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EXHIBIT 10.74
POLICY AND LOSS PORTFOLIO TRANSFER
ASSUMPTION REINSURANCE AGREEMENT
between
NATIONAL ALLIANCE FOR RISK MANAGEMENT
GROUP SELF-INSURERS' FUND
(Hereinafter referred to as "Fund")
and
RISCORP NATIONAL INSURANCE COMPANY
(Hereinafter referred to as the "Reinsurer")
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POLICY AND LOSS PORTFOLIO TRANSFER
ASSUMPTION REINSURANCE AGREEMENT
(Hereinafter referred to as the "Agreement")
between
NATIONAL ALLIANCE FOR RISK MANAGEMENT
GROUP SELF-INSURERS' FUND
(Hereinafter referred to as "Fund")
and
RISCORP NATIONAL INSURANCE COMPANY
(Hereinafter referred to as the "Reinsurer")
ARTICLE 1 - BUSINESS COVERED
A. The Reinsurer assumes by assumption reinsurance the Policies and
the liability to pay all losses, including loss adjustment expenses, covered by
Policies issued by the Fund prior to June 14, 1996, to all policyholders,
including all existing and incurred but not reported ("IBNR") claims covered by
the Policies (hereinafter "Reinsured Claims"), subject to the terms and
conditions contained herein.
B. The term "Policies" shall mean all binders, policies, contracts,
certificates and other obligations, whether oral or written, of insurance
issued by the Fund to its member employers. It is understood and agreed that
the Reinsurer is bound by all the terms and conditions of the Fund's Policies
as if the Policies had been issued by the Reinsurer.
C. The Fund hereby transfers to the Reinsurer all rights the Fund
may have now or in the future under or with respect to the Policies, including,
without limitation, the right to collect and adjust premiums, adjust and
settle claims, deny coverage, rescind policies, etc.
ARTICLE 2 - EFFECTIVE DATE
This Agreement shall be effective as of 12:01 a.m., Eastern Standard Time,
June 14, 1996.
ARTICLE 3 - REINSURANCE PREMIUM
The Fund shall pay a premium equal to the sum of all of its assets as of
the Effective Date (as listed on Schedule A attached hereto) to the Reinsurer
in accordance with the following terms and conditions. However, Reinsurer
acknowledges that policyholders of the Fund have the right under North
Carolina law not to accept the transfer of their Policies and/or obligations
under the policies to the Reinsurer, and that the reinsurance premium payable
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hereunder will be affected by the number of policyholders who do not accept
the transfer. Prior to the Effective Date, the Fund shall deliver to the
Reinsurer a schedule of the specific investments and assets which the Fund will
use to pay the premium. All investments shall be listed on the schedule at
fair market value. As of the Effective Date, the Fund shall transfer all
scheduled investments and assets to the Reinsurer and shall execute
all documents necessary to effectuate such transfer.
ARTICLE 4 - COOPERATION AMONG PARTIES; TRANSFER OF DOCUMENTS
A. The parties hereto agree to act in good faith and cooperate with
each other in effecting the assumption of the Reinsured Claims provided for in
this Agreement. The parties shall take all actions necessary to assist each
other in obtaining all regulatory approvals or responding to information
requests of those insurance regulatory authorities asserting jurisdiction over
the transactions herein described.
B. Upon demand by, and in accordance with instructions of the
Reinsurer, the Fund shall deliver originals or copies of all policy records and
claim files pertaining to the Reinsured Claims and all other files and records
incidental to the Reinsured Claims as are necessary for the Reinsurer to
perform its obligations under this Agreement. The Reinsurer shall retain all
policy records, claim files, and other documents received by it from the Fund
as required by applicable law. Upon reasonable notice, each of the Reinsurer
and the Fund will be entitled to reasonable access to the books and records of
the other party at any reasonable time, but only to the extent such materials
pertain to the business assumed and reinsured under this Agreement. Each party
will pay its own expenses associated with any such review of the books and
records. The Fund will retain as its property its original corporate records,
including, without limitation, articles of incorporation, bylaws, minute books,
and certificate of authority; provided, however, that the Fund shall provide
the Reinsurer with copies of all such documents upon the effective date hereof
C. Whenever the Fund receives any payments or communications,
including notices of claims and proofs of loss, pertaining to the Reinsured
Claims, it will forward such payments and communications promptly to the
Reinsurer.
ARTICLE 5 - NOTICE OF ASSUMPTION
As soon as practicable after the Effective Date, the Fund will deliver
or cause its agents to deliver to the named insureds under the Policies an
appropriate notice of transfer/assumption substantially in the form attached
hereto. The Reinsurer will take all other necessary actions to assume the
Reinsured Claims. The Fund will cooperate fully with the Reinsurer in
implementing such assumption, including, without limitation, executing any
document reasonably necessary to evidence the completion of the transactions
contemplated by this Agreement.
ARTICLE 6 - ADMINISTRATION AND CLAIM PAYMENTS
A. From and after the Effective Date, the Reinsurer will be solely
liable for the administration and disposition of all aspects of the Reinsured
Claims assumed by the Reinsurer
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including, without limitation, the defense, adjustment, settlement, and payment
of all losses and expenses arising under or relating to the Reinsured Claims.
The Fund hereby grants and assigns to the Reinsurer full authority to
administer such losses, claims, expenses, defenses, adjustments, settlements,
and payments, and such matters will be under the Reinsurer's control and within
its discretion. The Reinsurer will bear all expenses and costs incurred by it
in connection with the administration and disposition of such losses, claims,
expenses, defenses, adjustments, settlements, and payments.
B. The Fund will cause all information and notices regarding the
Reinsured Claims actually received by the Fund after the Effective Date to be
promptly reported to the Reinsurers or the Reinsurer's designated
representative. The Fund also will undertake any reasonable arrangements
deemed necessary by the Reinsurer to ensure that all notices received by the
Fund after the Effective Date in connection with the Reinsured Claims are
promptly delivered to the Reinsurer.
C. All losses and similar items regarding the Reinsured Claims that
the Reinsurer determines to be payable will be paid directly and promptly by
the Reinsurer.
ARTICLE 7 - ASSESSMENTS
In the event that an assessment is made against any present or former
policyholders of the Fund pursuant to the North Carolina General Statutes, the
Reinsurer agrees to pay the full assessment on behalf of said policyholders.
By this undertaking, the Reinsurer and the Fund expressly intend to benefit as
third party beneficiaries all present and former policyholders of the Fund, and
the Reinsurer agrees to be subject to suit by any policyholder as set out in
Article 8.
ARTICLE 8 - DIRECT SUIT AGAINST THE REINSURER
The Reinsurer hereby covenants and agrees that it may be sued for its
actions after the Effective Date, in its own name, by insureds under the
Policies.
ARTICLE 9 - INDEMNIFICATION
The Reinsurer agrees to defend, protect, indemnify and hold harmless the
Fund and its successors or assigns, against any liability, claim, loss or
damage, including punitive damages, arising under or out of any of the
Reinsured Claims reinsured hereunder or the transactions contemplated by this
Agreement.
ARTICLE 10 - EXTRA CONTRACTUAL OBLIGATIONS
The Reinsurer shall also be responsible for any Extra Contractual
Obligation losses assessed against the Fund or the Reinsurer. Such losses are
defined as those liabilities (whether they constitute compensatory, incidental,
exemplary or punitive damages not covered under any other provision of this
Agreement and which arise from the handling of any Reinsured Claim, such
liabilities arising out of, but not limited to, the following: failure to
settle within
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the policy limit or by reason of alleged or actual negligence, coverage denial,
fraud or bad check in rejecting an offer of settlement, in the preparation of
the defense or in the trial of any action against an insured or in the
preparation or prosecution of an appeal consequent upon such action.
ARTICLE 11 - REQUIRED REGULATORY APPROVAL
This Agreement remains subject to the approval of the North Carolina
Department of Insurance. The Fund and the Reinsurer shall take all steps
necessary to obtain requisite regulatory approval of this Agreement and the
transaction described herein.
ARTICLE 12 - SUBROGATION AND REINSURANCE RECEIVABLES
A. In the event of the payment of any loss by the Reinsurer under
this Agreement, the Reinsurer shall be subrogated, to the extent of such
payment, to all of the rights of the Fund against any person or entity legally
responsible for the loss. The Reinsurer is hereby authorized and empowered to
bring any appropriate action in its own name or in the name of the Fund to
enforce such rights.
B. Any payments received by or due to the Fund from any reinsurer of
the Fund which is payable on a Reinsured Claim shall become the property of
and paid to the Reinsurer. If any payment is received by the Fund which is to
be credited to the Reinsurer under or with respect to any of the Reinsured
Claims, the Fund will immediately endorse (without warranty or recourse) and
deliver to the Reinsurer such checks, drafts, or money intended as such
payment, and until delivery of such items to the Reinsurer, the Fund will treat
any such checks, drafts, or money as the property of the Reinsurer held for the
account of the Reinsurer. The Reinsurer and the Fund will each use all
commercially reasonable efforts to cause the transfer and assignment (as of the
Effective Date) to the Reinsurer of all of the Fund's rights, interests, and
obligations under the Fund's reinsurance agreements, if any, covering the
risks, liabilities, and obligations of the Fund under or with respect to the
Reinsured Claims, including, without limitation, obtaining any necessary
consents or approvals to such transfer and assignment by the reinsurers under
any such reinsurance agreements effective as of the Effective Date. Any
failure to receive the consents referred to herein will not relieve or diminish
in any manner the Reinsurer's obligations under this Agreement.
C. The Reinsurer shall be authorized and entitled to file and pursue
the collection of claims against the State of North Carolina, Second Injury
Fund, arising out of or resulting from Reinsured Claims (hereinafter "SIF
Claims"); to pursue the collection of SIF Claims filed by the Fund prior to the
Effective Date; and to collect, receive, and retain any monies paid in
settlement or satisfaction of any SIF Claims filed by either the Reinsurer or
the Fund.
ARTICLE 13 - ERRORS OR OMISSIONS
Inadvertent delays, errors, or omissions made in connection with this
Agreement or any transaction hereunder will not relieve either party from any
liability that would otherwise have attached had such delay, error, or omission
not occurred. Regardless, the responsible party will rectify each such delay,
error, or omission as promptly as practicable after discovery.
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ARTICLE 14 - ARBITRATION
A. Any dispute or other matter in question between the Fund and the
Reinsurer arising out of or relating to the formation, interpretation,
performance, or breach of this Agreement, whether such dispute arises before or
after termination of this Agreement, shall be settled by arbitration if the
parties are unable to resolve the dispute through negotiation. Arbitration
shall be initiated by the delivery of a written notice of demand for
arbitration by one party to the other.
B. Each party shall appoint an individual as arbitrator and the two
so appointed shall then appoint a third arbitrator. If either party refuses or
neglects to appoint an arbitrator within sixty (60) days of receipt of a
written notice of demand for arbitration, 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 shall
nominate three individuals. Each arbitrator shall then decline two of the
nominations presented by the other arbitrator. The third arbitrator shall then
be chosen from the remaining two nominations by drawing lots. The arbitrators
shall be active or former officers of insurance or reinsurance companies; the
arbitrators shall not have a personal or financial interest in the result of
the arbitration.
C. The arbitration hearings shall be held in Charlotte, North
Carolina, or such other place as may be mutually agreed. Each party shall
submit its case to the arbitrators within sixty (60) days of the selection of
the third arbitrator or within such longer period as may be agreed by the
arbitrators. The arbitrators shall not be obliged to follow judicial
formalities or the rules of evidence except to the extent required by governing
law, that is, the state law of the situs of the arbitration as herein agreed;
they shall make their decisions according to the practice of the reinsurance
business. The decision rendered by a majority of the arbitrators shall be
final and binding on both parties. Such decision shall be a condition
precedent to any right of legal action arising out of the arbitrated dispute
which either party may have against the other. Judgment upon the award
rendered may be entered in any court having jurisdiction thereof.
D. Each party shall pay the fee and expenses of its own arbitrator
and attorneys and one-half of the fees and expenses of the third arbitrator.
All other expenses of the arbitration shall be equally divided between the
parties.
E. Except as provided above, arbitration shall be based, insofar as
applicable, upon the Commercial Arbitration Rules of the American Arbitration
Association.
ARTICLE 15 - HONORABLE UNDERTAKING
This Agreement shall be construed as an honorable undertaking between the
parties hereto not to be defeated by technical legal constructions, it being
the intention of this Agreement that the fortunes of the Reinsurer shall in all
cases follow the fortunes of the Fund.
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ARTICLE 16 - TAX NEUTRALITY
The parties to the Agreement contemplate that as a result of or concurrent
with the transfer of assets and liabilities contemplated hereby, the Fund shall
become entitled to a refund of certain taxes, and that the Reinsurer shall
sustain a corresponding tax liability. Accordingly, and in order to render the
transaction tax-neutral as to such refund, the Fund hereby disavows any right
to collect any tax refund to which it currently is or may become entitled, and
assigns its rights to any such tax refund to the Reinsurer.
ARTICLE 17 - GENERAL PROVISIONS
A. Successors and Assigns. This Agreement shall inure to the
benefit of and bind the Fund and its successors and assigns and the Reinsurer
and its successors and assigns. Neither this Agreement nor any right hereunder
nor any part hereof may be assigned by any party hereto without the prior
written consent of the other party hereto. Prior to any such assignment, the
consent of all necessary regulatory authorities must be obtained.
B. Governing Law. This Agreement will be governed by and construed
in accordance with the laws of the State of North Carolina (without giving
effect to principles of conflicts of laws) applicable to a contract executed
and to be performed in such state.
C. Entire Agreement. This Agreement supersedes all prior
discussions and agreements between, and contains the sole and entire agreement
between the Fund and the Reinsurer with respect to the subject matter hereof.
D. Counterparts. This Agreement may be executed simultaneously in
any number of counterparts, each of which will be deemed an original, but all
of which will constitute one and the same instrument.
E. Headings, etc. The headings used in this Agreement have been
inserted for convenience and do not constitute matter to be construed or
interpreted in connection with this Agreement. Unless the context of this
Agreement otherwise requires, (a) words of any gender will be deemed to
include each other gender, (b) words using the singular or plural number will
also include the plural or singular number, respectively, (c) the terms
"hereof," "herein," "hereby," and derivative or similar words will refer to
this entire Agreement, and (d) the conjunction "or" will denote any one or
more, or any combination or all, of the specified items or matters involved
in the respective list.
F. Non-waiver. The failure of either party hereto at any time to
enforce any provision of this Agreement shall not be construed as a waiver of
that provision and shall not effect the right of either party thereafter to
enforce each and every provision of this Agreement in accordance with its
terms.
G. Severability. If any provision of this Agreement is held to be
illegal, invalid, or unenforceable under any present or future law, and if the
rights or obligations of any party under this Agreement will not be materially
and adversely affected thereby, (a) such provision will be fully severable, (b)
this Agreement will be construed and enforced as if such illegal,
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invalid, or unenforceable provision had never comprised a part hereof, (c) the
remaining provisions of this Agreement will remain in full force and effect and
will not be affected by the illegal, invalid, or unenforceable provision or by
its severance herefrom, and (d) in lieu of such illegal, invalid, or
unenforceable provision, there will be added automatically as a part of this
Agreement, a legal, valid, and enforceable provision as similar in terms to
such illegal, invalid, or unenforceable provision as may be possible.
H. Notices. Any notice or communication given pursuant to this
Agreement must be in writing and will be deemed to have been duly given if
mailed (by registered or certified mail, postage prepaid, return receipt
requested), or if transmitted by facsimile, or if delivered by courier, as
follows:
To the Fund:
National Alliance for Risk Management
c/o ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
President & CEO
Arrowspace Group, LTD.
▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇
▇▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇
Phone Number: (▇▇▇) ▇▇▇-▇▇▇▇
To the Reinsurer:
RISCORP National Insurance Company
▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇
▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇▇ ▇▇▇▇▇
Attention: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇
Phone Number: (▇▇▇) ▇▇▇-▇▇▇▇
All notices and other communications required or permitted under this Agreement
that are addressed as provided in this paragraph will, whether sent by mail,
facsimile, or courier, be deemed given upon the first business day after actual
delivery to the party to whom such notice or other communication is sent (as
evidenced by the return receipt or shipping invoice signed by a representative
of such party or by the facsimile confirmation). Any party from time to time
may change its address for the purpose of notices to that party by giving a
similar notice specifying a new address, but no such notice will be deemed to
have been given until it is actually received by the party sought to be charged
with the contents thereof.
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IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed by their duly authorized representatives this 14th day of June, 1996.
ATTEST: NATIONAL ALLIANCE FOR RISK
MANAGEMENT GROUP SELF-INSURERS'
FUND
By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
-------------------------------- -----------------------------------
Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
---------------------------------
Title: CHAIRMAN OF TRUSTEES
--------------------------------
ATTEST: RISCORP NATIONAL INSURANCE COMPANY
By: /s/ ▇▇▇▇▇▇ ▇▇▇▇▇▇
-------------------------------- -----------------------------------
Name: ▇▇▇▇▇▇ ▇▇▇▇▇▇
---------------------------------
Title: Vice President and Treasurer
--------------------------------
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NOTICE OF TRANSFER
IMPORTANT: THIS NOTICE AFFECTS YOUR CONTRACT RIGHTS. PLEASE READ IT CAREFULLY.
Dissolution of NARM
The Trustees of the National Alliance for Risk Management Group
Self-Insurers' Fund (NARM Fund) have determined that it would be in the best
interest of the policyholders to transfer all assets and liabilities to RISCORP
National Insurance Company (RISCORP National), effective June 14, 1996. After
the effective date of this transfer, the warm Fund will be terminated. As a
member (policyholder) of the NARM Fund, you will neither have any claim
against, or equity in the NARM Fund once it is dissolved.
Transfer of Workers' Compensation Policy and Coverage
RISCORP National Insurance Company has agreed to replace us as your
insurer under your policy of workers' compensation coverage. RISCORP National
Insurance Company's North Carolina office is located at ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇,
▇▇▇▇▇ ▇▇▇, ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇.
Included with this "Notice of Transfer" are the audited balance sheets
prepared under generally accepted accounting principles for the NARM Fund as of
December 31, 1994 and December 31, 1995, and Management's Discussion and
Analysis for the corresponding period, RISCORP National Insurance Company's
Statutory Quarterly Balance Sheet as of March 31, 1996, the plan of
capitalization for RISCORP National Insurance Company, and an explanation of
the reason for the transfer. You may obtain additional information concerning
RISCORP National Insurance Company by contacting:
Commissioner ▇▇▇▇▇ ▇. ▇▇▇▇
Department of Insurance
▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ ▇▇.
▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇
(▇▇▇) ▇▇▇-▇▇▇▇, Extension 243
RISCORP National Insurance Company is licensed to write this coverage in
North Carolina. The Commissioner of Insurance in North Carolina has reviewed
the effect of the transaction, and has approved the transaction.
Your Rights
You may choose to consent to or reject the transfer of your policy and/or
the obligations under your policy to RISCORP National Insurance Company. If
you want your policy transferred, notify us in writing by signing and returning
the enclosed Response Letter in the pre-addressed, postage-paid envelope, or by
writing to us at:
NARM
▇.▇. ▇▇▇ ▇▇▇▇▇
▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ or;
Fax: (▇▇▇) ▇▇▇-▇▇▇▇
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Payment of your premium to RISCORP National Insurance Company will also
constitute acceptance of the transaction.
If you reject the transfer, your policy will be cancelled and you will
have 30 days, until July 18, 1996, to place your coverage with another
insurer without penalty. If we do not receive a written rejection, and if you
do not pay premiums when due, your workers' compensation coverage will be
terminated in accordance with North Carolina law governing cancellation or
non-renewal for non-payment of premiums when due.
Effect of Transfer
If you accept this transfer, RISCORP National Insurance Company will be
your insurer. It will have direct responsibility to you for the payment of all
claims, benefits, and for all other policy obligations.
If you accept this transfer, you should make all premium payments and
claims submissions to RISCORP National Insurance Company, and direct
all questions to RISCORP National Insurance Company.
If you have any further questions about this agreement, you may contact
RISCORP National Insurance Company.
Sincerely,
---------------------------------- ----------------------------------
▇▇▇▇▇ ▇. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
RISCORP National Insurance Company Chairman of the Board of Trustees
▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇
▇▇▇▇▇ ▇▇▇ P.O. Box 25700
▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇
(▇▇▇) ▇▇▇-▇▇▇▇
For your convenience, we have enclosed a pre-addressed postage-paid
envelope and response letter. Please take time now to read the enclosed notice
and complete and return the response letter to us.
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EXPLANATION OF THE REASON FOR THE TRANSFER
In October of 1993, the Trustees of the National Alliance for Risk
Management (NARM), established a group self-insurance fund for it's members.
At that time, the fund filled an important need in the marketplace, as many of
the association's members had no other cost-effective alternative to meet their
need for workers' compensation insurance. Many of the insurance carriers had
severely limited their writings in North Carolina leaving few options for many
North Carolina businesses. The NARM group self-insurers' fund, with RISCORP as
it's service company, performed admirably in 1994 and 1995 -- with healthy
growth and strong underwriting performance. At the end of 1995, the NARM Fund
provided insurance to over 2,200 North Carolina businesses.
The marketplace in North Carolina has changed dramatically over the past
six months. Overall improvement in the workers' compensation line
performance has attracted traditional insurance companies back into the North
Carolina marketplace. These companies are aggressively marketing fully-insured
products to the full spectrum of North Carolina businesses. Many of the NARM
members that had so few options for their workers' compensation in 1993, are
finding a range of cost-effective alternatives in the form of fully-insured
products available in the market. Although most of the members are extremely
pleased with the level of claims, loss prevention, and customer service offered
by RISCORP, the elimination of joint and several liability is a key
consideration in their purchasing decision. As some businesses elect to move
to fully-insured Products, there is some risk that the overall health of the
NARM Fund could deteriorate exposing the remaining members to more significant
risk of eventual fund assessment.
In order to anticipate the needs of their members in a changing market, the
trustees of the NARM Fund have decided to develop a method of providing a
fully-insured product to the NARM members while allowing the members to keep
their existing service relationships intact. The trustees have agreed to
transfer the assets and liabilities of the NARM Fund to RISCORP National
Insurance Company for the purpose of eliminating any potential for assessment
of its members. Assessment could occur if the NARM Fund claim liabilities
exceeded its available assets due to unfavorable loss experience, poor
investment performance or the inability of the Fund members to pay premiums
due. By transferring the assets and liabilities of the NARM Fund to RISCORP
National Insurance Company you will receive a fully-insured workers'
compensation policy without the future potential of assessment for the period
of time your coverage was with the NARM Fund.
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PLAN OF CAPITALIZATION
As a result of a successful initial public offering of its common shares,
RISCORP. Inc., the ultimate parent of RISCORP National Insurance Company,
raised $126.5 million on February 28, 1996. RISCORP, Inc. currently with a
market capitalization in excess of $800 million, will contribute the necessary
capital to RISCORP National Insurance Company to be in compliance with
requirements set by the Department of Insurance for the State of North Carolina
as set forth below:
- $9 million capital transfer from RISCORP, Inc. to RISCORP National
Insurance Company on June 17, 1996.
- $2.8 million capital transfers from RISCORP, Inc. to RISCORP National
Insurance Company on July 1, 1996, August 1, 1996, and September 1, 1996,
or the next business day thereafter.
Currently RISCORP National Insurance Company has statutory surplus of
approximately $8.4 million as of the effective date of this transfer.
This plan of capitalization will result in RISCORP National Insurance
Company having a statutory surplus of approximately $25.8 million on September
1, 1996.
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NATIONAL ALLIANCE FOR RISK MANAGEMENT
GROUP SELF-INSURERS' FUND
Balance Sheets
December 31, 1995 and 1994
Assets 1995 1994
------ ---- ----
Debt Securities - available-for-Sale $26,514,356 $ 8,312,162
Debt Securities - held-to-maturity 600,000 450,000
----------- -----------
Total investments 27,114,356 8,762,182
Cash and cash equivalents 1,704,747 4,289,979
Premiums receivable, less allowance for uncollectible accounts
of $548,276 in 1995 and $197,273 in 1994 4,299,509 2,348,525
Accrued investment income 403,336 143,751
Reinsurance balances
Loss and loss adjustment expenses receivable 4,809,510 4,448,257
Prepaid reinsurance premiums 87,973 162,469
Federal income taxes receivable 0 142,750
Deferred policy acquisition costs 1,040,279 840,970
Deferred income taxes 1,736,336 864,174
Other assets 93,676 106,692
----------- -----------
Total assets $41,069,722 $22,109,729
=========== ===========
Liabilities and Members' Equity
Loss and loss adjustment expense reserves 29,282,180 14,824,372
Unearned premium 6,874,712 5,480,404
Accrued premium taxes 1,054,063 697,980
Accrued commissions 358,430 306,669
Accrued fees - management company 1,046,382 417,982
Federal income taxes payable 346,481 0
Accrued expenses and other liabilities 328,400 287,720
----------- -----------
Total liabilities 39,290,648 21,995,127
Commitments and contingencies
Members' equity
Retained earnings 1,540,142 165,400
Not unrealized gain (loss) on available-for-sale debt
securities 238,932 50,798
----------- -----------
Total members' equity 1,779,074 114,602
----------- -----------
Total liabilities and members' equity $41,069,722 $22,109,729
=========== ===========
Reconciliation to Statutory Members' Deficit:
Members'
equity (deficit)
----------------
Members' equity as reported in the above GAAP
Balance Sheet $ 1,779,074
Non-admitted assets (287,699)
(1,736,336)
Deferred policy acquisition costs (1,040,279)
Securities valuation adjustment (362,019)
-----------
Statutory members' deficit as reported to state regulatory
authorities (unaudited) $(1,647,259)
===========
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NATIONAL ALLIANCE FOR RISK MANAGEMENT GROUP
SELF-INSURERS' FUND
MANAGEMENT'S DISCUSSION AND ANALYSIS
December 31, 1995
National Alliance for Risk Management Group Self Insurers' Fund (NARM) provides
workers' compensation and employers' liability coverage pursuant to Chapter 97
of the North Carolina General Statutes. NARM began operations on October 1,
1993. NARM's surplus may, at the discretion of the its Board of Trustees and
upon approval by the North Carolina Department of Insurance, be distributed to
its members. Members may also be assessed to cover NARMs deficit should such a
deficit exist.
ASSETS
At December 31, 1995, total assets were $41,069,722. Investments increased from
$8,762,162 at December 31, 1994 to $27,114,356 at December 31,1995, an
increase of 209%. The significant Increase reflects the continued growth in
premium revenue generated by the fund during 1995. The Fund invests primarily
in securities of the U.S. Government; state, local and municipal governments;
and high-quality corporate bonds. The mix of the investment portfolio at
December 31, 1995 and 1994 was as follows:
1995 1994
---- ----
U.S. Treasury Securities/Obligations
of the U.S. Government 19.9% 13.05%
State and municipal obligations 39.3% 86.95%
Corporate Securities 40.8% --
Cash and cash equivalents at December 31, 1995 and 1994 were $1,704,747 and
$4,289,979, respectively.
Premiums and agent's balances in the course of collection increased from
at December 31, 1994 to $4,299,509 at December 31, 1995, an
increase of 83% Allowance for uncollectible accounts at December 31, 1994 and
1995 consists of $197,273 and $543,276, respectively.
Also included in total assets at December 31, 1995 is a reinsurance receivable
balance of $4,609,510. This amount represents the amounts to be reimbursed to
NARM for payments in excess of the specific reinsurance retention limit.
The deferred income taxes were $1,735,336 and $364.174 at December 31, 1995 and
1994, respectively. The fluctuation in deferred income taxes represents a
101% increase and is reflective of the Fund's increase in loss and loss
adjustment exepense reserves due to the growth in levels of premiums written.
LIABILITIES
The reserves for losses and loss adjustment expenses were $29,282,180 and
$14,824,372 at December 31, 1995 and 1994, respectively. The increase in
reserves for loss and loss adjustment expenses represents a 97.5% increase over
the prior year and is reflective of the continued growth in the fund's premium
base. Reserves for loss and loss adjustment expenses as undiscounted which
represents a conservative approach for financial statement reporting purposes.
Accrued fees - management company were $1,046,382 and $417,982 at December 31,
1995 and 1994, respectively. The increase in accrued fees - management company
is due to a 1995 bonus payable to the management company for NARM
profitability.
Unearned premiums at December 31, 1995 amounted to $6,874.712. This
represented an increase of $1,414,308 or 25.9% over the prior year-end balance
of $5,460,404. The substantial increase in unearned
16
premiums as well as all other accrued expense/liability accounts from December
31, 1994 to December 31, 1995 again is reflective of the fund's continued
growth.
MEMBER'S EQUITY
At December 31, 1995 NARM had member's equity of $1,779,074 versus $114,602 at
December 31, 1994.
Net Income
Net income for the year ended December 3l, 1995 was $1,374,742. Premiums earned
for the year were $34,972,245 versus $18,688,366 in the prior year, an increase
of $16,283,879 or 87%. Net investment income increased from $277,533 at
December 31, 1994 to $1,090,685 at December 31, 1995, an increase of nearly
393%. This reflects the significant growth in the fund's investment portfolio
during 1995. Other income consists primarily of earned expense constants.
Underwriting expenses at December 31, 1995 and 1994 consisted of losses and loss
expenses incurred and other underwriting expenses of $23,598,055 and
$10,919,132, respectively. For the year ended December 31, 1994, loss and loss
adjustment expenses were $13,341,053 and other underwriting expenses amounted
to $5,585,832. Federal income taxes incurred for the year ended December
3l, 1995 were $1,535,131.
As with the asset and liability growth, the substantial increases in both
revenues and expenses reflects the continued growth of the fund's premium base.
CASH FLOW/LIQUIDITY
The cash cash equivalents were $1,704,747 and $4,289,979 at December 31, 1995
and 1994, respectively. The change in cash and cash equivalents represents
a 60% decrease over the prior year and is reflective of management's policy to
maximize investment return.
SUBSEQUENT EVENT
The NARM Trustees discussed and filed with the Department of Insurance a plan
of dissolution of the Fund and a policy and loss portfolio transfer assumption
reinsurance agreement, which has been approved by the Department of Insurance.
17
STATEMENT AS OF MARCH 31, 1996 OF THE RISCORP NATIONAL INSURANCE COMPANY
ANALYSIS OF ASSETS
1 2 3
Non-Ledger Including Assets Not Admitted
Excess of Market Including Excess of
Ledger Assets (or Amortized) Book Over Market (or
Over Book Values Amortized) Values
----------------------------------------------------------
1. Bonds 3,387,579
2. Stocks:
2.1 Preferred stocks 151,253 6,753
2.2 Common stocks 45,425 3,700
3. Mortgage loans on real estate
a. First liens
b. Other than first liens
4. Real estate:
4.1 Properties occupied by the company (less......$0)
encumbrances)
4.2 Other properties (less.......$0 encumbrances)
5. Collateral loans
6.1 Cash on hand and on deposit:
a. Cash in company's office
b. Cash on deposit 5,184,549
6.2 Short-term investments 200,000
7. Other invested assets
8. Aggregate write-ins for invested assets 0 0 0
8A. Subtotals, cash and invested assets (Lines 1 through 8) 8,968,806 3,700 6,753
9. Agents' balances or uncollected premiums (net as to concessions and
dividends):
9.1 Premiums and agents' balances in course of collection (after
deducting ceded reinsurance balances payable of $133,445) 219,980 6,330
9.2 Premiums, agents' balances and installments booked but deferred and
not yet due (after deducting ceded reinsurance balances payable of
$0) (Including $0 earned but unbilled premiums)
9.3 Accrued retrospective premiums (after deducting ceded reinsurance
balances payable of $0_)
10. Funds held by or deposited with reinsured companies
11. Bills receivable, taken for premiums
12. Reinsurance recoverables on loss and loss adjustment expense payments 17,823
13. Federal income tax recoverable
14. Electronic data processing equipment 23,099
15. Interest, dividends and real estate income due and accrued 53,011
16. Receivable from parent, subsidiaries and affiliates
17. Equities and deposits in pools and associations
18. Accounts receivable relating to uninsured accident and health plans
19. Other assets:
19.1 Equipment, furniture and supplies 5,000 5,000
19.2 Bills receivable, not taken for premiums
19.3 Loans on personal security, endorsed or not
20. Aggregate write-ins for other than invested assets 0 0 0
21. TOTALS (Lines 8A through 20) 9,234,709 55,711 18,083
DETAILS OF WRITE-INS
0801.
0802.
0803.
0898. Summary of remaining write-ins for Line 8 from overflow page 0 0 0
0899. TOTALS (Lines 0801 thru 0803 plus 0898)(Line 8 above) 0 0 0
2001.
2002.
2003.
2098. Summary of remaining write-ins for Line 20 from overflow page 0 0 0
2099. TOTALS (Lines 2001 thru 2003 plus 2098)(Line 20 above) 0 0 0
4 5
Previous Year Ending
Net Admitted Assets December 31, 1995
(Cols. 1+2-3)
------------------------------------------
1. Bonds 3,387,579 3,408,743
2. Stocks:
2.1 Preferred stocks 144,500 173,875
2.2 Common stocks 49,125 43,125
3. Mortgage loans on real estate
a. First liens 0
b. Other than first liens 0
4. Real estate:
4.1 Properties occupied by the company (less......$0)
encumbrances) 0
4.2 Other properties (less....$0 encumbrances) 0
5. Collateral loans 0
6.1 Cash on hand and on deposit:
a. Cash in company's office 0
b. Cash on deposit 5,184,549 241,355
6.2 Short-term investments 200,000 238,368
7. Other invested assets 0
8. Aggregate write-ins for invested assets 0 0
8A. Subtotals, cash and invested assets (Lines 1 through 8) (a)8,965,753 4,171,466
9. Agents' balances or uncollected premiums (net as to concessions and
dividends):
9.1 Premiums and agents' balances in course of collection (after
deducting ceded reinsurance balances payable of $133,445) 213,643 242,541
9.2 Premiums, agents' balances and installments booked but deferred and
not yet due (after deducting ceded reinsurance balances payable of
......................$0) (Including...............$0
earned but unbilled premiums) 0 66,591
9.3 Accrued retrospective premiums (after deducting ceded reinsurance
balances payable of .........$0) (Including...........$0) 0
10. Funds held by or deposited with reinsured companies 0
11. Bills receivable, taken for premiums 0
12. Reinsurance recoverables on loss and loss adjustment expense payments 17,823 61,830
13. Federal income tax recoverable 0
14. Electronic data processing equipment 23,099 26,783
15. Interest, dividends and real estate income due and accrued 53,011 65,084
16. Receivable from parent, subsidiaries and affiliates 0
17. Equities and deposits in pools and associations 0
18. Accounts receivable relating to uninsured accident and health plans 0
19. Other assets:
19.1 Equipment, furniture and supplies xx xx
19.2 Bills receivable, not taken for premiums xx xx
19.3 Loans on personal security, endorsed or not xx xx
20. Aggregate write-ins for other than invested assets 0 0
21. TOTALS (Lines 8A through 20) 9,273,336 4,534,295
DETAILS OF WRITE-INS
0801. 0
0802. 0
0803. 0
0898. Summary of remaining write-ins for Line 8 from overflow page 0 0
0899. TOTALS (Lines 0801 thru 0803 plus 0898)(Line 8 above) 0 0
2001. 0
2002. 0
2003. 0
2098. Summary of remaining write-ins for Line 20 from overflow page 0 0
2099. TOTALS (Lines 2001 thru 2003 plus 2098)(Line 20 above) 0 0
(a) Includes $0 investments in parent, subsidiaries, and affiliates.
18
STATEMENT AS OF MARCH 31, 1996 OF THE RISCORP NATIONAL INSURANCE COMPANY
LIABILITIES, SURPLUS AND OTHER FUNDS
1 2
Current Previous Year Ending
Period December 31, 1995
1. Losses (current accident year $63,454) 525,657 723,819
1a. Reinsurance payable on paid loss and loss adjustment expenses
2. Loss adjustment expenses 130,823 170,828
3. Contingent commissions and other similar charges
4. Other expenses (excluding taxes, licenses and fees) 25,175 25,175
5. Taxes, licenses and fees (excluding federal and foreign income taxes) 33,485 40,664
6. Federal and foreign income taxes (excluding deferred taxes)
7. Borrowed money
8. Interest, including $0 on borrowed money
9. Unearned premiums (after deducting ceded reinsurance unearned premiums 910,575 1,011,872
10. Dividends declared and unpaid:
a. Stockholders
b. Policyholders
11. Funds held by company under reinsurance treaties 76,464
12. Amounts withheld or retained by company for account of others
13. Provision for reinsurance
14. Excess of statutory reserves over statement reserves 15,000 15,000
15. Net adjustments in assets and liabilities due to foreign exchange rates
16. Drafts outstanding 1,310 8,790
17. Payable to parent, subsidiaries and affiliates
18. Payable for securities
19. Liability for amounts held under uninsured accident and health plans
20. Aggregate write-ins for liabilities 1,375 410
21. Total liabilities (Lines 1 through 20) 1,544,702 2,073,024
22. Aggregate write-ins for special surplus funds 0 0
23A. Common capital stock 700,000 700,000
23B. Preferred capital stock 500,000 500,000
23C. Aggregate write-ins for other than special surplus funds 0 0
24A. Surplus notes
24B. Gross paid in and contributed surplus 6,150,000 1,150,000
24C. Unassigned funds (surplus) 273,535 211,271
24D. Less treasury stock, at cost
(1) 0 shares common (value included in Line 23A.............$0)
(2) 0 shares preferred (value included in Line 23B..........$0)
25. Surplus as regards policyholders (Lines 22 ro 24C, less 24D) 7,523,635 2,561,271
26. TOTALS 9,273,336 4,634,295
DETAILS OF WRITE-INS
2001. Miscellaneous Liabilities 1,976 410
2002.
2003.
2098. Summary of retaining write-ins for Line 20 from overflow page 0 0
2099. TOTALS (Lines 2001 thru 2003 plus 2098) (Line 20 above) 1,976 410
2201.
2202.
2203.
2298. Summary of remaining write-ins for Line 22 from overflow page 0 0
2299. TOTALS (Lines 2201 thru 2203 plus 2298) (Line 22 above) 0 0
23001.
23002.
23003.
23098. Summary of remaining write-ins for Line 23C from overflow page 0 0
23099. TOTALS (Lines 23001 thru 23098) (Line 23C above) 0 0
19
June 14, 1996
RESPONSE LETTER
_____ Yes, I accept the transfer of my policy, and/or the
obligations under my policy, from National Alliance for Risk
Management Group Self-Insurers' Fund (NARM) to RISCORP National
Insurance Company.
_____ No, I reject the proposed transfer of my policy, and/or
the obligations under my policy, from National Alliance for Risk
Management Group Self-Insurer's Fund (NARM) to RISCORP National
Insurance Company, and will place my workers' compensation
coverage with another insurance carrier by July 18, 1996.
---------------------- --------------------------------------------------------
Date Signature
Name:
---------------------------------------------------------------------------
Street Address:
-----------------------------------------------------------------
City/State/Zip:
-----------------------------------------------------------------
20
NOTICE OF TRANSFER
IMPORTANT: THIS NOTICE AFFECTS YOUR CONTRACT RIGHTS. PLEASE READ IT CAREFULLY.
Dissolution of NARM
Your company is a former member of the National Alliance for Risk
Management Group Self-Insurance Fund (NARM Fund), but you no longer have an
active policy. The Trustees of the NARM Fund have determined that it would be
in the best interest of the present as well as past policyholders to transfer
all assets and liabilities to RISCORP National Insurance Company effective
June 14, 1996 through an Assumption Reinsurance Agreement. After the effective
date of this transfer, the NARM Fund will be terminated. As a former member
(policyholder) of the NARM Fund, you will neither have any claim against, or
equity in the NARM Fund.
RISCORP National Insurance Company is licensed to write this coverage in
North Carolina. The Commissioner of Insurance in North Carolina has reviewed
the effect of the transaction, and has approved the transaction.
Claims previously filed with the NARM Fund will be administered by RISCORP
National Insurance Company. If you have questions or desire more information
regarding claims filed with the NARM Fund or the effects of this transaction,
you may contact RISCORP National Insurance Company at the address below, or you
may obtain additional information concerning RISCORP National Insurance Company
by contacting:
Commissioner ▇▇▇▇▇ ▇. ▇▇▇▇
Department of Insurance
▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ ▇▇.
▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇
(▇▇▇) ▇▇▇-▇▇▇▇, Extension 243
Sincerely,
---------------------------------- ----------------------------------
▇▇▇▇▇ ▇. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
RISCORP National Insurance Company chairman of the board of trustees
▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇ ▇▇▇▇
▇▇▇▇▇ ▇▇▇ P.O. Box 25700
▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇
21
NATIONAL ALLIANCE FOR RISK MANAGEMENT
GROUP SELF-INSURERS' FUND
Balance Sheet
June 15,1996
Assets June 15, 1996
------ -------------
Debt Securities - available-for-sale 34,140,538
Debt Securities - held-to-maturity 600,000
----------
Total investments 34,740,538
Cash and equivalents 2,014,722
Premiums receivable, less allowance for uncollectible
accounts of $781,014 5,144,556
Accrued investment income 581,814
Reinsurance balances:
Loss and loss adjustment expense reserves 4,307,427
Deferred policy acquisition costs 1,040,279
Deferred income taxes 2,481,347
Other assets 51,073
----------
TOTAL ASSETS 50,361,756
==========
LIABILITIES AND MEMBERS' EQUITY
Loss and loss adjustment expenses 40,112,056
Unearned premium 5,208,748
Accrued premium taxes 714,131
Accrued commissions 121,562
Accrued fees - management company 914,886
Accrued Reinsurance Payable 577,247
Current income taxes payable 1,307,939
Accrued expense and other liabilities 43,771
----------
49,000,340
Members' equity:
Retained earnings 1,583,082
Net unrealized gain(loss) on available-for-sale debt
securities (221,666)
----------
Total members' equity 1,361,416
----------
TOTAL LIABILITIES AND MEMBERS' EQUITY 50,361,756
==========
NOTE: Statements reflect investments as of May 31, 1996, as no information was
available for the one-half period ended June 15, 1996. All information is
preliminary and for internal use by the Department of Insurance only.
