Trends in M&A Provisions: Insurance Reduction Provisions
In merger and acquisition (“M&A”) transactions, the definitive purchase agreement (whether asset purchase agreement, stock purchase agreement, or merger agreement) typically contains representations, warranties, and covenants, along with related indemnification obligations.  One common limitation to the parties’ indemnification obligations seeks to reduce the amount that the indemnified party may recover by the amount of any insurance proceeds that the indemnified party receives with respect to the matter giving rise to the indemnity claim (referred to herein as “insurance reduction provisions”). This article examines trends in the prevalence of insurance reduction provisions in private company M&A transactions.
Insurance Reduction Provisions Overview
The indemnification obligations under an M&A purchase agreement generally cover breaches of the representations, warranties, and covenants of the respective parties. However, the obligations may also extend to other matters on a “standalone” basis, regardless of whether such a breach has occurred. Examples of such extensions include seller indemnification for pre-closing taxes or for specific matters identified during legal due diligence.
Although a typical M&A agreement includes indemnification from seller to buyer and buyer to seller, the seller is typically the party who requests an insurance reduction provision. This is because the seller’s representations, warranties, and covenants, and related indemnification obligations are normally broader in scope and substance than those of the buyer, making the seller more likely to be the indemnifying party. Accordingly, this article examines insurance reduction provisions based on the assumption that the seller is more inclined, and the buyer less inclined, to include such a provision in an M&A agreement.
A typical M&A indemnification provision may read:
The Seller agrees to and will defend and indemnify the Buyer Parties and save and hold each of them harmless against, and pay on behalf of or reimburse such Buyer Parties for, any Losses which any such Buyer Party may suffer, sustain or become subject to, as a result of, relating to or arising from: (i) any breach by the Seller of any representation or warranty made by the Seller in this Agreement; (ii) any breach of any covenant or agreement by the Seller under this Agreement, (iii) any Taxes of the Seller or its Affiliates; or (iv) the matters set forth on Schedule X . . . .
The parties often negotiate various limitations to the indemnification obligations, including limitations relating to time and types of damages covered. Another category of indemnification limitations are referred to as “no windfall” limitations. No windfall limitations are designed to ensure that the party to which the indemnification is owed (the indemnitee) does not receive more from recovering on an indemnity claim than the indemnitee’s actual damages. The three most common no windfall limitations are:
- limitations that measure the indemnity coverage taking into account any tax benefit that the indemnitee realizes with respect to the underlying loss;
- limitations that prohibit multiple or parallel claims under different remedy sections of the purchase agreement with respect to the same matter;  and
- insurance reduction provisions.
A normal insurance reduction provision may read:
The Seller will not have any liability under Section Y with respect to any Losses if and to the extent that any such Losses are reduced by any insurance or other third party payments received by the relevant Indemnitee(s).
Seller’s View On Insurance Reduction Provisions
The seller’s argument for including an insurance reduction provision typically focuses on fairness. For example, assume the buyer suffers losses of $100 regarding a matter that gives rise to a claim against the seller. The buyer submits a claim to its insurer for the losses suffered and the insurer pays the buyer $50 under the buyer’s policy. The seller would argue that, under that scenario, the buyer’s real damages are $50, not $100. Accordingly, to pay the buyer $100 would result in an unfair $50 windfall at the seller’s expense.
Buyer’s View On Insurance Reduction Provisions
As a practical matter, as noted above, insurance reduction provisions are quite common and, in the authors’ experience, buyers routinely (though not always) accept the provision with relatively little resistance. Instead, buyers often negotiate for provisions stating that the buyer is not required to actually submit claims to an insurer and/or that state that any reduction should be tied to insurance proceeds actually paid, not just those “available” under a policy. Sometimes buyers agree to use commercially reasonable efforts to pursue insurance claims so long as any claims do not result in a premium increase for its insurance policies or otherwise negatively changes the insurability of the buyer’s activities (whether in terms of coverable risks or otherwise).
A buyer may have credible arguments against the inclusion of insurance reduction provisions altogether (even if, in the authors’ experience, buyers rarely make such an argument). The crux of such an argument is why should the buyer’s own risk mitigation strategies be of any relevance to the scope of the seller’s indemnification obligation? For example, a buyer might argue that it is free to mitigate and/or insure against any particular risk as it sees fit, and the mitigation approach may be a combination of contractual indemnity from the seller and through insurance. As such, the buyer may decide to pay for insurance even if it has possible indemnification claims against the seller, so as to increase the number of potential parties against whom it may have recourse. Furthermore, the buyer has paid for the insurance itself and accepted the risk that the insurer may be unable or unwilling to pay claims.
Note in this regard that the buyer’s argument might be more persuasive if it purchased the insurance itself, as opposed to having acquired seller-purchased insurance through a stock acquisition. Nonetheless, the buyer might still assert that in the stock sale, it “purchased” the insurance because the buyer’s price for the transaction assumed that it would acquire the insurance without need to reduce claims of indemnification. In fairness, it’s highly unlikely that buyers actually take the insurance reduction concept into account in pricing a transaction, but there is some logic to the argument on its face (even if it is unlikely to carry the day).
In response, a seller could argue that the buyer’s decision to purchase business insurance is almost certainly based on a constellation of risks entirely independent of whether indemnification is available under the purchase agreement. Therefore, why should the seller be required to “subsidize” the buyer’s insurance purchasing decisions and/or provide a “premium” for the buyer’s decision to take the policy and insurance risk described above?
There are two potentially related concepts implicated with the buyer’s argument. Both are complex topics beyond the scope of the article (and, not surprisingly, not often the topic of heavy discussion during M&A negotiations). First, many states bar “double recovery.” However, the concept of double recovery generally applies to plaintiffs asserting: (i) insurance claims against multiple insurers for the same event, or (ii) different claims against the same defendant. By contrast, the collateral source rule, a well-established U.S. legal doctrine, generally prohibits a defendant from introducing evidence that the plaintiff has received amounts relating to the event at issue from another source (such as an insurance company). Second, concepts of subrogation might also be relevant. Subrogation can be defined as “the assumption by a third party (as a second creditor or an insurance company) of another’s legal right to collect a debt or damages.”  In the insurance context, this normally means that if an insurer pays its insured regarding an insured event, the insurer then “steps into the shoes” of the insured to pursue any rights of the insured against other third parties. Thus the issue here is whether an insurer, after payment of a claim to the buyer, would be able to pursue the related indemnity rights against the seller. The insurer’s right to subrogation may depend upon the wording of the insurance contract and relevant state law.
Trends in Insurance Reduction Provisions
Every other year since 2005 the American Bar Association (“ABA”) has released its Private Target Mergers and Acquisitions Deal Point Studies (the “ABA studies”). The ABA studies examine purchase agreements of publicly available transactions involving private companies that occurred in the year prior to each study (and in the case of the 2017 study, including the first half of 2017). These transactions range in size but are generally considered as within the “middle market” for M&A transactions; the average transaction value within the 2017 study was $176.3 million. 
According to the ABA studies, insurance reduction provisions were included in 88% of the deals reported in the 2017 study. Comparatively, the previous five studies noted the inclusion of insurance reduction provisions in 87%, 81%, 85%, 68%, and 63% of reported deals, respectively. Thus, over the past 10 years, the usage of insurance reduction provisions has increased from 63% to 88% -- an increase of more than one-third. The result being that insurance reduction provisions are becoming almost a “given” in M&A purchase agreements.
Insurance reduction provisions continue to be the rule rather than the exception, and are usually included within M&A purchase agreements with relatively little negotiation. In fact, most of the negotiation relates not to whether limitation should be required, but rather whether it should be tied to insurance proceeds actually received, as opposed to simply being available, and whether the indemnitee should pursue recovery from its insurer before asserting an indemnity claim. Despite their inclusion becoming commonplace, there may be legitimate reasons, depending upon the overall dynamic of the transaction, for buyers to at least question whether an insurance reduction provision should be included in the M&A purchase agreement at all.
 Daniel Avery is a Director at Goulston & Storrs, in Boston, Massachusetts. Gregory Kaden is a Director at Goulston & Storrs, in Boston, Massachusetts. Mr. Avery is a member of the ABA’s working group which published the 2017 ABA private company M&A deal points study. This article is one of a series of over 20 articles co-authored by Mr. Avery looking at trends in private company M&A deal points. The series is currently being updated to reflect the 2017 ABA private company study and will be published throughout 2018. The articles can be found on Goulston & Storrs’ “What’s Market” web page at https://www.goulstonstorrs.com/whats-market/ and on Bloomberg Law at https://www.bloomberglaw.com/page/infocus_dealpoints.
 Note that within this article we use the terms “seller” and “company” in the context of a stock purchase transaction – the “seller” would be the selling shareholder(s) making the representations and warranties in the M&A purchase agreement, and the “company” would be the company being acquired. In an asset purchase transaction, the “seller” would be the target company itself but for consistency we are using “seller” in a stock purchase setting.
 For example, many purchase agreements include purchase price adjustments to reflect changes in working capital (which would include, as a component, accounts receivable) as well as representations from the seller with respect to working capital. If the seller’s receivables at closing are lower than the level expected, that deficiency would cause a reduction in working capital and therefore result (under most formulations) in a reduction of purchase price. The deficiency might also trigger a breach of the sellers’ receivables representations, but the buyer is often precluded from pursuing that breach to the extent a purchase price adjustment has already been made as a result of the deficiency.
 Subrogation Definition, Merriam-Webster.com, http://www.merriam-webster.com/dictionary/subrogation (last visited Apr. 30, 2018.
 This article looks at the usage of insurance reduction provisions in private company M&A transactions as reflected in the ABA studies. This article does not cover such provisions in other types of transactions or in public-to-public M&A transactions.
Reproduced with permission from Bloomberg Law. Copyright ©2018 by The Bureau of National Affairs, Inc. (800-372-1033) http://www.bloomberglaw.com