Insurance Law

Streit v. Metropolitan Casualty Ins. Co.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 16-3203
Decision Date: 
July 17, 2017
Federal District: 
N.D. Ill., E. Div.
Holding: 
Affirmed

Dist. Ct. did not err in granting plaintiffs-insureds’ motion for summary judgment in action alleging that defendant-insurance company wrongfully withheld proceeds of insurance policy, where record showed that insureds’ 21-year old son intentionally set fire to plaintiffs’ home. While language in policy precluded plaintiffs from obtaining instant proceeds, said language was in conflict with Illinois Standard Fire Policy, which set minimum threshold for what fire-insurance policies must cover. Moreover, defendant failed to provide said minimum coverage, since: (1) defendant’s policy suspends for all insured parties coverage for intentional loss caused by any insured party; and (2) Standard Fire Policy suspends coverage only if hazard “increased by any means within control or knowledge of an insured.” As such, while son could not recover under Standard Fire Policy for his intentional acts, innocence co-insureds such as plaintiffs could still recover under Standard Fire Policy.

Westfield Ins. Co. v. Nat’l Decorating Service, Inc.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 16-1439
Decision Date: 
July 13, 2017
Federal District: 
N.D. Ill, E. Div.
Holding: 
Affirmed

Dist. Ct. did not err in granting defendants-insureds’ motion for summary judgment in plaintiff-insurance company’s action seeking declaration that it did not owe duty to defend defendants in underlying action by condominium association alleging that insured-sub-contractor caused newly constructed multi-story condominium building to suffer water damage when subcontractor failed to apply adequate coat of sealant to exterior of building. While commercial general liabilities policies of sort issued by plaintiff are not intended to serve as performance bonds that would cover economic losses sustained as result of defects in or damage to insureds’ own work or product, underlying action alleged that subcontractor acted negligently, which would be sufficient to qualify as “occurrence” under terms of policy. Moreover, plaintiff had duty to defend where underlying complaint contained allegations of damage to building that went beyond subcontractor’s own work and product. In this respect, Ct. rejected plaintiff’s contention that scope of subcontractor’s project was entirety of building rather than just building’s exterior.

Pekin Insurance Company v. Johnson-Downs Construction Inc.

Illinois Appellate Court
Civil Court
Duty to Defend
Citation
Case Number: 
2017 IL App (3d) 160601
Decision Date: 
Thursday, July 6, 2017
District: 
3d Dist.
Division/County: 
Will Co.
Holding: 
Reversed and remanded with directions.
Justice: 
McDADE

Employee of landscaping company was injured at construction site and sued construction company for construction negligence. Insurer filed declaratory judgment action claiming it had no duty to defend construction company as an additional insured under policy of landscaping company. Factual allegations in amended complaint state vicarious liability claim that falls within coverage of policy, and thus, injured worker's amended complaint was not an improper or unsupported attempt to plead into coverage. Court may consider amended complaint in its duty to defend determination, but must not consider construction company's 3rd-party complaint in that determination. Declaratory judgment action can proceed to resolution prior to conclusion of underlying suit. (CARTER and O'BRIEN, concurring.)

Thounsavath v. State Farm Mutual Automobile Insurance Co.

Illinois Appellate Court
Civil Court
Named Driver Exclusion
Citation
Case Number: 
2016 IL App (1st) 161334
Decision Date: 
Friday, June 30, 2017
District: 
1st Dist.
Division/County: 
Cook Co.
Holding: 
Affirmed.
Justice: 
Hall

(Court opinion corrected 7/10/17.) Plaintiff filed a complaint for declaratory judgment against Defendant, State Farm Mutual Automobile Insurance Company. Plaintiff sought a declaration that, as applied to her, the driver exclusion endorsement in the automobile liability policies issued to her by State Farm violated the Illinois Insurance Code and the public policy of Illinois. Court granted summary judgment for Plaintiff and Defendant appealed. In general, named driver exclusions in automobile liability insurance policies are permitted in Illinois. A named driver exclusion in an insured’s policy that bars liability, uninsured or underinsured coverage for the named insured, however, violates Illinois’s mandatory insurance requirements and Illinois public policy. Therefore, the named driver exclusion endorsement in the Plaintiff’s automobile liability policies was not enforceable against the Plaintiff, as the named insured, and summary judgment was proper.

James River Insurance Co. v. Timcal, Inc.

Illinois Appellate Court
Civil Court
Duty to Defend
Citation
Case Number: 
2017 IL App (1st) 162116
Decision Date: 
Friday, June 30, 2017
District: 
1st Dist.
Division/County: 
Cook Co.
Holding: 
Affirmed.
Justice: 
Neville

TimCal, Inc., an insurance agent, received a letter from Fidelity National Property & Casualty Insurance Company charging it with breach of its duties as an insurance agent and informing it that Fidelity would seek to recover damages. TimCal did not inform its professional liability insurer, James River Insurance Company, about the claim until almost a year later. James River filed a complaint against TimCal and Fidelity, seeking a judgment declaring that it had no duty to defend or indemnify TimCal because TimCal failed to provide notice of Fidelity’s claim to James River within the 60-day period provided by their contract. Court granted James River’s motion for summary judgment. On appeal, Fidelity argued, in part, that James River policies define a claim as “a written demand for monetary damages,” and that Fidelity’s letter did not satisfy this definition because it did not demand a specific dollar amount. Court properly granted Plaintiff’s motion for summary judgment. The term “claim” unambiguously applied to the letter, because Fidelity demanded payment of monetary damages, even though it did not specify a settlement amount or its total damages.

Willis v. United Equitable Insurance Co.

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2017 IL App (1st) 162308
Decision Date: 
Thursday, June 29, 2017
District: 
1st Dist.
Division/County: 
Cook Co.
Holding: 
Reversed and remanded.
Justice: 
Harris

Plaintiffs filed a complaint against Defendant, their insurance company, alleging breach of contract in bad faith when Defendant would not pay their claims from an accident involving an uninsured motorist. Plaintiffs then filed a motion for summary judgment which Court granted. On appeal, Defendant argued that Court erred, because the policy required Plaintiffs to unequivocally demand arbitration and appoint an arbitrator within two years of the accident, which Plaintiffs did not do. Court erred in granting Plaintiff’s motion. The arbitration provision in the policy stated that disagreements concerning uninsured motorist coverage and damages “shall be submitted to arbitration” within two years. A party sufficiently commences arbitration if their request for arbitration is unequivocal and made according to the terms of the policy. Plaintiff’s letters stating “[w]e hereby make demand for arbitration if this claim is not resolved within two years after the accident” was a contingent demand, and thus did not commence arbitration.

PQ Corporation v. Lexington Insurance Co.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 16-3280
Decision Date: 
June 27, 2017
Federal District: 
N.D. Ill., E. Div.
Holding: 
Affirmed

Dist. Ct. did not err in granting defendant-insurance company’s motion for summary judgment in action seeking declaration that damage to customer’s property that was stored in insured’s warehouse was covered under commercial warehouse liability policy issued by defendant. Defendant could properly refuse coverage because terms of policy required insured to produce either warehouse receipt, storage agreement or rate quotation in order for plaintiff‘s claim was covered under instant policy, and insured failed to produce said document(s). Ct. rejected plaintiff’s argument that bill of lading produced by insured was suitable substitute to documents listed in policy, or that other documents could reliably show how much of customer’s property was damaged at insured’s warehouse. Ct., though, rejected defendant’s alternative argument that it was not required to cover instant loss, because, contrary to terms of policy, insured had settled plaintiff’s claim without defendant’s consent, where Ct. noted that defendant had already informed insured that it was not going to cover plaintiff’s claim prior to time insured had settled claim with plaintiff.

State Farm Fire & Casualty Company v. John

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2017 IL App (2d) 170193
Decision Date: 
Wednesday, June 14, 2017
District: 
2d Dist.
Division/County: 
DuPage Co.
Holding: 
Reversed and remanded.
Justice: 
ZENOFF

Insurer filed declaratory judgment action as to its duties to defend and indemnify its insured against a suit filed by Wheaton College. Interlocutory appeal from order denying Defendant's motion to stay action pending resolution of underlying litigation. There is an actual controversy between the parties, because there is a concrete dispute admitting of an immediate and definitive determination of the parties' respective rights. Sanctions and default judgment entered against Defendant in underlying case are interlocutory, so that issue of his liability has not been "settled" or "established"Adjudicating insurer's amended complaint would improperly require trial court to decide issues of ultimate that could bind parties to underlying litigation. Staying all proceedings pending resolution of underlying litigation is appropriate given circumstances of case. (McLAREN and BURKE, concurring.)

House Bill 302

Topic: 
Unclaimed Life Insurance Benefits Act

(Martwick, D-Chicago; Collins, D-Chicago) expands last year's original Unclaimed Life Insurance Benefit Act that required insurance companies to perform a check of policies in force (not lapsed) as of January 1, 2017 against the Social Security Death Master File. Insurance companies must now check all policies that are currently in force or were in force as of January 1, 2000, unless the company shows proof that they did not keep electronic records, in which case they must check all current policies and all policies in effect as of January 1, 2012.

Passed both chambers; effective January 1, 2018 if the Governor signs it.

 

Senate Bill 584

Topic: 
Illinois Administrative Procedure Act

(Barickman, R-Bloomington; Andersson, R-Geneva) ensures that the appeals by citizens in administrative review actions are not thrown out of court for a scrivener’s error that is called a “misnomer.” Senate Bill 584 amends the Administrative Procedure Act and the Administrative Review Law to provide a means for correcting good-faith failures to perfectly name necessary parties in actions for administrative review. The proposed legislation would do several things to resolve this problem.

Requires that final administrative orders list all of the parties of record together with their last known address of record. The final order must also include whether there are any agency rules requiring a motion for reconsideration as a part of obtaining a reviewable final administrative decision and, if so, the citation to the rule.  

Prohibits an action for administrative review to be dismissed for lack of jurisdiction based on the misnomer of any agency that is properly served with summons issued in the action within the applicable time limits. It also prohibits dismissal for failure to perfectly name an agent if a timely action of administrative review has been filed that identifies the final administrative decision under review and makes a good faith effort to properly name the administrative agency.

Allows a court to correct misnomers for an erroneous identification of the administrative agency that was made in good faith.

Passed both chambers; effective on the Governor’s signature.