The 7th Circuit Court of Appeals affirmed a District Court ruling in a complex reinsurance case and asked attorneys to be
mindful of the language they use in these types of cases.
In Indiana Lumbermens Mutual Insurance Company v. Reinsurance Results, Inc., No. 07-1823, the federal appellate
court dealt with the task of determining whether the District Court was correct in granting summary judgment in favor of Indiana
Lumbermens. Reinsurance Results, Inc. – which reviews an insurance company's claims against its reinsurers to ensure the
insurance company receives the benefits to which its reinsurance contracts entitle it – sought a third of $2.2 million dollars
it claimed it obtained for Lumbermens as a result of a review.
Judge Richard Posner broke down the opinion into simpler terms compared to complicated industry terms the attorneys had used
in their briefs. Lumbermens had changed the way it paid for its reinsurance premiums to increase the amount of surplus shown
on its books. An increased surplus means Lumbermens would not have to pay its reinsurers a premium on certain policies. The
accounting change affected the amount of money Lumbermens could bill its reinsurers for losses covered by policies. Lumbermens
entered into a contract in 2004 with Reinsurance Results, which alerted Lumbermens that its accounting policy might be improper.
Lumbermens' accounting firm advised the company to revert back to its pre-2000 ways of paying premiums.
As a result of the switch back, Reinsurance Results found Lumbermens was entitled to more than $2 million from its reinsurers.
Reinsurance Results claimed according to its contract with Lumbermens, it was entitled to a third of that money.
The 7th Circuit agreed with the District Court that Reinsurance Results was not entitled to a portion of the $2.2 million
because the benefit Lumbermens received as a result of Reinsurance Results discovering the accounting issue was not one that
Lumbermens was contractually obligated to pay Reinsurance Results for discovering. Reinsurance Results could have tried to
negotiate the contract to be broader, but under its current contract, it was seeking money in which it was not entitled.
Judge Posner also dedicated a portion of the opinion to reminding attorneys that most judges are not specialists but generalists
and therefore will not understand complex jargon relating to a specific industry.
"Lawyers should understand the judges' limited knowledge of specialized fields and choose their vocabulary accordingly.
Every esoteric term used by the reinsurance industry has a counterpart in ordinary English, as we hope this opinion has demonstrated,"