Insurance Law

AFM Mattress Company, LLC v. Motorists Commercial Mutual Insurance Co.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 21-1865
Decision Date: 
June 16, 2022
Holding: 
Affirmed

Dist. Ct. did not err in dismissing for failure to state viable cause of action, plaintiff-insured’s claim, alleging that defendant-insurance company wrongfully denied its claim for insurance benefits arising out of defendant’s policy, where plaintiff allegedly incurred business losses when it had to close its stores under government orders due to COVID-19 pandemic. Defendant's policy contained broad virus exclusion that stated that defendant would not pay for loss or damage caused by or resulting from any virus, and Dist. Ct. could properly find that said clause precluded coverage for plaintiff’s claim. While plaintiff argued that regulatory estoppel should prevent virus exclusion clause from barring plaintiff’s claim for coverage, where plaintiff alleged that defendant had misrepresented virus exclusion clause to officials at Illinois Department of Insurance, Illinois has not adopted or recognized regulatory estoppel. Ct. further rejected plaintiff’s claim that virus exclusion clause did not apply to other covered areas in policy.

Great West Casualty Company v. Brambila

Illinois Appellate Court
Civil Court
Insurance Coverage
Citation
Case Number: 
2022 IL App (1st) 210939
Decision Date: 
Friday, May 27, 2022
District: 
1st Dist.
Division/County: 
5th Div./Cook Co.
Holding: 
Affirmed.
Justice: 
HOFFMAN

Insurance coverage matter addressing an issue of first impression as to whether uninsured motorist coverage is available when the would-be tortfeasor denies liability. The appellate court affirmed the circuit court, finding that an insured motorist’s denial of liability does not transform him into an uninsured motorist. (DELORT and CUNNINGHAM, concurring)

Sheckler v. Auto-Owners Ins. Co.

Illinois Supreme Court PLAs
Civil Court
Insurance
Citation
PLA issue Date: 
May 25, 2022
Docket Number: 
No. 128012
District: 
3rd Dist.

This case presents question as to whether trial court properly granted defendant-insurance company’s motion for summary judgment in action by plaintiff-tenants of insured seeking declaration that defendant had duty to defend them in underlying contribution claim brought by oven repairman (who was sued by defendant in subrogation claim) for plaintiffs’ alleged negligence that ultimately resulted in oven fire that also damaged landlord’s apartment that was subject to fire insurance policy issued by defendant. Appellate Court, in reversing trial court, found that plaintiffs-tenants were co-insureds under subject fire insurance policy, even though there was nothing in policy between landlord and defendant that specifically designated plaintiffs as co-insureds. Appellate Court also found that defendant owed plaintiffs duty to defend in underlying contribution claim under equitable extension of decision in Dix, 149 Ill.2d 314.

Greater New York Mutual Insurance Company v. Galena at Wildspring Condominium

Illinois Appellate Court
Civil Court
Insurance Coverage
Citation
Case Number: 
2022 IL App (2d) 210394
Decision Date: 
Monday, May 23, 2022
District: 
2d Dist.
Division/County: 
DuPage Co.
Holding: 
Affirmed.
Justice: 
McLAREN

Trial court ruled in favor of the insured in an insurance coverage case arising out of weather-related damage to the insured’s property but denied the insured’s request for interest. The appellate court affirmed, finding the trial court did not abuse its discretion when it determined that payment became due 30 days after the final appraisal was issued and not, as the insured argued, 30 days after the proof of loss was filed. (SCHOSTOK and BIRKETT, concurring.)

Firebirds International, LLC v. Zurich American Insurance Company

Illinois Appellate Court
Civil Court
Insurance Coverage
Citation
Case Number: 
2022 IL App (1st) 210558
Decision Date: 
Friday, May 20, 2022
District: 
1st Dist.
Division/County: 
6th Div./Cook Co.
Holding: 
Affirmed.
Justice: 
HARRIS

Plaintiff appealed trial court dismissal of its breach of contract complaint against defendant, alleging that the trial court erred in finding the contamination exclusion of the insurance policy applied to loss or damage caused by the Covid-19 pandemic and that the trial court erred when it denied plaintiff’s request to amend its complaint. The appellate court affirmed, finding that the terms of the insurance policies at issue were not ambiguous and did not provide for loss or damages caused by a communicable disease. The court also found that plaintiff had forfeited review of the trial court’s denial of its request for leave to amend by failing to tender a proposed amended complaint along with supporting facts. (MIKVA and ODEN JOHNSON, concurring)

Prate Roofing and Installations, LLC v. Liberty Mutual Insurance Corp.

Illinois Supreme Court
Civil Court
Insurance
Citation
Case Number: 
2022 IL 127140
Decision Date: 
Thursday, May 19, 2022
Holding: 
Appellate court judgment reversed, remanded.
Justice: 
MICHAEL J. BURKE

Supreme Court considered whether the Department of Insurance has the authority to resolve a dispute between an insurer and their insured regarding the payment of additional premiums for worker’s compensation coverage. The Supreme Court found that it did under the plain language of section 462 of the Insurance Code and distinguished its holding from the First Districts opinion in CAT Express, 2019 IL App (1st) 181851, which the appellate court incorrectly concluded was dispositive. (ANNE M. BURKE, GARMAN, THEIS, NEVILLE, OVERSTREET and CARTER, concurring)

Bond v. United Equitable Insurance Group

Illinois Appellate Court
Civil Court
Insurance Coverage
Citation
Case Number: 
2022 IL App (1st) 210732
Decision Date: 
Tuesday, May 17, 2022
District: 
1st Dist.
Division/County: 
2d Div./Cook Co.
Holding: 
Affirmed.
Justice: 
HOWSE

Plaintiff filed a complaint alleging that her insurer breached an automobile insurance policy because it failed to include sales tax and title fees when it calculated her payout after her vehicle was destroyed in a collision. The trial court dismissed plaintiff’s complaint finding that she failed to comply with the relevant requirements to obligate the insurance company to pay taxes and fees. The appellate court agreed and affirmed noting that a contrary finding would contradict the mandatory language contained in the Illinois Administrative Code. (LAVIN and COBBS, concurring)

Legend’s Creek Homeowners Association, Inc. v. Traveler’s Indemnity Co. of America

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
Nos. 20-3163 et al. Cons.
Decision Date: 
May 10, 2022
Federal District: 
S.D. Ind., Indianapolis Div.
Holding: 
Affirmed

Dist. Ct. did not err in granting defendant-insurance company’s motion for summary judgment, where Dist. Ct. dismissed instant lawsuit, which was filed beyond applicable two-year period set forth in defendant’s policy. While parties negotiated costs of repair throughout relevant two-year period and defendant issued several checks to pay for costs to replace damaged siding on plaintiff’s condominium buildings, record further showed that defendant denied plaintiff’s final request to replace even undamaged sides of condominium buildings after expiration of applicable two-year period for bringing any legal action. Fact that defendant gave last denial outside applicable two-year period did not require different result, since defendant had fully-complied with terms of policy prior to said denial. Ct. rejected plaintiff’s contention that defendant was required to warn that it might rely on policy’s lawsuit limitation, and that failure to do so constituted waiver of said limitation.

Nationwide Property and Casualty Co. v. State Farm Fire and Casualty Co.

Illinois Appellate Court
Civil Court
Insurance Coverage
Citation
Case Number: 
2022 IL App (1st) 210267
Decision Date: 
Tuesday, May 10, 2022
District: 
1st Dist.
Division/County: 
2d Div./Cook Co.
Holding: 
Affirmed in part, reversed in part, remanded.
Justice: 
LAVIN

Declaratory judgment action arising out of a wrongful death lawsuit. Nationwide filed the action against State Farm alleging that the defendant had a duty to defend in the underlying suit under a commercial general liability policy and that it was entitled to indemnification. The circuit court concluded that there was no duty to defend because coverage was precluded by an automotive exclusion in the CGL policy. Nationwide argued on appeal that State Farm was estopped from raising policy defenses to coverage because it failed to either defend the underlying suit under a reservation of rights or to timely seek declaratory judgment on the question. The appellate court agreed with Nationwide that the underlying complaint alleged facts outside of the automotive exclusion that fell within or potentially within the CGL policy and reversed the portion of the lower court’s judgment holding there was no duty to defend. The court also found State Farm was estopped from raising policy defenses and that Nationwide was entitled to indemnification. The court affirmed all other aspects of the circuit court’s judgment. (FITZGERALD SMITH and COBBS, concurring).

Liberty Mutual Fire Ins. Co. v. Clayton

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 21-1665
Decision Date: 
May 6, 2022
Federal District: 
C.D. Ill.
Holding: 
Affirmed

Dist. Ct. did not err in granting plaintiff-insurance company’s motion for summary judgment in action seeking declaration that it was not required to either defend or indemnify defendant-insured in underlying wrongful death action concerning infant whom insured was providing day care services. Record showed that: (1) defendant received $25 per day for generally 4 to 5 days per week for providing home day care services for infant; (2) plaintiff’s policy contained exclusion for bodily injury arising out of or connection with business engaged in by insured; and (3) policy further defined “business” under circumstances where insured regularly provided home day care to persons other than insureds and received monetary compensation for such services. Dist. Ct. could properly find that exclusion in policy precluded coverage for underlying wrongful death lawsuit where: (1) language of business exclusion covered circumstances of defendant’s business as home day care provider; (2) defendant received regular monetary compensation for her services; and (3) infant’s death arose out of services provided by defendant as home day care provider. Fact that during final two weeks of infant’s life defendant watched infant less frequently did not require different result.