Swiss Re Life Co. America v. Gross

Present:   All the Justices

SWISS RE LIFE COMPANY AMERICA, ETC.

                         OPINION BY JUSTICE LAWRENCE L. KOONTZ, JR.
v. Record No.   961078                JANUARY 10, 1997

ALFRED W. GROSS, ETC., ET AL.

                FROM THE STATE CORPORATION COMMISSION


     In this appeal from the State Corporation Commission

(Commission), the primary issue we consider is whether Code

§ 38.2-1509 permits a reinsurer for an insurance company in

receivership to obtain administrative priority over other

creditors in recovering amounts owed it under an ongoing treaty

of reinsurance with the insolvent company.    The reinsurer also

raises additional issues related to its claim against the

insolvent insurer.   For the reasons that follow, we will affirm

the decision of the Commission.
                              I. BACKGROUND

     On December 28, 1990, Fidelity Bankers Life Insurance

Company (Fidelity) sold a portion of its traditional life

insurance business to Protective Life Insurance Company

(Protective).   As a condition of the purchase, Protective

required Fidelity to provide Protective with an independent

guarantee against potential losses from excess mortality claims

among insureds under the policies Protective would acquire in the

transaction.

     To satisfy this requirement, Fidelity, Protective, and North

American Reassurance Company, now known as Swiss Re Life Company

America (Swiss Re), entered into reciprocal treaties of
reinsurance, sometimes referred to as "stop-loss" agreements.

Under the terms of its treaty of reinsurance with Protective (the

Protective treaty), Swiss Re agreed to indemnify Protective for

any payments above levels established in agreed-upon mortality

schedules for the policies Protective acquired from Fidelity.      In

the treaty of reinsurance between Swiss Re and Fidelity (the

Fidelity treaty), Fidelity agreed to indemnify Swiss Re for any

payments Swiss Re made to Protective under the Protective treaty.

Both agreements contained provisions for interest to accrue on

amounts owed on claims under the agreements.   In return for

fulfilling its duties under the treaties of reinsurance, Swiss Re

would receive a fee of approximately $40,000 per year.
     On May 13, 1991, Fidelity went into receivership by order of

the Circuit Court of the City of Richmond, which appointed the

Commission as receiver, pursuant to Code § 38.2-1505.    On that

same day, the Commission appointed the Commissioner of Insurance

as deputy receiver of Fidelity, pursuant to Code § 38.2-1510.

     Subsequently, Protective made demand under its treaty with

Swiss Re for excess mortality losses for calendar year 1991 in

the amount of $1,134,923.   Swiss Re satisfied this demand, which

included a small amount of interest, and ultimately filed a claim

for that sum with the deputy receiver.   Swiss Re sought

administrative priority for that sum, due it under the Fidelity

treaty, as an administrative expense under Code § 38.2-1509.

Swiss Re also sought interest on this debt.

     The deputy receiver, while acknowledging the claim against

the receivership estate, classified Swiss Re as an unsecured
creditor of Fidelity, denied its claim for administrative

priority, and disallowed its claim for interest.   Thereafter, the

deputy receiver disavowed further obligations under the Fidelity

treaty as an executory contract, pursuant to the Commission's

order granting the deputy receiver the authority to "affirm or

disavow any contracts to which [Fidelity] is a party."    The

parties do not dispute the propriety of this grant of authority

by the Commission to the deputy receiver.
     In July 1991, Swiss Re acquired from Integrated Resources

Life Insurance Company (Integrated) various reinsurance treaties

(the Integrated treaties) including some polices for which

Fidelity was the indemnified party.   Swiss Re held additional

reinsurance treaties for which Fidelity was the indemnified party

(the non-Integrated treaties) predating the Fidelity and

Protective treaties.   As a result, Swiss Re became both a debtor

and a creditor of Fidelity.   Consequently, Swiss Re attempted to

set off payments it owed to Fidelity under these treaties by the

amount Fidelity owed to it as a result of the payments Swiss Re

made to Protective.    The deputy receiver disallowed this

practice, citing a lack of mutuality of the debts and credits as

required under Code § 38.2-1515 and as a matter of public policy.

     In a petition for review, Swiss Re appealed these

determinations to the deputy receiver.   It asserted that the

disavowal of the Fidelity treaty with the Protective treaty

remaining in effect was not appropriate because these agreements

were part of one contract, and that it had entered into them only

as a pass-through agent, assuming no risk of Fidelity's
insolvency.   In the alternative, Swiss Re asserted that,

notwithstanding Fidelity's future obligation to pay sums which

might come due, the Fidelity treaty was not an executory contract

in that its overall purpose, the provision of a reinsurance

guarantee, had already been performed.

     Upon review of Swiss Re's appeal, the deputy receiver

retracted his disavowal of the Fidelity treaty, stating that it

would be "treated as [if] it was never disavowed, and . . . the
status quo ante is restored."   The deputy receiver left

undisturbed the remainder of his prior determinations.     Swiss Re

then pursued an appeal before the Commission. *

     In its petition to the Commission for review of the appeal

to the deputy receiver, Swiss Re asserted that the Fidelity

treaty was an executory contract and that the deputy receiver's

retraction of his disavowal of the Fidelity treaty was a de facto

assumption of it.   Consequently, Swiss Re contended that it was

entitled to priority in the distribution of the assets of

Fidelity's receivership estate on the ground that the obligations

of an assumed contract were expenses of administration as

provided by Code § 38.2-1509.   Swiss Re further asserted that it

was entitled to the interest provided for under the Fidelity

treaty as an expense of administration on the ground that the

interest called for was not in the form of a default penalty, but

     *
      During the pendency of its appeal before the Commission,
Swiss Re continued to pursue new claims and related matters
arising out of the Fidelity treaty before the deputy receiver.
The Commission consolidated Swiss Re's appeal of unfavorable
decisions on these matters with the prior appeal.
served to compensate Swiss Re for the time value of the funds it

had paid to Protective.     Swiss Re also challenged the denial of a

set off for its debts to Fidelity under the other treaties.

     In this petition to the Commission and in subsequent

pleadings, Swiss Re asserted the need for an evidentiary hearing

by the Commission.   The Commission, after determining that there

were no material issues of fact in dispute, considered the appeal

on the record and issued its decision without conducting a

hearing.   During the 21-day period after entry of the final order

during which the Commission retained jurisdiction over the

matter, Swiss Re made no objection to the failure to conduct a

hearing.
     In its final order, the Commission denied Swiss Re's claim

for priority, citing Code § 38.2-1509, and its claim for set off

of the debts it owed Fidelity under the Integrated treaties,

finding that there was a lack of mutuality.       The Commission

reversed the deputy receiver's denial of a set off for the non-

Integrated treaties, finding that there was adequate mutuality

and no violation of public policy.    Lastly, the Commission

rejected Swiss Re's claim for interest on the amounts due under

the Fidelity treaty on the ground that, even if the interest was

commercially reasonable, the policy against payment of interest

on claims against an insurer in receivership prevailed.      Swiss Re

then filed a petition for an appeal of right before this Court.

                      II.    STANDARD OF REVIEW

     Our review is guided by well established principles.          On

appeal, the findings of the Commission are presumed to be just,
reasonable, and correct.     Bralley-Willett v. Holtzman Oil, 216

Va. 888, 890-91, 223 S.E.2d 892, 895 (1976).     The decisions

rendered by the Commission "must be ascribed the respect due to

the judgments of a 'tribunal appointed by law and informed by

experience.'"    Chesapeake & Potomac Telephone Co. v.

Commonwealth, 147 Va. 43, 58, 136 S.E. 575, 579 (1927)(quoting

Illinois Central Railroad Co. v. Interstate Commerce Commission,

206 U.S. 441, 454 (1907)).    Accordingly, a presumption of

correctness attaches to actions of the Commission, Farmers &
Merchants National Bank v. Commonwealth, 213 Va. 401, 404, 192

S.E.2d 744, 747 (1972), and its orders will not be disturbed when

they are based upon the application of correct principles of law.

 Commonwealth v. Washington Gas Light Co., 221 Va. 315, 325, 269

S.E.2d 820, 826 (1980).

                           III.   DISCUSSION

           A.   DENIAL OF EVIDENTIARY HEARING: DUE PROCESS

     Swiss Re asserts on appeal that the failure of the

Commission to conduct an evidentiary hearing violated its due

process right to present evidence and be heard in a timely

fashion.   We recognize that "[p]rocedural due process . . . is a

constitutional right which applies to . . . adjudicative or

quasi-judicial proceedings."      County of Fairfax v. Southern Iron

Works, Inc., 242 Va. 435, 444, 410 S.E.2d 674, 679 (1991).

However, although Swiss Re indicated that it wanted to present

facts in a hearing, the constitutional due process claim was not

raised below.    Accordingly, we will not consider this issue for

the first time on appeal.    Rule 5:25.
                 B. CLAIM FOR ADMINISTRATIVE PRIORITY

1.   Retraction of Disavowal as Assumption of Fidelity Treaty

        Swiss Re asserts that the deputy receiver's retraction of

his prior disavowal of the Fidelity treaty constituted an

assumption of the contract.    As such, Swiss Re contends that this

step gave rise to an irrebuttable presumption that the deputy

receiver recognized the Fidelity treaty as beneficial to the

receivership estate, that an actual benefit was conferred on that

estate, and that the obligations incurred under the Fidelity

treaty are therefore expenses of administration entitled to

priority under Code § 38.2-1509.    We need only address this issue

to the extent that it bears upon Swiss Re's ultimate contention

that it is entitled to administrative priority.    Clearly, without

an assumption of the Fidelity treaty, Swiss Re was an unsecured

creditor of Fidelity.
        Swiss Re asserts that the Fidelity treaty was an executory

contract, and, thus, once disavowed, any resumption of the

contract would necessarily constitute an assumption of Fidelity's

rights and obligations under the contract.    In support of its

position, Swiss Re relies upon authority in bankruptcy law that

an assumption need not be express, so long as the intent of the

debtor-in-possession is clear.     See, e.g., In re A.H. Robins Co,

68 B.R. 705, 708 (E.D. Va. 1986).    However, Swiss Re properly

notes on brief that "[g]eneral principles of bankruptcy law [are]

not technically applicable in state insurance company

receivership proceedings" and we will not address that matter

here.
        Rather, we will assume that the Fidelity treaty was an

executory contract.    We agree with Swiss Re that, under the

authority granted to the deputy receiver by the Commission's

order, the Fidelity treaty was subject to assumption by the

deputy receiver.    We fail to see, however, how the deputy

receiver's election, at Swiss Re's behest, to retract his prior

decision and treat the Fidelity treaty "as [if] it was never

disavowed" and to restore "the status quo ante" evinces an intent

to assume the contract.    To the contrary, the clear intent as

expressed by the language in the deputy receiver's decision was

to make his prior act a nullity and to restore Swiss Re to its

original position.    In that position, Swiss Re was an unsecured

creditor of Fidelity for both prior and succeeding claims under

the Fidelity treaty.
2.   Equitable Claim for Priority

        Swiss Re further asserts that even if it is not entitled to

administrative priority for the amounts owed it under the

Fidelity treaty as an expense of administration, equity requires

that it be given priority over all other creditors of the

Fidelity receivership estate.    Swiss Re asserts that it was

"gulled" by Fidelity to enter into the Fidelity and Protective

treaties as a "favor," and that Fidelity deliberately misled

Swiss Re as to Fidelity's solvency.

        This assertion is belied by the undisputed facts of the

case.    Swiss Re is a company experienced in the practice of

issuing and administering treaties of reinsurance.    Nothing in

the record suggests that Swiss Re's agreements with Fidelity and
Protective were not arm's length transactions by sophisticated

parties of equal position.    Nor was Swiss Re prevented from

making inquiries into the financial condition of Fidelity.

Protective's obvious concerns with respect to Fidelity's position

expressed during the negotiations were sufficient to place Swiss

Re reasonably on notice as to the potential for difficulties in

the future.   Under such circumstances, equity cannot be invoked

to permit a party to avoid the consequences of what became an

ill-advised transaction.     See Curtis v. Lee Land Trust, 235 Va.

491, 498, 369 S.E.2d 853, 857 (1988).    Such is particularly the

case here where an unsecured party seeks a priority over the

claims of policyholders of an insolvent insurance company.

3.   Application of Code § 38.2-1509

     Code § 38.2-1509(B), as in effect in 1991, controls the

manner in which the Commission will pay claims out of the estate

of the insolvent insurer.    In pertinent part, the statute read:

           The Commission shall disburse the assets of an
      insolvent insurer as they become available in the
      following manner:

           1. Pay, after reserving for the payment of the
      costs and expenses of administration, according to the
      following priorities: (i) wages entitled to priority as
      provided in § 38.2-1514, (ii) claims of secured
      creditors with a perfected security interest not
      voidable under § 38.2-1513 to the extent of the value
      of their security, (iii) taxes owed to the United
      States and other debts owed to any person, including
      the United States, who by the laws of the United States
      are entitled to priority, (iv) claims of the
      associations for "covered claims" as defined in
      § 38.2-1603 and claims of other policyholders
      apportioned without preference, and (v) other creditors
      . . . .


     Because we find no merit in Swiss Re's claims for
administrative priority for the amounts owed to it under the

Fidelity treaty, Code § 38.2-1509 provides the sole vehicle for

Swiss Re to recover.   As an unsecured creditor, Swiss Re's

priority falls within that class of creditors addressed in the

statute, and its claim is to be satisfied accordingly.

                       A.    CLAIM FOR INTEREST

     Swiss Re asserts that it is entitled to interest on the

amounts owed it under the Fidelity treaty based upon the

provision for interest in the treaty itself.      Virginia law

prohibits creditors of an insolvent estate from earning interest

on their claims.    Metompkin Bank & Trust Co. v. Bronson, 172 Va.

494, 500, 2 S.E.2d 323, 325 (1939).     Accordingly, the claim is

without merit.

                        D.   CLAIM FOR SET OFF

     Swiss Re asserts that the Commission erred in not permitting

it to set off sums owed by it to Fidelity under the Integrated

treaties against the sums owed to it under the Fidelity treaty.

Set off of mutual debts and credits of insurers in receivership

is controlled by Code § 38.2-1515(A):
          In all cases of mutual debts or mutual credits
     between the insurer and another person in connection
     with any action or proceeding under this chapter, the
     credits and debts shall be set off and the balance only
     shall be allowed or paid, except as provided in
     subsection B of this section.


     The rationale underlying the principle of a set off is that

"'[t]he demands must be due between the same parties, and in the

same right.'"    First National Bank of Waynesboro v. Johnson, 183

Va. 227, 237, 31 S.E.2d 581, 585 (1944).     At the time Swiss Re
acquired the Integrated treaties, Fidelity was already in

receivership.   Any rights acquired by Swiss Re at that time were

necessarily limited by the effect of that receivership, and,

thus, were of a quality distinguishable from the obligations it

owed under the Fidelity treaty.   Accordingly, there is a lack of

mutuality between the Fidelity treaty and the Integrated

treaties, barring set off of the respective debts owed.    A

contrary holding would run counter to the express provision in

the statute that debts owed by the insurer cannot be acquired for

the purpose of obtaining a set off.   Code § 38.2-1515(B)(2).
     For these reasons, the decision of the Commission will be

affirmed.

                                                           Affirmed.