Insurance Law

The Medical Protective Co. of Ft. Wayne, Ind. v. American International Specialty Lines, Ins. Co.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 20-1831
Decision Date: 
March 9, 2021
Federal District: 
N.D. Ind., Ft. Wayne Div.
Holding: 
Affirmed

In action by plaintiff-insurance company, alleging that defendant-insurance company breached insurance contract after defendant refused to indemnify plaintiff for payment plaintiff made to settle claim that plaintiff had wrongfully failed to settle underlying insurance action against plaintiff's insured, Dist. Ct. properly found that instant policy provided coverage for plaintiff's claim, even though jury found in underlying action that plaintiff never committed "wrongful act." Record showed that plaintiff gave defendant written notice within timeframe covered by policy of potential claim that plaintiff had failed to properly settle underlying action, and policy provided that any claim that was subsequently made against plaintiff arising out of said notice was treated as claim that was made within timeframe of policy. Also, Ct. rejected defendant's contention that jury's finding in underlying action that plaintiff did not commit wrongful act should have resulted in finding that plaintiff was unable to invoke coverage under policy in first place, where: (1) defendant's interpretation of policy would require plaintiff to prove existence of its wrongful act in order to invoke coverage; and (2) if plaintiff was successful in this regard, exclusion in policy would preclude coverage because of existence of plaintiff's wrongful act.

House Bill 142

(Ford, D-Chicago) amends the Illinois Insurance Code to provide that a first-party claimant must be reimbursed for their reasonable costs incurred to substantiate a claim for property and casualty claim denied in whole or in part but who has obtained a payment in excess of the initial offer of the insurer. Scheduled for hearing next Tuesday. 

Cascade Builders Corp. v. Rugar

Illinois Appellate Court
Civil Court
Choice of Law
Citation
Case Number: 
2021 IL App (1st) 192410
Decision Date: 
Friday, February 5, 2021
District: 
1st Dist.
Division/County: 
Cook Co., 5th Div.
Holding: 
Affirmed.
Justice: 
ROCHFORD

Petitioner insurer filed subpoena in Cook County circuit court, seeking to have it served upon Respondent insurer in dispute over coverage for damage caused in course of repairs done by a New York domiciled company to compete repairs to a New York residence. Under the Uniform Interstate Depositions and Discovery Act, the choice-of-law principles of Illinois should apply to the question of whether Illinois or New York substantive law should apply to Respondent insurer's motion to quash Petitioner insurer's subpoena.Petitioner failed to meet its initial burden to show that a different result would be obtained under New York law than under Illinois law, such that any further choice-of-law analysis would be required. Court thus properly applied substantive law of Illinois to resolve Respondent's claims of privilege as to its claims file and subrogation file. (DELORT and HOFFMAN, concurring.)

Joseph T. Ryerson & Son, Inc. v. Travelers Indemnity Co. of America

Illinois Appellate Court
Civil Court
Consumer Fraud Act
Citation
Case Number: 
2020 IL App (1st) 182491
Decision Date: 
Tuesday, April 7, 2020
District: 
1st Dist.
Division/County: 
Cook Co., 2d Div.
Holding: 
Affirmed.
Justice: 
FITZGERALD SMITH

(Court opinion corrected 1/21/21.) Plaintiff filed suit against its insurance companies, involving 2 underlying suits in which Plaintiff was sued and tendered defense of suit to Travelers. Plaintiff alleged in 1st underlying suit that Travelers breached its duty to defend it in a suit in federal court in Oklahoma, and sought relief under Section 155 of the Insurance Code. In 2nd underlying suit (filed in Cook County Circuit Court), Plaintiff alleged breach of contract, violation of 155 of Insurance Code, and violation of Consumer Fraud Act by Travelers.  The fact that there was for some time a dispute about the insurers' respective obligations is not a breach of contract by Travelers. Court properly dismissed count alleging breach of contract. Section 155 of Insurance Code does not apply, as Travelers had no contractual duty to tender its policy limits to other insurer prior to appeal, and thus it cannot be punished for vexatious and unreasonable delay in doing so.  Thus, court properly dismissed Section 155 count. As no conflict of interest existed between Travelers and Plaintiff, any alleged misrepresentation or omission by Travelers to Plaintiff as to the existence of a conflict of interest cannot be a deceptive act or practice under Consumer Fraud Act. Court properly dismissed Consumer Fraud Act count. (LAVIN and PUCINSKI, concurring.)

Wells v. State Farm Fire & Casualty Insurance Co.

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2021 IL App (5th) 190460
Decision Date: 
Monday, January 4, 2021
District: 
5th Dist.
Division/County: 
Williamson Co.
Holding: 
Affirmed.
Justice: 
BOIE

Plaintiffs purchased casualty insurance policy from Defendant insurer, to insure their warehouse building and its contents from accidental loss. Water pipes burst and flooded the building when weather was below freezing. Insurer refused to cover the damages. Court properly entered judgment for insurer, finding that policy exclusion applied and that there was no coverage for the building's water damage under the policy. Under plain language of policy exclusion, insurer agreed to cover a loss due to frozen water pipes but only if the insureds maintained proper heating in the building. Court properly found that Plaintiffs failed to make reasonable efforts to maintain heat in the building, and made no effort to remedy the known problem with the building's heating system. (CATES and MOORE, concurring.)

Hill v. Madison County, Illinois

Federal 7th Circuit Court
Civil Court
Prisoners
Citation
Case Number: 
No. 20-1307
Decision Date: 
December 22, 2020
Federal District: 
S.D. Ill.
Holding: 
Affirmed and vacated in part

Dist. Ct. did not err in dismissing for failure to state cause of action plaintiff-prisoner’s state-court lawsuit that had been removed to federal court, seeking to compel defendant-warden to mail two complaints that plaintiff wanted to file in federal court. Record showed that said complaints had actually been filed in federal court, and plaintiff had failed to allege that prison prevented him from filing both complaints in federal court. However, Dist. Ct. erred in including language in judgment that indicated that instant lawsuit had qualified as one of three “strikes” for filing frivolous complaint for purposes of section 1915(g), where: (1) section 1915(g) leaves to subsequent tribunal, decision as to whether current lawsuit qualified as strike; and (2) instant lawsuit does not come within purview of section 1915(g), since it was initially brought in state court. As such, Ct. vacated language in Dist. Ct.‘s judgment regarding applicability of section 1915(g) to instant lawsuit.

Federal Mutual Ins. Co. v. Coyle Mechanical Supply Inc.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 20-1207
Decision Date: 
December 22, 2020
Federal District: 
S.D. Ill.
Holding: 
Reversed and remanded

Dist. Ct. erred in granting plaintiff-insurance company’s motion for judgment on pleadings in its lawsuit seeking declaration that it had no duty to defend or indemnify defendant-insured in state-court lawsuit alleging that defendant breached commercial contract to supply valves that proved to be defective. While Dist. Ct. ruled that plaintiff’s state court action did not come within contours of plaintiff’s policy because state court complaint did not allege property damage or “occurrence,” Dist. Ct. erred in denying defendant’s motion for leave to file supplemental briefs, which contained material factual disputes bearing on plaintiff’s duty to defend, since Dist. Ct. improperly treated said motion as motion to file reply brief. Also, Dist. Ct. erred in expressly referring to materials that were outside instant pleadings, where: (1) Dist. Ct. had denied plaintiff’s motion to supplement that contained said materials; and (2) Dist. Ct. ignored favorable evidence for defendant in same materials. Moreover, Dist. Ct. should have converted instant motion for judgment on pleadings into summary judgment motion if it was going to rely on materials outside of pleadings. Too, Ct. found existence of material fact as to whether state-court complaint sought damages for physical injuries to property that would be covered under plaintiff’s policy.

State Farm Mutual Automobile Insurance Co. v. Elmore

Illinois Supreme Court
Civil Court
Insurance
Citation
Case Number: 
2020 IL 125441
Decision Date: 
Thursday, December 3, 2020
District: 
5th Dist.
Division/County: 
Effingham Co.
Holding: 
Appellate court reversed; circuit court affirmed.
Justice: 
M. BURKE

Defendant was injured while unloading grain from a truck owned by his father. He stepped onto the auger when attempting to open the truck's gate to let grain into the auger. Because the auger's protective shield had been removed, his foot was exposed to the turning shaft; his right leg was amputated above the knee as a result of the injury. The "mechanical device" exclusion in the auto policy covering the grain truck is unambiguous and enforceable, and is not against public policy. The auger was a machine or tool designed to move grain from one place to another, and was a device "operated by a machine or tool", and thus the exclusion applied and precluded coverage for the injury. (A. BURKE, GARMAN, KARMEIER, THEIS, and NEVILLE, concurring.)

Sproull v. State Farm Fire and Casualty Co.

Illinois Supreme Court PLAs
Civil Court
Insurance
Citation
PLA issue Date: 
November 18, 2020
Docket Number: 
No. 126446
District: 
5th Dist.

This case presents trial court’s certified question that asked “where Illinois insurance regulations provide that the actual cash value or ‘ACV’ of an insured, damaged structure is determined as replacement costs of property at time of loss less depreciation, if any, and where policy does not itself define actual cash value, may the insurer depreciate all components of replacement costs (including labor) in calculating ACV?” Appellate Court, in answering certified question in negative, found that average homeowner would have reasonably expected that depreciation would apply only to physical structures and tangible materials and not labor costs.

Strowmatt v. Sentry Insurance

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2020 IL App (5th) 190537
Decision Date: 
Thursday, October 22, 2020
District: 
5th Dist.
Division/County: 
Madison Co.
Holding: 
Reversed and remanded.
Justice: 
WELCH

Plaintiffs sought uninsured motorist coverage from insurer, stemming from an auto accident where Plaintiff's minor son was a passenger in a vehicle being driven by an uninsured motorist. Insurer denied Plaintiffs' claim, claiming that minor was not an insured under his father's policy, as it was a nonowner's policy that did not afford coverage to father's family members. Under family expense statute, the minor child's father was legally obligated to pay the medical expenses of his minor son. Although the injury was to the minor, the submitted claim was for father's own economic loss. As there was some question of fact as to whether minor was included as an insured under father's policy, court erred in granting judgment on the pleadings in favor of insurer. (CATES and WHARTON, concurring.)