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EXHIBIT 10.26
[▇▇▇▇▇▇▇ INCORPORATED LETTERHEAD]
REINSURED: SOUTHERN CALIFORNIA PHYSICIANS INSURANCE EXCHANGE,
AND/OR S.C.P.I.E. INDEMNITY COMPANY,
AND/OR S.C.P.I.E. MANAGEMENT COMPANY,
AND/OR AMERICAN HEALTHCARE INDEMNITY COMPANY,
AND/OR FG CASUALTY COMPANY,
AND/OR S.C.P.I.E. INSURANCE SERVICES. INC.
AND/OR S.C.P.I.E. MANAGEMENT SERVICES, INC.
BEVERLY HILLS, CALIFORNIA
TYPE: QUOTA SHARE REINSURANCE TREATY
BUSINESS
COVERED: (A) Directors and Officers Liability for the following
type(s) of Original Insureds:
1. Physician Groups and/or Clinics.
2. Managed Care Organizations.
3. Association of California Hospital Districts -
Program Beta.
(B) Errors and Omissions Liability for the following type(s)
of Original Insureds:
1. Managed Care Organizations.
TERM: January 1, 1997 to December 31, 1997 as respects risks attaching
during the twelve (12) months period.
TERRITORY: As per the Company's original policies, contracts, or binders.
EXCLUSIONS: 1. Insolvency Funds.
2. Nuclear Incident - Liability - Reinsurance.
3. Assumed Reinsurance.
4. As per the Companies original policies.
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LIMITS: (A) 80% of $5,000,000 ($4,000,000 maximum) per policy in the
aggregate and/or coverage part.
(B) 80% of $1,000,000 ($800,000 maximum)
per policy in the aggregate and/or
coverage part.
PREMIUM: Original Gross Premiums received by the Reinsured on business
covered hereunder less Ceding Commission.
CEDING
COMMISSION: Original Acquisition Cost plus 15% not to exceed 25% in all.
ACCOUNTS: Reports within forty five (45) days and settlements within sixty
(60) days of the end of each calendar quarter.
GENERAL
CONDITIONS: Loss Adjustment Expenses are within the limit of the original
policies.
Excess of Original Policy Limits Clause.
80% Extra Contractual Obligations Clause.
Ultimate Net Loss Clause.
Net Retained Lines Clause.
Notice of Loss Clause.
Loss and Unearned Premium Reserve Funding Clause - Including IBNR
(See Attached).
Special Funding Clause.
Confidentiality Clause.
Commutation Clause.
Federal Excise Tax Clause.
Errors and Omissions Clause.
Insolvency Clause.
Service of Suit Clause.
Arbitration Clause.
Access to Records Clause.
▇▇▇▇▇▇▇ Incorporated Intermediary Clause.
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REINSURERS
HEREON: Hannover Ruckversicherungs AG 50.00%
Through Willcox ▇▇▇▇▇▇▇ & ▇▇▇▇▇▇▇ Reinsurance Brokers, Ltd.
London, England
Underwriters at Lloyd's
Syndicate Pseudonym Syndicate No. Participation
--------- --------- ------------- -------------
Spreckley SVH 1007 11.233%
▇▇▇▇ DPM 435 7.246%
▇▇▇▇▇▇ SJC 1003 62.00%
2003 38.00% 6.159%
Jago HJG 205 3.623%
Burnhope SJB 1212 3.623%
Keeling WEH 362 5.435%
Sub Total 37.319%
CNA International Reinsurance Co. Ltd. 7.246%
Zurich Reinsurance (U.K.) Ltd. 5.435%
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Sub Total 50.000%
Total 100.000%
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This Cover Note is to confirm the terms and conditions which have been
negotiated between ▇▇▇▇▇▇▇ Incorporated and the participating Reinsurers on your
behalf. We request that you review this Cover Note with regard to the specific
placement details and subscribing Reinsurers listed herein. In the event that
any of these details do not meet with your approval or security of the
subscribing Reinsurers does not meet with your requirements, please notify this
office immediately. If all is found to be in order please sign and return the
enclosed duplicate copy of this Cover Note for completion of our files.
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Signature
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Date
▇▇▇▇▇▇▇ Incorporated
By [SIG]
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Executive Vice President
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LOSS FUNDING - INCLUDING ▇▇▇▇
THIS IS APPLICABLE TO NON-ADMITTED REINSURERS ONLY
After consultation with their outside Actuaries, ▇▇▇▇▇▇▇▇▇▇▇, ▇▇▇▇▇▇ & ▇▇▇▇▇▇
Inc., S.C.P.I.E. intends to use the following IBNR factors applied to Gross
Reinsurance Premiums for 1997 Letter of Credit Funding purposes applicable to
Non-Admitted Reinsurers only:
IBNR
Period Factor
------ ------
Current Year 97.00%
First Development Year 40.00%
Second Development Year 17.00%
Third Development Year 7.00%
Fourth Development Year &
Subsequent 2.00%
The Letter of Credit Funding requirement for IBNR will be net of any Specific
Case Base Loss Reserves. Therefore, the factors outlined above represent the
ceiling for the sum of Specific Case Base Loss Reserves and IBNR. Further, a cap
of five times the Gross Reinsurance Premium will apply as the Lifetime IBNR
Maximum for each Treaty Year.
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