5
Clauses Common to Excess of Loss Contracts +
by
Sarah J. Peterson, J.D., CPCU* and
Bernice Gordon, J.D.**
Excess of loss reinsurance, also known as nonproportional
reinsurance, differs from pro rata or proportional reinsurance. In excess
of loss, the reinsurer's portion of a loss depends upon the size of the loss:
the insurer as reinsured retains all loss(es) up to a predetermined amount(s)
and, subject to some limit, the insurer recovers all or a major portion of
any amount(s) in excess of the retained amount. Accordingly, excess of loss
clauses are more complicated than those used in proportional reinsurance.
The names of the reinsureds are different, too. As there
are no cessions of insurance liability, premium, and losses in excess of
loss reinsurance (as are shared in pro rata reinsurance), the excess of loss
reinsured is indemnified only for excess losses and is correctly referred
to as the reinsured or simply the company (instead of the ceding company
or cedent, as in pro rata reinsurance). However, either reinsured is often
called a ceding company, albeit loosely, in recognition that it could be
covered by both types of reinsurance simultaneously.
The clauses vary for the three types of agreements --
per risk (or per policy), per occurrence (property catastrophe or casualty
clash), and aggreggate. All three have common traits to be addressed in this
chapter, with variations described in subsequent chapters. Each clause used
is a result of the drafter's style and the corporate format followed. The
important point is that the reinsurance document should cover all elements
required to set forth clearly the intent of the parties.
CLAUSES
Reinsuring
The Reinsuring Clause is known by other titles as well, e.g., Cover Clause,
Business Reinsured Clause, or Application of Agreement . . .
* Vice President, Contract Department, AMERICAN
RE-INSURANCE COMPANY, 555 College Road East, P.O. Box 5241, Princeton, New
Jersey 08543-5241.
** Assistant Vice President and Manager, Contract
Department, FOLKSAMERICA REINSURANCE COMPANY, 1 Liberty Plaza, New York,
New York 10006. Autobiographies follow the
chapter.
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+ Footnotes appear at the end of the
chapter.