Insurance Law

Berry Plastics Corp. v. Illinois National Ins. Co.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 17-1815
Decision Date: 
September 10, 2018
Federal District: 
S.D. Ind., Evansville Div.
Holding: 
Affirmed

Dist. Ct. did not err in granting defendant-insurance company’s motion for summary judgment in action by plaintiff-insured seeking indemnity for multi-million dollar damage award for lost profits in underlying action in which plaintiff was ordered to pay to disappointed customer, under circumstances where plaintiff sold defective laminate product that on occasion caught fire. Instant commercial general liability policy provided for “property damage to your product arising out of it or any part of it,” and record showed that plaintiff’s customer incurred lost sales after word got out about product’s failure. Generally, though, lost profit is form of business loss that is not covered under commercial general liability policy, and plaintiff was required to show that lost profits at issue in underlying lawsuit were “because of” property damage inflicted by plaintiff’s defective laminate. However, plaintiff could not prevail, where: (1) plaintiff improperly presumed that because its product failed in way as to cause property damage, all losses resulting from failure of product were necessarily “because of” property damage; (2) loss of sales following incidents of property damages could have been caused by customer’s belief that plaintiff had breached implicit or explicit warranties; and (3) fact-finder in underlying action was not called upon to decide whether plaintiff’s defective product resulted in property damage, let alone whether said losses that plaintiff suffered were because of said damage.

Central Illinois Compounding, Inc. v. Pharmacists Mutual Insurance Co.

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2018 IL App (3d) 170809
Decision Date: 
Thursday, September 6, 2018
District: 
3d Dist.
Division/County: 
Peoria Co.
Holding: 
Affirmed.
Justice: 
SCHMIDT

Pharmacy sued insurer, alleging that insurer breached insurance policy by denying its claim; insurer filed counterclaim seeking declaratory judgment that claim barred by policy exclusions. Claim involved water damage to insured's above-ground premises, caused by AT&T and its subcontractor doing directional boring behind insured's premises. Engineer determined that water from struck line flowed through under concrete slab and came up through the ground to infiltrate insured's premises. Court properly found policy exclusion for water below the surface of the ground applied. Policy expressly contemplates damage here, where water below surface of the ground seeped through the insured's floor and cause damage. (CARTER and O'BRIEN, concurring.)

Public Act 100-1066

Topic: 
Human Rights Act

(Steans, D-Chicago; Currie, D-Chicago) makes the following changes to the Illinois Department of Human Rights’ practices and procedures: (1) Expands the time to file charges of discrimination from 180 to 300 days. (2) Allows complainants to opt-out of the IDHR investigation and commence an action in court. The 60-day opt-out period begins after a charge is filed with the IDHR. (3) Adds time limits for the IDHR to issue a notice of dismissal after a complainant notifies the IDHR of the EEOC’s right-to-sue. (4) Allows IDHR to dismiss charges if an action in court or another administrative agency would preclude claims in the IDHR charge. (5) Requires the IDHR give notice of the dismissal to complainants and allows them to challenge the IDHR dismissal in the Human Rights Commission.

 

It makes the following changes to the Human Rights Commission’s practices and procedures: (1) Requires commissioners to be an attorney or have at least four years of professional experience working for individuals or corporations affected by the HRA or similar laws. (2) Creates time limits for administrative law judges and the HRC to issue and publish decisions.

 

Effective August 24, 2018. 

Public Act 100-871

Topic: 
Life insurance and the IMDMA

(Weaver, R-Peoria; Andersson, R-Geneva) makes ineffective any insurance policy that names the former spouse as the beneficiary after a judgment of dissolution of marriage with three exceptions: 1) the judgment designates the insured's former spouse as the beneficiary; 2) the insured re-designates the former spouse as the beneficiary after the entry of judgment; or 3) the former spouse is designated to receive the proceeds in trust for, on behalf of, or for the benefit of a child or a dependent of either former spouse. If the beneficiary designation is not effective under this bill, the proceeds of the policy are payable to the named alternative beneficiary or, if there is not a named alternative beneficiary, to the estate of the insured. Clarifies that this legislation does not apply to life insurance policies subject to regulation under the Employee Retirement Income Security Act of 1974 (ERISA). Effective Jan. 1, 2019.

Direct Auto Insurance Company v. Koziol

Illinois Appellate Court
Civil Court
Declaratory Actions
Citation
Case Number: 
2018 IL App (1st) 171931
Decision Date: 
Friday, August 3, 2018
District: 
1st Dist.
Division/County: 
Cook Co., 5th Div,
Holding: 
Affirmed.
Justice: 
HALL

Insurer filed declaratory judgment action to determine whether it owed coverage to insured for claim arising from accident when insureds vehicle came into contact with a utility pole.Court properly entered judgment in favor of Defendant insured, based on stipulated facts. Insured claimed that policy was void ab initio, because it learned that insured failed to disclose, in his initial application for coverage, that a vehicle registered to his parents was kept at his residence. Court properly found that this was not a material misrepresentation and thus policy was not void. Increase in premium, without any evidence of increased risk to insured, is insufficient to justify rescission of policy under Section 5154 of Insurance Code. (LAMPKIN and ROCHFORD, concurring.)

Southwest Disabilities Services and Support v. ProAssurance Specialty Insurance Co.

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2018 IL App (1st) 171670
Decision Date: 
Friday, July 27, 2018
District: 
1st Dist.
Division/County: 
Cook Co., 6th Div,
Holding: 
Affirmed.
Justice: 
DELORT

Resident at facility for developmentally disabled adults suffered injury upon choking on food, and was transported to hospital the next day. The incident was not first reported during the policy period, as insuring agreement required, but instead was first reported after lawsuit was filed, which was after policy had already expired. Thus, duty to defend was never properly triggered and thus the estoppel doctrine does not apply. (CUNNINGHAM and CONNORS, concurring.)

Allstate Indemnity Company v. Contreras

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2018 IL App (2d) 170964
Decision Date: 
Friday, July 20, 2018
District: 
2d Dist.
Division/County: 
Lake Co.
Holding: 
Reversed and remanded.
Justice: 
ZENOFF

Insurer filed declaratory judgment action claiming that it owed no duty to defend or indemnify day care or its owner as to lawsuit for negligent supervision filed against them by mother of minors who were alleged to have been sexually abused by husband of day care owner. No specific factual allegations in underlying complaint would trigger the expected injury exclusion. Insurer failed to show that it owes no duty to defend its insureds. (JORGENSEN and SCHOSTOK, concurring)

Cehovic-Dixneuf v. Wong

Federal 7th Circuit Court
Civil Court
ERISA
Citation
Case Number: 
No. 17-1532
Decision Date: 
July 11, 2018
Federal District: 
N.D. Ill., E. Div.
Holding: 
Affirmed

Dist. Ct. did not err in granting plaintiff’s motion for summary judgment in ERISA action seeking recovery of death benefits under supplemental life insurance policy offered by deceased’s employer. Plaintiff was named beneficiary under said policy that was otherwise covered by ERISA. Ct. rejected contention by defendant (deceased’s ex-wife) that said policy was not covered under ERISA because deceased had paid all premiums without any direct subsidy by his employer, where employer maintained substantial administrative functions associated with policy beyond very limited functions set forth in 29 USC section 2510.3-1(j). Also, Ct. noted that defendant had failed to proffer affidavits to support her contentions in response to summary judgment motion and had failed to challenge admissibility of plaintiff’s evidence attached to instant summary judgment motion.

Marque Medicos Archer, LLC v. Liberty Mutual Insurance Company

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2018 IL App (1st) 163351
Decision Date: 
Tuesday, June 26, 2018
District: 
1st Dist.
Division/County: 
Cook Co., 2d Div,
Holding: 
Affirmed.
Justice: 
MASON

Medical providers filed suit against workers compensation insurer for its alleged failure to fully pay for their services to an injured employee.Plaintiffs failed to state a cause of action for breach of contract implied in law or implied in fact, and failed to adequately allege the element of consideration. Providers are not 3rd-party beneficiaries of the policy, and they have no remedies under Section 155 of Insurance Code, as those remedies extend only to insured party and assignees of insurance policy, and not to 3rd parties.(PUCINSKI and HYMAN, concurring.)