proceeding, the amount of setoff money
remaining after priority claimants are paid would be less than that available
before statutory preference is given to other claimants. - - - - - - - - - - - - - - - - - -Footnotes- - - - - - - -
- - - - - - - - - - n2 Section 1033, subdivision (a), lists the priority of
claims in liquidation in pertinent part as follows: "1. Expense of administration. "2. Unpaid charges due under the provisions of Section
736. "3. Taxes due to the State of California. "4. Claims having preference by the laws of the United
States and by laws of this state. "5. All claims of the California Insurance Guarantee
Association ... and associations or entities performing a similar function in
other states, together with claims for refund of unearned premiums and all
claims of policyholders of an insolvent insurer that are not covered claims. " "6. All other claims. ..." As discussed below, we conclude the statutory right of
setoff is independent of section 1033 priorities. - - - - - - - - - - - - - - - - -End Footnotes- - - - - - -
- - - - - - - - - - [***6] We conclude that section 1031 may not reasonably be
construed as conditioning a reinsurer's right to set off on the insolvent
insurer's ability to [*1125]
pay in full the claims of those in higher priority classes. As we explain, the
majority of state and federal courts addressing the statutory right of setoff
adopt this position. Thus, we hold that the reciprocal reinsurance contracts at
issue here created "mutual credits and debts" under section 1031. We also conclude that section 1031(a) does not preclude
setoff in this case. Plaintiff reinsurer has shown a contractual and legal
entitlement to the status of creditor of the insolvent insurer, and the contract
between the two entities does not make setoff contingent on the ultimate
financial ability of the original insurer or its estate to first pay all
claimants in higher priority classes. Finally, we determine that any policy considerations
favoring payment of insureds under original policies may not override the
unequivocal language of section 1031 or policies favoring setoff. To disallow
setoff in this case would not only subvert clear legislative intent, but would
also lead to an increased cost of insurance for the [***7]
consumer, because offsetting an insurer's debts spreads the risk incurred by the
insurer and often allows smaller insurers to remain in business. (See Stamp
v. Insurance Co. of North America (7th Cir. 1990) 908 F.2d 1375, 1380
[offsetting debts spreads risk and acts as mutual security for performance].) I. BACKGROUND On February 2, 1982, the Commissioner of Insurance
(Commissioner) placed Mission Insurance Company (Mission) and its affiliated
insurance companies into conservatorship due to insolvency. (§ 1011, subd. (d)
[vesting title to assets in Commissioner when insurer's transaction of business
is hazardous to policyholders].) Several weeks later, the Commissioner obtained
an [**52]
order pursuant to section 1016, authorizing liquidation of the Mission
companies. The Commissioner was appointed liquidator, and thereafter demanded
all reinsurers of Mission pay in full the amounts owed under their reinsurance
contracts. The reinsurers refused to make any such payments, claiming that under
section 1031, they were entitled to set off the amounts owed by Mission for
reinsurance proceeds and "unearned premiums" (or amounts insureds
prepaid for coverage in [***8] the days and months ahead), owed
to them by the insolvent insurers, against the debts they owed the insolvent
insurers under reinsurance contracts executed prior to insolvency. The
Commissioner commenced the underlying action against 144 reinsurers, and brought
the present summary judgment motion against petitioner Prudential Reinsurance
Company (Prudential Reinsurance) to compel payment, without setoff, of moneys
owed the Mission companies. The trial court granted the Commissioner's summary judgment
motion on the ground that section 1031 allows a setoff only when the assets of
the [*1126]
liquidating estate are sufficient to pay in full all the claims asserted by
claimants in priority classes higher than the claimant asserting the setoff
right. In other words, the court concluded that section 1031 makes the statutory
right of setoff contingent on the ultimate financial ability of the liquidation
estate to pay in full all claimants in section 1033 priority classes higher than
the setoff claimant. The Court of Appeal followed the rule of every state and
federal court that has considered the reinsurer's right to statutory setoff and
issued a peremptory writ of mandate ordering [***9]
the trial court to vacate its order granting summary judgment and to enter a new
order allowing Prudential Reinsurance the right of setoff. The Commissioner
seeks our review of this judgment. As we explain, we adopt the thoughtful analysis of the
Court of Appeal and conclude that a plain reading of sections 1031 and 1033
allows an insolvent insurer and a reinsurer to set off debts and credits after
the appointment of a liquidator. Because we agree with the Court of Appeal that
Prudential Reinsurance is entitled to set off Mission's debts, we affirm the
Court of Appeal's judgment. II. DISCUSSION A. The Reinsurance Contracts Reinsurance contracts, as contracts of indemnity, operate
to shift a part of the risk of loss under the insurance policy from the original
insurer to the reinsurer. (1 Cal. Insurance Law & Practice, Reinsurance
(1991) § 11.01, pp. 11-6, 11-7.) The insured, however, remains in privity with
the original insurer, and the reinsurer owes no duties to the insured. (Ibid.)
Thus, the original insured has no right to pursue contract or bad faith actions
against the reinsurer. (§ 623; Ascherman
v. General Reinsurance Corp. (1986) 183 Cal.App.3d 307, 310 [228 Cal.Rptr.
1].) [***10]
Reinsurance contracts are classified as either
"facultative" or "treaty." Reinsurance is facultative if it
covers the reinsured's risk on an individual policy. The majority of reinsurance
contracts are placed under a treaty, which covers the reinsured's risk for an
entire class of policies. (1 Cal. Insurance Law & Practice, supra,
§ 11.02, at p. 11-22.) In the present case, Prudential Reinsurance is the
reinsurer under 14 reinsurance treaties. The parties refer to these treaties as
"Relation A" contracts; these contracts reinsure the Mission
companies. The other reinsurance contracts at issue here are called
"Relation B" contracts and reinsure [*1127]
Prudential Reinsurance and its subsidiary, Gibraltar, as principals. Mission is
the reinsurer under all but one of these latter contracts; a related company,
Mission National Insurance Company, is the reinsurer under the remaining
contract. The setoff clauses of the "Relation A" contracts
provide in substance that Mission, other named Mission subsidiaries (as
reinsureds), and Prudential Reinsurance (as reinsurer) agree that the parties
thereto may offset any and all reinsurance debts owed by or to them "under
the same [***11]
or any [**53]
other reinsurance agreement between them." Some of the clauses acknowledge
that in the event of insolvency of a party thereto, setoff rights are controlled
by section 1031. Similarly, the "Relation B" contracts also grant
Prudential Reinsurance the express right to set off moneys due from Mission
against amounts due Mission under the same or any other reinsurance contract
between them. Keeping this background in mind, we now turn to the issues before
us. B. Mutuality As noted above, in 1935 the Legislature granted a statutory
right of setoff under section 1031 "in all cases of mutual debts or mutual
credits." The key to setoff is the requirement of mutuality. Justice
Benjamin Cardozo defined mutuality as follows: "To be mutual, [the debts]
must be due to and from the same persons in the same capacity." ( Beecher
v. Peter A. Vogt Mfg. Co. (1920) 227 N.Y. 468 [125 N.E. 831, 833]; see
Marick et al., Excess, Surplus Lines and Reinsurance: Recent Developments
(1991) 26 Tort & Ins. L.J. 231, 244.) Later cases required that the subject
debts be mutual in three respects. First, the debts must be owed
contemporaneously with, [***12] or prior to issuance of, the
liquidation order. In other words,
Next, such
The Court of Appeal found all three requirements were met
in the present case, and that the reciprocal reinsurance contracts created
"mutual credits and debts" under section 1031 as between Prudential
Reinsurance and Mission. The court also concluded that section 1031 permits
setoff when the reinsurer shows legal status as a creditor of the insolvent
insurer, and does not make the statutory right of setoff contingent on the
ultimate financial ability of the insolvent entity to first pay all claimants
(including original insureds and CIGA) in higher priority classes under section
1033. The court concluded that favoring payment of the insureds under original
policies and CIGA was contrary to the plain meaning of section 1031. As
explained below, we agree with the Court of Appeal that mutuality was
established in this case. 1. Contemporaneous Mutuality The Commissioner first contends the reinsurance obligations
between Prudential Reinsurance, its subsidiary, Gibraltar, and Mission did not
meet the contemporaneous requirement for mutuality, [***14]
because the debts owed by the reinsurers to Mission (namely, payments on insured
losses) are postliquidation debts, while those owed to the reinsurers by Mission
(namely, past-due premiums) are preliquidation debts. The Commissioner reasons
that the reinsurance proceeds and the return of policy premiums may not be set
off because those debts are postliquidation debts that will not be due until the
policyholders' loss claims are allowed or liquidated. As the Court of Appeal
herein observed, however, the Commissioner's assertion is not supported by
section 1031 or case law. Prior to the enactment of sections 1031 and 1033 in 1935,
California and federal decisions addressing the common law doctrine of equitable
setoff held that debts and credits of an insolvent insurer amounted to mutual
obligations for purposes of equitable setoff even if the obligations were
technically [**54]
not payable until closing of the insolvency estate. For example, in Carr
v. Hamilton (1889) 129 U.S. 252 [32 L.Ed. 669, 9 S.Ct. 295], the court
held that once the insurer is declared insolvent, proceeds due the insured must
be offset against the insured's [***15]
separate mortgage debt to the insurer. The Carr court applied the
principle of offset, initially established in federal bankruptcy law, to the
insurance liquidation context and held that debts due between the insolvent
insurer and other persons may be set off during insolvency even if they were
otherwise due at a later date. The Carr decision was based on the
premise that any contractual creditor of the insurer in liquidation should be
allowed to set off mutual debts created by contract before the insolvency
occurred. (See also Scammon
v. Kimball, [*1129]
supra, 92 U.S. at p. 371 [23 L.Ed. at p. 486]; Ainsworth
v. Bank of California (1897) 119 Cal. 470, 474-476 [51 P. 952] [in
analogous context of estate administration, mutual debts between deceased and a
bank may be set off against executor as long as debts existed prior to death].) In Downey
v. Humphreys, supra, 102 Cal.App.2d 323, the court addressed the
statutory right of setoff under sections 1031 and 1033, as originally adopted in
1935. In that case, an independent insurance [***16]
agent wrote an insurer's policies for payment of policy premiums. After an
insolvency receivership order was issued against the insurer pursuant to section
1011, the agent set off all premiums due the insurer against claims due
policyholders. The agent also retained funds due as earned commissions up to the
date of the insolvency. Thereafter, the liquidator demanded that the agent pay
to him all premium amounts for the newly written policies, less earned
commissions which were routinely set off. The agent claimed that the initial
policy premiums became "unearned premiums" because the insolvency
order effected a breach of those policies by the insurer. After the trial court allowed the setoff, the Court of
Appeal affirmed on the ground that the agreement between the agent and the
insurer that their cross-claims should mutually compensate each other,
established the necessary relationship between the parties--that of debtor and
creditor--to permit the setoff. ( Downey
v. Humphreys, supra, 102 Cal.App.2d at pp. 335-336.) In so holding, the
Downey court reasoned that, "At the time [the insurer] was
adjudicated insolvent, April 19, 1933, [***17]
and at the time the liquidator was appointed, June 28, 1933, the statute
providing for proceedings against delinquent insurance companies was silent as
to the right of setoff. (Stats. 1919, p. 265, as amended Stats. 1933, p. 1420.)
In 1935 the statute was amended to provide for setoff of mutual debts and mutual
credits. (Stats. 1935, p. 544.) The statute was based on the New York law and
was but the enactment of the prevailing rule. [Citations]. The Bankruptcy Act
provides for a setoff of mutual debts and mutual credits. (11
U.S.C.A. § 108.)" ( Downey,
supra, 102 Cal.App.2d at p. 335.) "A receiver occupies no better position than that
which was occupied by the party for whom he acts. ... The right [of setoff] is
to be determined by the condition of things as they existed at the moment the
party was adjudged insolvent. If the right of setoff was available to defendant
at that time, the insolvency of [the insurer] did not defeat it. [Citations.]
The fact that the policyholders received their unearned premiums did not create
an unlawful preference." ( Downey
v. Humphreys, supra, 102 Cal.App.2d 335-336; [***18]
see also O'Connor
v. Insurance Co. of North America (N.D.Ill. 1985) 622 F.Supp. 611, 619
[accord].) [*1130]
The Commissioner asserts that even under Downey
v. Humphreys, supra, 102 Cal.App.2d at pages 335-336, setoff must be
disallowed if the debts were not debited and credited prior to the appointment
of a liquidator. The Downey court made it clear, however, that
[**55]
Although California courts have not addressed the statutory right of setoff
since Downey in 1951, other jurisdictions have more recently discussed
the issue, and we look to them for guidance. For example, in O'Connor
v. Insurance Co. of North America (O'Connor), supra, 622 F.Supp. 611,
the court considered the issue whether debts owed under reciprocal reinsurance
contracts between a reinsurer and an insolvent insurer are subject to a right of
setoff under an Illinois statute that is substantially similar to the right
[***19]
granted under section 1031. The O'Connor court addressed the requirement of
contemporaneous mutuality under the Illinois Insurance Code which provides,
inter alia, that debts "between the company and another company" would
be subject to setoff as long as the debts were mutual. (Ill.Rev.Stat. ch. 73, §
818 (1983).) In O'Connor, the liquidator of an insolvent insurer
asserted that debts owed to it involving reinsurance proceeds, as well as
unearned premiums that followed the cancellation of the policies on insolvency
of the insurer, amounted to post-liquidation debts that could not be set off by
the debts owed by the insolvent insurer to the reinsurers, because those debts
amounted to preliquidation debts. The O'Connor liquidator concluded
that mutuality did not exist when the reinsurers' debts were postliquidation
debts, whereas the insolvent insurers' debts were preliquidation debts. ( O'Connor,
supra, 622 F.Supp. at p. 618.) Like the courts in Carr
v. Hamilton, supra, 129 U.S. 252, and Downey
v. Humphreys, supra, 102 Cal.App.2d 323, [***20]
the O'Connor court relied on bankruptcy law in rejecting the
liquidator's contention. The court observed, "Even if the Liquidator is
correct in his assertion that the debts for reinsurance proceeds and unearned
premiums were not due at the time of liquidation, that fact has no bearing on
whether Defendants may use these debts for set-off purposes. 'The right of
set-off may be asserted in the bankruptcy proceedings even though at the time
the petition is filed one of the debts involved is absolutely owing but not
presently due, or where a definite liability has accrued but is as yet
unliquidated.' " ( O'Connor,
supra, 622 F.Supp. at p. 618, quoting from 4 Collier on Bankruptcy
(14th ed. 1978) P 68.10[2].) Finally, the O'Connor court concluded that the
reinsurers and the insolvent insurer "entered into a reinsurance contract
which defined all of the [*1131] parties' rights and obligations.
Any liability [the insolvent insurer] may incur to pay reinsurance proceeds or
return unearned premiums or ceding commissions arises as a result of provisions
in the previously executed reinsurance agreement that require them to make these
payments." ( O'Connor,
supra, 622 F.Supp. at pp. 618-619.) [***21]
The court held that because the reinsurance contracts existed prior to the
insolvency, the reinsurer's debts were "provable" under the Bankruptcy
Act and became payable on the date of insolvency. Hence, the court determined
that the reinsurance debts were preliquidation debts that satisfied the Illinois
Insurance Code's contemporaneous mutuality requirement. ( O'Connor,
supra, 622 F.Supp. at p. 619.) The Commissioner in the present case attempts to
distinguish the O'Connor holding. In O'Connor, all claims
giving rise to the insurer's liability were filed prior to the insolvency order.
By contrast, the Commissioner observes, in the present case, the "vast
majority" of the reinsurance obligations arose after the liquidation order,
and therefore the debts could not be mutual. As the Court of Appeal explained, however, the O'Connor
court determined that
The O'Connor view of contemporaneous debt is
shared by Stamp
v. Insurance Co. of North America, supra, 908 F.2d 1375, [**56]
in which the court approved the setoff of debts owed by an insolvent insurer to
a reinsurance pool. Initially, the Stamp court observed, "The
Bankruptcy Code does not apply to insurance companies. 11
U.S.C. § 109(b)(2), (d). Like most other states, Illinois handles the
failure of insurers in state court under the supervision of the state's chief
regulator, who takes title to the firm's assets as trustee and liquidator."
( at p. 1377.) In approving the setoff, the Stamp court found that the
requirement of contemporaneous mutuality had been met. The court noted, "A
debt may exist even though it has not been valued conclusively and even though
there is a bona fide dispute about the obligation to pay. [Citation.] This is
the usual understanding about mutuality." ( at p. 1380.) In an attempt to diminish the authority of O'Connor,
Justice [***23]
Kline's dissent herein asserts "O'Connor proceeds on the unstated
assumption, legally incorrect and illogical, that setoff must be allowed because
it is [*1132]
permitted." (Dis. opn., post, at p. 1167.) To the contrary, O'Connor's
reasoning with respect to setoff has been endorsed in subsequent decisions. First, rather than reject O'Connor's reasoning,
the Northern District Court in Illinois denied the liquidator's motion to
reconsider O'Connor in O'Connor
v. Insurance Co. of North America (N.D.Ill. 1987) 668 F.Supp. 1183. In
so doing, the court observed that there is "also a significant policy
reason for upholding [the O'Connor decision]. [The reinsurer] has a
right to the benefit of its reinsurance contracts, which defined the parties'
rights and liabilities with respect to the monies in dispute. Reinsurance
contracts are construed in accordance with general principles of contract law,
including an implied duty [of] good faith. ... Once the reinsured goes into
liquidation, the purpose of the reinsurance agreements is vitiated. The
reinsured's liability on the policies ceases, and the reinsurer is bound to
return unearned [***24]
premiums and, presumably, any other form of consideration to which it is not
entitled. ... Any other result would not be in accordance with what the parties
must have intended upon entering into the reinsurance contracts." ( at p.
1186 [denying motion for reconsideration].) In addition, as noted above and contrary to the dissent
herein, the Stamp court followed the O'Connor holding in
allowing reinsurers to exercise their statutory setoff rights. ( Stamp
v. Insurance Co. of North America, supra, 908 F.2d at p. 1380.) Again,
Justice Kline's dissent misreads the applicable law. This dissent criticizes the O'Connor court's
reliance on Professor Collier's 1978 treatise for the proposition that federal
bankruptcy law recognizes that "one creditor may be getting paid more than
other creditors" ( O'Connor,
supra, 622 F.Supp. at p. 619). The criticism is misplaced. Contrary to
the dissent, Collier's 15th edition treatise states the exact principle almost
verbatim. (4 Collier on Bankruptcy (15th ed. 1992) P 553.02, p. 553-12.) In
addition, Collier recognizes that "In permitting setoff ... Congress wisely
has hedged [***25]
the privilege granted under the [federal bankruptcy] Code with certain stated
qualifications, [namely, recently forbidding preferences occurring 90 days
before filing of insolvency] so as to prevent abuse." (Ibid.) As
Justice Kline's dissent herein later observes, the "qualifications"
noted by Collier and outlined by Bankruptcy Code section 553 (11
U.S.C. § 553) are not applicable in this case. n3 - - - - - - - - - - - - - - - - - -Footnotes- - - - - - - -
- - - - - - - - - - n3 Following oral argument, counsel for the Commissioner
requested the court consider Foster v. Mutual Fire Ins. (1992) Pa. [ 614
A.2d 1086] (hereafter Foster). We have read the case and conclude
it is not persuasive. Contrary to section 1031, the setoff statute at issue in Foster
expressly prohibits reinsurer setoff of premium obligations. (Foster, supra,
Pa. at p. [ 614
A.2d at p. 1096].) - - - - - - - - - - - - - - - - -End Footnotes- - - - - - -
- - - - - - - - - - Based on the foregoing, we reject the Commissioner's
contention that the reinsurance obligations between Prudential Reinsurance
[***26]
and Mission were not contemporaneous preliquidation debts subject to setoff.
[*1133] [**57]
2. The Insolvency Clause Section 922.2 requires all reinsurance contracts to contain
an "insolvency clause" allowing the liquidator to collect from the
reinsurer the amount that would have been due if the ceding company had not
become insolvent. The insolvency clause in this case states in pertinent part
that "reinsurance provided by each and every reinsurance agreement
heretofore or hereafter entered into by and between the parties hereto shall be
payable by the Reinsurer directly to the Company or to its liquidator, receiver,
conservator or statutory successor on the basis of the liability of the Company
without diminution because of the insolvency of the Company or because the
liquidator, receiver, conservator or statutory successor of the Company has
failed to pay all or a portion of any claim. ..." In a very recent case addressing statutory setoff and the
requirement of mutuality, the New York Court of Appeals upheld a reinsurer's
statutory right of offset against an insolvent insurer. ( Midland,
supra, 590 N.E.2d 1186.) [***27]
As plaintiff's counsel observe, the Midland case is of particular
significance because section 1031 was modeled after the New York setoff statute
at issue. (N.Y. Ins. Law, § 7427 (Consol. 1985); see Downey
v. Humphreys, supra, 102 Cal.App.2d at pp. 335-336; see also State
of California ex rel. Van
de Kamp v. Texaco, Inc. (1988) 46 Cal.3d 1147, 1162 [252 Cal.Rptr. 221, 762
P.2d 385] [statute patterned after Texas statute given same construction as
Texas courts].) The Midland court was faced with the issue whether
a reinsurer could offset amounts it was owed by Midland under separate
reinsurance contracts at the time Midland was placed into liquidation. The
liquidator objected to the setoff on the grounds that the debts were not mutual,
the insolvency clause contained in one of the contracts prevented setoff, and
the debts were not owed to and from the same person. The New York Court of Appeals allowed the setoff under New
York Insurance Law section 7427, subdivision (a). In addressing the liquidator's
argument that the insolvency clause contained in one reinsurance [***28]
contract prevented the offset, the court observed that "[a]lthough
reinsurance contracts are indemnity contracts, they commonly contain insolvency
clauses which, even in the absence of a primary insurer's payment to
policyholders, permit a liquidator to collect from the reinsurer the amount of
reinsurance proceeds that would have become due if the ceding company had not
become insolvent. The [offset] statutes encourage such clauses by providing that
unless the reinsurance contract contains an insolvency clause the primary
insurer may not consider the reinsurance as an asset or claim a [*1134]
deduction for the amount ceded [see section 922.2]. The loss of those rights is
substantial because if the primary insurer must maintain reserves in the full
amount of reinsurance ceded, one of the primary reasons for obtaining
reinsurance is defeated." ( Midland,
supra, 590 N.E.2d at pp. 1188-1189.) The Commissioner relies on Melco
System v. Receivers of Trans- America Ins. Co. (1958) 268 Ala. 152 [105
So.2d 43], to contend that the insolvency clause destroys contemporaneous
mutuality [***29]
and, hence, prevents setoff because it requires payment of reinsurance
recoverables "without diminution because of insolvency." In addition,
Justice Kline's dissent herein interprets section 922.2 as requiring any money
due the insolvent insurer to be paid to the liquidator without any subtraction
notwithstanding Prudential Reinsurance's contractual right to offset Mission
losses prior to insolvency. As explained below, both the Commissioner and
Justice Kline's dissent misunderstand the purpose of the insolvency clause. The Melco court held that a reinsurer was not
entitled to set off unpaid premiums due from the insolvent, because the
insolvency clause in reinsurance contracts requires payment of proceeds after
insolvency, when the clause becomes operative. ( Melco,
supra, 105 So.2d at p. 53.) Both Prudential Reinsurance and the Court
of [**58]
Appeal herein correctly point out that the Melco analysis is
inapposite. n4 - - - - - - - - - - - - - - - - - -Footnotes- - - - - - - -
- - - - - - - - - - n4 The Commissioner also cites Bluewater
Ins. Ltd. v. Balzano (Colo. 1992) 823 P.2d 1365 to support his argument
that section 922.2 defeats a reinsurer's statutory right to offset. As the Midland
court observed, however, Bluewater dealt with a common law right to
offset. The Colorado Supreme Court distinguished the case from cases involving
the statutory setoff rights which specifically allow offsets in insurance
liquidation proceedings. ( Midland,
supra, 590 N.E.2d at p. 1192, fn. 4.) - - - - - - - - - - - - - - - - -End Footnotes- - - - - - -
- - - - - - - - - - [***30] As Midland,
supra, observed, statutory provisions comparable to section 922.2 that
require an insolvency clause in reinsurance contracts were "enacted in
response to the Supreme Court's decision in Fidelity
& Deposit Co. v. Pink (1937) 302 U.S. 224. ... That case held,
based on the language of the reinsurance contract and consistent with the
indemnity nature of reinsurance contracts in general, that a reinsurer need only
reimburse the liquidator of the insolvent ceding company for losses actually
paid by the ceding company or the liquidator to the insureds on the underlying
policies (see, Fidelity
& Deposit Co. v. Pink, supra). [The statutory insolvency clause]
was intended to overcome that decision by altering the indemnity nature of a
reinsurance contract when the ceding company becomes insolvent. ... Pursuant to
the statute, if the contract contains a statutory insolvency clause, the
reinsurer is obligated to pay the liquidator his or her allocated share of any
losses due under the reinsurance [***31]
contract even though the insolvent ceding company has not first made payment to
the insureds on the underlying policies. Nothing in the language of [the
statutory insolvency clause] or [*1135]
its history, however, supports the conclusion that the statute was enacted to
destroy a reinsurer's [statutory] right of offset." ( Midland,
supra, 590 N.E.2d at pp. 1191-1192.) Thus, as noted above, the purpose of section 922.2 and the
insolvency clause is to provide the liquidator with the same rights and
obligations of the insolvent insurer pursuant to the terms of the reinsurance
contract. Certainly, the setoff in this case does not shield the reinsurers from
paying reinsurance obligations directly to the liquidator or allow the reinsurer
to walk away fully compensated, leaving policyholders and other more favored
creditors holding the bag. Indeed, no "dimunition because of
insolvency" will occur in light of this setoff. Therefore,
Melco,
supra, 105 So.2d 43, did not discuss the effect of an insolvency setoff
statute, and the case is contrary to California, federal and sister state law.
(See Downey
v. Humphreys, supra, 102 Cal.App.2d 335-336; O'Connor,
supra, 622 F.Supp. at p. 619 [rejecting Melco]; Midland,
supra, 590 N.E.2d at pp. 1191-1192.) As the O'Connor court
observed, the Melco court erroneously believed that "to allow the
offset would give a preference to the reinsurer over other creditors because the
reinsurer would be receiving full payment on its claim while other creditors
would receive only fractional payment. ... It is true that the reinsurer [***33]
would be paid in full if a set-off is permitted, but, of course, that is the
case anytime a set-off is permitted. The whole point of the statutory
set-off section is to make clear that such actions are permissible, even though
one creditor may be getting paid more than other creditors." ( O'Connor,
supra, 622 F.Supp. at p. 619, italics in original.) n5 - - - - - - - - - - - - - - - - - -Footnotes- - - - - - - -
- - - - - - - - - - n5 The Melco decision has questionable effect on
the issues before us because in 1971, 13 years after Melco was decided,
the Alabama Legislature enacted a statutory right of setoff
substantially identical to that of section 1031. (Ala. Ins. Code §
27- 32-
29
(1986).) - - - - - - - - - - - - - - - - -End Footnotes- - - - - - -
- - - - - - - - - - [**59]
In a related context, Justice Kline's dissent herein suggests the statutory
setoff scheme was not intended to be used to create a preference for reinsurers
over other creditors of the insolvent insurer. (See dis. opn., post, at
[*1136]
pp. 1157-1158.) Such reasoning begs the question when reinsurers' rights are not
statutorily subordinate because there [***34]
is a setoff statute (§ 1031) that specifically allows setoff in insurer
liquidation proceedings. In refuting the liquidator's argument that statutory setoff
ignores bankruptcy priorities, Midland observed that although
"permitting offsets may conflict with the statutory purpose of providing
for the pro rata distribution of the insolvent's estate to creditors, the
Legislature has resolved the competing concerns and recognized offsets as a
species of lawful preference. Indeed, if an offset is otherwise valid, there
would seem to be no reason why its allowance should be considered a preference:
it is 'only the balance, if any, after the set-off is deducted which can justly
be held to form part of the assets of the insolvent.' " ( Midland,
supra, 590 N.E.2d at p. 1191, quoting Scott
v. Armstrong (1892) 146 U.S. 499, 510 [36 L.Ed. 1059, 13 S.Ct. 148].) Finally, Justice Kline's reliance on Corcoran
v. Ardra Ins. Co., Ltd. (2d Cir. 1988) 842 F.2d 31, for the proposition
that we should "enhance the power of the Commissioner of Insurance, [***35]
as liquidator, to protect [policyholders] against overreaching reinsurers"
is misplaced. (Dis. opn., post, at pp. 1155-1156.) The Corcoran
decision simply affirmed an order of the United States District Court for the
Southern District remanding the action to state court for a determination of
remedies available to the parties under their reinsurance contracts after a
liquidation order had been entered. Nowhere does the case suggest that the
liquidator's appointment affects a creditor's substantive right of offset. (See
also Midland,
supra, 590 N.E.2d at p. 1192, fn. 5.) 3. Mutuality of Identity and Capacity The Commissioner next asserts that the order of liquidation
destroyed the debtor-creditor relationship between the Mission companies and
Prudential Reinsurance. According to the Commissioner, as a result of the
liquidation order, the reinsurance debts are owed to the Commissioner as a
trustee for the benefit of the Mission companies, and are no longer owed to
Mission; there is no mutuality because the trustee has no contractual obligation
to Prudential Reinsurance. We agree with the Court of Appeal, [***36]
and find the Commissioner's contention without merit. As the Court of Appeal observed, section 1031 broadly
frames its mutuality criterion in terms of "all cases of mutual debts or
mutual credits between the person in liquidation under section 1016 and any
other person ...." (Italics added.) It is well settled that
In concluding that mutual credits and debts arising from
mutual reinsurance contracts may permit section 1031 setoffs in insurance
liquidation proceedings, the Court of Appeal limited application of the setoff
doctrine to true contractual debtor-creditor relationships between principal
insurers. In doing so, it rejected Prudential [**60]
Reinsurance's assertion that its subsidiary, Gibraltar, should be permitted to
set off debts owed by Prudential Reinsurance under the "Relation A"
contracts even though Gibraltar is not a party to those contracts. The Court of
Appeal concluded that because Gibraltar does not owe reinsurance proceeds or
premiums to the Mission companies as a principal reinsurer under the
"Relation A" contracts, it has no mutual credits or debts with those
companies upon which Prudential Reinsurance may claim a section 1031 setoff
against what it owes to Mission as their reinsurer. The Court of Appeal also observed that because Prudential
Reinsurance was reinsured by Mission and by Mission National Insurance Company,
but not other Mission companies, the remaining Mission companies are not
principal [***38]
reinsurers having mutual reinsurance debts and credits with Prudential
Reinsurance. We agree with the Court of Appeal. Accordingly, we refuse
to expand the section 1031 setoff of debts in the absence of an express mutual
agreement that the subsidiary would be deemed a mutual debtor-creditor of the
parent. (See, e.g., In
re Berger Steel Company (7th Cir. 1964) 327 F.2d 401; Black
& Decker Mfg. Co. v. Union Trust Co. (1936) 53 OhioApp. 356 [4 N.E.2d
929].) We conclude that such an unwarranted expansion of the setoff doctrine
would permit an exponential increase in the amount subsidiaries could set off to
the detriment of liquidation estates. C. Section 1031(a) As discussed above, under section 1031(a), no setoff is
allowed when the "obligation of the person in liquidation to such other
person does [*1138]
not entitle such other person claiming such setoff to share as a claimant in the
assets of such person in liquidation." The Commissioner construes this
subdivision as conditioning the right of setoff on the insolvent insurer's
ability to satisfy all obligations that are superior to its own in favor [***39]
of the party asserting the setoff. Under the Commissioner's interpretation of
the statute, Prudential Reinsurance is "entitled" to share in the
assets of Mission only if Mission has satisfied its obligations to all claimants
superior in priority to Prudential Reinsurance under section 1033. (See fn. 2,
at p. 1124, ante.) In other words, unless the estate has sufficient
assets--after collection of all debts owed to it, without allowance of
setoffs--to pay all priority claimants in full, no setoff claimant who is a
member of the lower- priority ranks may take any estate assets by way of its
section 1031 setoff claim. According to the Commissioner, such a taking would be
in effect an unauthorized preference. The Court of Appeal rejected this argument, concluding that
under the Commissioner's construction, a claimant's right to assert a setoff
cannot be determined until all the insolvent's assets have been marshalled and
the claims of all superior classes have been submitted. As the Court of Appeal
observed,
The Commissioner now contends that the Court of Appeal
erred in so interpreting section 1031(a) because a claimant asserting the right
of setoff must already be a creditor of the insurer in liquidation. According to
the Commissioner, if the claimant is a creditor, it is ipso facto entitled to
share in the assets of the insolvent, and section 1031(a) is simply redundant. As the Court of Appeal observed, however, if we were to
adopt the Commissioner's proffered construction of section 1031(a), the
statutory provision would be nullified because "setoffs would essentially
be permitted only in cases where the estate is sufficient to pay higher priority
classes in full and most likely be sufficient to also pay the setoff claimant in
full without resort to setoff. [P] If the Legislature had meant to gear setoff
entitlement to the estate's financial capacity, we presume it [**61]
would have worded [s]ection 1031 to make that intention sufficiently
clear." Finally, the Commissioner's assertion that the Legislature,
when it amended section 1033 priorities in 1979 to create the separate priority
ranks, [***41] intended to protect original
policyholders from diminution of their loss recoveries due to setoffs by lower
priority claimants, is contravened by [*1139]
legislative history. When sections 1031 and 1033 were enacted (Stats. 1935, ch.
145, pp. 544-545), section 1033 referred to three classes of claimants
only--original policyholders, CIGA, and reinsurers all shared the same priority
that was classified under "all other claims." Accordingly, if the
Legislature intended to deny setoff unless there were sufficient assets to
satisfy the claims of all claimants in higher priority classes, that result
would have been made explicit in the statute. In sum, section 1031(a) is nothing
more than a restatement of the mutuality requirement that is a prerequisite to
the assertion of a section 1031 setoff. D. Public Policy and Equitable Considerations The Commissioner's final contention is that considerations
of public policy and equity should preclude reinsurers' right to set off debts
they claim to be owed by the Mission companies. The Commissioner claims the
allowance of a setoff permits reinsurers to obtain complete satisfaction of the
debt they are owed, while Mission policyholders [***42]
are relegated to partial satisfaction only. This result, he claims, subverts the
recovery scheme expressly adopted by the Legislature and codified in section
1033, which, as discussed above, generally ranks the claims of policyholders
superior to the claims of other insurers. To this specific argument, he adds the
more general one that it is unfair that policyholders--as opposed to
reinsurers--bear the lion's share of Mission's insolvency, while implying even
more broadly that the entire business of reinsurance was developed to permit
original insurers to avoid their obligations to California policyholders. CIGA, as amicus curiae in support of the Commissioner,
asserts that allowing reinsurers to exercise their setoff rights ignores
specific language in section 1033 that expressly denies them priority. CIGA
relies on an exception to section 1033 discussed below. Ranked fifth in section 1033, subdivision (a) priority,
after expense of administration, certain unpaid charges, taxes, and claims
entitled to federal preference, are "(5) All claims of the California
Insurance Guarantee Association ... and associations or entities performing a
similar function in other states, together [***43]
with claims for refund of unearned premiums and all claims of policyholders of
an insolvent insurer that are not covered claims. ..." Ranked sixth and
last are "All other claims." A subparagraph of the fifth rank
provides, in addition, that "Claims excluded by paragraph [] (3) (except
claims for refund of unearned premiums) ... of subdivision (c) of section 1063.1
... shall be excluded from this priority." Paragraph 3 of subdivision (c)
of section 1063.1 provides, inter alia, that " '[c]overed claims' shall not
include any obligations of the insolvent insurer arising out [*1140]
of any reinsurance contracts. ..." CIGA claims that the exclusion provision
of section 1033, subdivision (a)(5) is evidence of the Legislature's express
intention that a reinsurer's claim to the insolvent's assets be ranked inferior
to the claims of policyholders. Such a conclusion, however, is clear without reference to
section 1033, subdivision (a)(5). A reinsurer's claim is not a claim of CIGA or
of an association or an entity performing a similar function, or any otherwise
uncovered claim asserted by a policyholder of the insolvent. To the extent the
reinsurer submits a claim for a refund of unearned [***44]
premiums, that claim is not subject to the exclusion. Accordingly, the apparent
exclusion of a reinsurer's claim from subdivision (a)(5) effects no substantive
change: that claim was already within the residual sixth rank--"All other
claims."
In a related context, the Commissioner and Justice Kline's
dissent assert that because the doctrine of setoff is based on equitable
principles, it should be denied when it would "harm the public." As we
explain, there is no evidence that the section 1031 setoff "harms the
public" and the cases on which Justice Kline and the Commissioner rely to
support their arguments are distinguishable. First, in
Federal Deposit Ins. Corp. v. Bank of America (9th Cir. 1983) 701 F.2d
831 (hereafter Federal Deposit), the court disapproved a setoff of
a debt similar to the reinsurance [***45]
debts under consideration in this case. In Federal Deposit, a Puerto
Rican chartered bank issued a subordinated capital note to the Bank of America,
which sought to set off the insolvent's deposits with the Bank of America
against the balance due on that note. It was held that the law of Puerto Rico
controlled and that no setoff was permissible because the subscription note was
expressly subordinated to general creditors of the insolvent. The setoff clause
was invalid under Puerto Rican law but the transaction was nevertheless
improperly approved by the Puerto Rican Secretary of the Treasury. In deciding the case under Puerto Rican law, the Federal
Deposit court observed that the portion of the subordinated capital
agreement that provided there shall be no waiver of the right of setoff,
violated the language of the Puerto Rican statute and regulations promulgated
under it. The court stated, [*1141] " 'capital notes shall be
subject in right to the obligations with the depositors and other
creditors of the issuing bank.' " ( Federal
Deposit, supra, 701 F.2d at p. 839, quoting P.R. Laws Ann. tit. 7, §
111(o), original italics.) The court [***46]
noted that the regulation clarifies this restriction, providing: " 'The
capital notes shall be subordinate in all rights to the bank's
liabilities to its depositors, liabilities under bankers acceptances and letters
of credit, and any other current obligations characteristic of banking
operations.' " ( at pp. 839-840, quoting P.R.R. & Regs. tit. 4, No. 4,
original italics.) The Court of Appeal herein rejected the reasoning of Federal
Deposit because it concerned Puerto Rican law without any reference to the
statutory right of setoff or to section 1031, and because the setoff discussion
focused on analogous stock subscription debts, which are not allowed in
California. (§ 1031, subd. (c); Kaye
v. Metz (1921) 186 Cal. 42, 49 [198 P. 1047].) We agree with the Court
of Appeal that Federal Deposit is inapposite. The Commissioner and Justice Kline's dissent also rely on Kruger
v. Wells Fargo Bank (1974) 11 Cal.3d 352 [113 Cal.Rptr. 449, 521 P.2d 441,
65 A.L.R.3d 266], in which a bank exercised its setoff right under Code of
Civil Procedure [***47]
former section 440 (cross-demands for money) against a depositor's checking
account that consisted of payments for unemployment compensation and state
disability benefits, which had been deposited in the account and comprised the
depositor's only source of income. We held that the depositor's unemployment and
disability benefits were protected from setoff by the bank. In so doing, we
rejected the "assumption that a creditor's right of setoff is absolute
except when explicitly limited by statute." ( Kruger,
supra, at p. 368.) We based our reasoning on the settled rule that a
creditor is not allowed to set off a debt against exempt property, and that
unemployment compensation and disability benefits are such property. (Ibid.)
We concluded that the "legislative objective in providing unemployment
compensation and disability benefits--to furnish the unemployed worker and his
family with a stream of income to defray the cost of their subsistence--would
obviously fail if creditors could seize that income and apply it to past
debts." ( at p. 370.) As the Court of Appeal observed, Kruger is
[***48]
materially distinguishable from the present matter. (See also Bluewater
Ins. Ltd. v. Balzano, supra, [**63]
823 P.2d 1365 [equitable setoff disallowed when proscribed by statute].) Kruger was decided on the basis of a public policy of protecting
those who require welfare and disability benefits for their subsistence, and it
was those benefits that were taken by setoff. (See also Jess
v. Herrmann (1979) 26 Cal.3d 131, 142 [161 Cal.Rptr. 87, 604 P.2d 208]
[setoff of cross-judgments for comparative fault injuries disallowed on public
policy [*1142]
grounds].) By contrast, in the present case, original insureds have no interest
or right in a contract of reinsurance (§ 623), and no rights against the
reinsurer (§ 922.2). The Commissioner and Justice Kline also assert the insolvency statutes were adopted to protect the interests of policyholders and the public in general and setoff would abrogate that protection. Such is not the case. As Midland observed, "An important reason offset has been recognized as desirable is |