Insurance Law

North American Elite Ins. Co. v. Menard, Inc.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 21-1813
Decision Date: 
August 4, 2022
Federal District: 
N.D. Ill., E. Div.
Holding: 
Affirmed

Dist. Ct. did not err in dismissing plaintiff-excess insurance company’s action against defendant-insured, even though plaintiff asserted that defendant, who self-insured itself for first $2 million in underlying negligence claim, violated its duties as “insurer” under Illinois law when: (1) it failed to accept $1,985,000 offer to settle underlying action; (2) it entered into “high-low” settlement agreement that called for payment of $500,000 regardless of jury verdict and capped any payment at $6 million, (2) jury returned $13 million verdict in underlying action; and (3) defendant paid $2 million of said verdict and plaintiff paid $3 million of said verdict pursuant to terms of its excess insurance policy. While plaintiff asserted that defendant did not act in good faith when it rejected initial settlement offer, and that said actions resulted in plaintiff having to pay out $3 million on claim, defendant was not “insurer” for purposes of imposing duty to settle as alleged in instant complaint. Rather defendant had essentially $2 million deductible with respect to plaintiff’s excess insurance policy. Moreover, plaintiff’s insurance policy allowed plaintiff to participate in defense of underlying claim, and plaintiff failed to use this option. Also, policy failed to contain any language requiring defendant to act in good faith during litigation and to try to reach settlement below defendant’s $2 million cap.

Owners Insurance Company v. Don McCue Chevrolet, Inc.

Illinois Appellate Court
Civil Court
Insurance Coverage
Citation
Case Number: 
2022 IL App (2d) 210634
Decision Date: 
Thursday, July 7, 2022
District: 
2d Dist.
Division/County: 
DuPage Co.
Holding: 
Reversed and remanded with directions.
Justice: 
SCHOSTOK

Plaintiff appealed from a trial court order entering summary judgment in favor of the defendant in an insurance coverage dispute arising out of an underlying consumer fraud complaint brought by a former customer. The appellate court reversed, finding that because the underlying complaint alleged only intentional misconduct there was no coverage. (McLAREN and JORGENSEN, concurring)

Country Mutual Insurance Co. v. Olsak

Illinois Appellate Court
Civil Court
Insurance Coverage
Citation
Case Number: 
2022 IL App (1st) 200695
Decision Date: 
Monday, June 27, 2022
District: 
1st Dist.
Division/County: 
1st Div./Cook Co.
Holding: 
Affirmed.
Justice: 
WALKER

Insurance coverage matter arising out of a suit for injuries caused by intentional conduct. The parties to the underlying matter reached a settlement agreement and the insured assigned his rights to the injured plaintiff who then asserted that the insurer breached its duty to defend and that the failure to defend was vexatious and unreasonable under section 155 of the Illinois Insurance Code. The circuit court found that the settlement agreement in the underlying matter was not the result of collusion and entered judgment against the insurer for the limits of the policy, but did not award section 155 damages. The appellate court affirmed. (HYMAB and COGHLAN, concurring)

Illinois Farmers Insurance Company v. Godwin

Illinois Appellate Court
Civil Court
Insurance Coverage
Citation
Case Number: 
2022 IL App (3d) 210001
Decision Date: 
Monday, June 27, 2022
District: 
3d Dist.
Division/County: 
Rock Island Co.
Holding: 
Affirmed.
Justice: 
HAUPTMAN

Insurance coverage dispute arising out of an automobile collision. The circuit court granted summary judgment in favor of the insured and the insurance company argued on appeal that the at-fault driver was not an insured under the terms of the policy. The appellate court affirmed, finding that the family member exclusion did not apply to the driver and that the availability of the vehicle for use by the driver was not so frequent or habitual as to be deemed a “regular” use and holding that the vehicle was not excluded from liability coverage. (DAUGHERITY and HOLDRIDGE, concurring)

Stonegate Insurance Company v. Smith

Illinois Appellate Court
Civil Court
Insurance Coverage
Citation
Case Number: 
2022 IL App (1st) 210931
Decision Date: 
Wednesday, June 22, 2022
District: 
1st Dist.
Division/County: 
3d Div./Cook Co.
Holding: 
Affirmed.
Justice: 
GORDON

Insurance coverage dispute as to whether a homeowner’s policy provided coverage for a fire started when the policyholder was performing plumbing work “as a favor for a friend” at a townhouse residence that he did not own. The trial court found that the homeowner’s policy covered the damages. The appellate court affirmed, finding that the policyholder was not a plumber by trade and did not receive compensation for his work so that the “professional services” and “business pursuits” exclusions of the policy did not bar coverage and that the policy did not explicitly exclude liability for negligence at another homeowner’s property. (McBRIDE and ELLIS, concurring)

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)