A clause in a reinsurance treaty providing for early notice of possible claims and cooperation in the defence of claim that may affect the reinsurer and stipulating that the insurers shall not admit liability for such a claim without the reinsurer’s consent.
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UK: Requires the reinsured to give prompt or immediate notice to the reinsurer on becoming aware of a loss likely to involve the reinsurer. The reinsured must at all times cooperate with the reinsurer in the negotiation and settlement of the loss. In liability claims the reinsured must not admit liability without the reinsurer’s consent.
Tag: REINSURANCE
Claims Made Basis Reinsurance Agreements
The provision in a reinsurance contract that affords coverage for claims that occur and are made during the contract term, for losses that occur on or after the retroactive date specified in the contract. Claims reported during the term of the reinsurance agreement are therefore covered regardless of when they occurred. A claims made agreement does not cover claims reported after the term of the reinsurance contract unless the reporting period is extended by special agreement.
Claims Made Coverage
The provision in a policy of insurance that affords coverage only for claims that are made during the term of the policy for losses that occur on or after the retroactive date specified in the policy. A claims made policy is said to “cut-off the tail” on liability business by not covering claims reported after the term of the insurance policy unless the reporting period is extended by special agreement. (Also see Occurrence Coverage).
Clash Cover
A casualty excess of loss reinsurance agreement with a retention level equal to or higher than the maximum limits written under any one reinsured policy or contract reinsured under the reinsurance agreement. Usually applicable to casualty lines of business, the clash cover is intended to protect the ceding company against accumulations of loss arising from multiple insureds and/or multiple lines of business for one insured involved in one loss occurrence. Clash cover may also be provided for single policy exposure based on ECO/XPL and run away defense costs. Sometimes referred to as Unknown Accumulation Cover.
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A type of catastrophe reinsurance for casualty insurance. The retention is equal to the highest limit of any one insurance policy covered by the agreement. Clash cover is written to cover all losses from one source, such as a construction site. More than one insured may be involved in the same occurrence, known as a clash.
Closed Year
REINSURANCE: A year for which provisions for all future claims arising in the year are established. Also A year of account that has been closed into another year of account by means of a reinsurance to close contract. Historically most Lloyd’s syndicates have operated a three year underwriting account according to which the profit or loss of an underwriting account is determined by the managing agent 36 months after the beginning of that account which is always the start of a calendar year. According to this system the normal closure date of the 2014 year of account (which commenced on 1 January 2014) was 31 December 2016, with the calculation of the reinsurance to close as at that date being finalized in or about February/March 2016.
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Refer: “Reinsurance, Closed Year”
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UK: Where the accounting basis is for a two-year period or longer, a closed year is the year of account for which a result has been ascertained. This can only be done after providing for all outstanding claims. At Lloyd’s a year of account closes after 36 months, but this will end as Lloyd’s moves to annual accounting.
Closing an account
Making a Reinsurance provision to cover outstanding losses, so that reserves and profit can be released.
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Refer: “Reinsurance, Closing an account”
Closing Particular
Final advice on full particulars of risk for which placement with reinsurer is completed.
Co-Reinsurance
Similar to co-insurance, but referring to reinsurance of risk rather than insurance.
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UK: 1. Provision in an excess of loss treaties making the reinsured a co-reinsurer. The clause requires the reinsured to retain net and unreinsured a part of the risk, in addition to the deductible, for its own account. Example: the reinsurer covers 95 per cent of the excess layer while the reinsured accepts 5 per cent of that layer and is not authorised to reinsure it. See LMX. 2. Several reinsurers sharing a reinsurance contract. Each co-reinsurer has a direct contract with the reinsured.
Combination Plan Reinsurance
Elements of two types of reinsurance, Pro-Rata (Quota Share) and Excess of Loss, are combined in one reinsurance agreement. The excess of loss part of the plan protects the company up to a specified limit on each risk, each occurrence excess of a fixed net retained line. The pro-rata part of the plan protects the company’s net retained lines under the excess part (i.e. after deducting the excess of loss recoveries), on a fixed percentage quota share basis.
Combination Plans
A form of combined reinsurance which provides that in consideration of a premium, which is a fixed percentage of the ceding company’s subject premium on the business covered, the reinsurer will indemnify the ceding company for the amount of loss of each risk in excess of a specified retention and subject to a specified limit and after deducting the excess recoveries on each risk, the reinsurer will indemnify the ceding company against a fixed quote share percent of all remaining losses.