Insurance Law

Hendricks v. Novae Corporate Underwriting, Ltd.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 16-1712
Decision Date: 
August 18, 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 by plaintiffs-assignees of insured, alleging that defendant owed plaintiffs proceeds from insurance policy, where: (1) insured had settled underlying Texas lawsuit, which concerned potential claim under policy with plaintiffs; (2) terms of settlement called for stipulation to entry of judgment in amount of $5.12 million against insured; (3) insured assigned to plaintiffs’ purported right to recover against defendant in coverage dispute; (4) plaintiffs promised not to execute on judgment against insured; and (5) defendant played no role in insured’s settlement of underlying action since defendant had no duty to defend under policy. Ct. found that: (1) instant type of settlement and assignment was neither enforceable nor binding against defendant because said settlement was collusive and distorted adversarial process; and (2) insured’s assignment was invalid as matter of relevant Texas public policy. Ct. further noted that plaintiffs could not use amount of settlement of Texas lawsuit as evidence as to what defendant owed plaintiffs in underlying claim under instant circumstances, where there was no full adversarial trial on matter.

Pekin Insurance Company v. Lexington Station, LLC

Illinois Appellate Court
Civil Court
Duty to Defend
Citation
Case Number: 
2017 IL App (1st) 163284
Decision Date: 
Monday, August 14, 2017
District: 
1st Dist.
Division/County: 
Cook Co., 1st Div.
Holding: 
Affirmed.
Justice: 
MIKVA

Insurer filed declaratory judgment action seeking declaration that it had no duty to defend company as an additional insured under the policy issued to construction company.  PI suit filed by carpenter, who was injured while working as employee of insured construction company on a development project owned by company who employee named as defendant in that PI suit. "Boilerplate" facts and allegations indicate that additional insured could potentially be found liable for negligence of named insured. The possibility of the additional insured's vicarious liability for insured's negligence brings action within broad duty to defend. Even if finding of vicarious liability is unlikely, it is a potentiality.(CONNORS and HARRIS, concurring.)

Haley v. Kolbe & Kolbe Millwork Co.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
Nos. 16-3563 & 16-3648 Cons.
Decision Date: 
August 8, 2017
Federal District: 
W.D. Wisc.
Holding: 
Affirmed and reversed in part and remanded

Dist. Ct. erred in granting Intervenors-insurance companies’ motion for summary judgment, alleging that it was not obligated to defend defendant-insured in underlying defective-product lawsuit arising out of claim that windows manufactured by insured were defective and had allowed air and water to leak into and damage plaintiffs-homeowners’ homes. Under terms of insurance policies, Intervenors were not obligated to reimburse insured for replacement of defective windows that had been manufactured by insured. However, instant policies potentially covered damages caused by leaky windows to plaintiffs' homes, where exclusion in policies for property damage “to your product,” i.e., windows, did not apply to damage to plaintiffs walls and other elements of their homes that were not supplied to plaintiffs by insured. As such, Intervenors had duty to defend insured on all claims in underlying lawsuit.

Pine Top Receivables of Illinois, LLC v. Banco de Seguros del Estado

Federal 7th Circuit Court
Civil Court
Statute of Limitations
Citation
Case Number: 
No. 16-3499
Decision Date: 
August 7, 2017
Federal District: 
N.D. Ill., E. Div.
Holding: 
Affirmed

Dist. Ct. did not err in dismissing as untimely plaintiff’s 2012 breach of contract action, alleging that defendant owed it $2 million for series of reinsurance transactions that occurred prior to 1993. Record showed that said contracts required parties to generate quarterly statements that netted various claims and payments between parties, and that said statements ceased after 1993. Moreover, Illinois 10-year limitations period for instant contracts applied, such that plaintiff had until 2003 to sue on said contracts. Ct. rejected plaintiff’s claim that under Ill. Statute (215 ILCS 5/206), it (as insurance company liquidator) could wait until its predecessor in interest competed its liquidation to submit final statement of account between parties, especially where plaintiff had not obtained judicial permission to delay submission of statements. Also, fact that plaintiff made initial $2 million demand in 2008 did not support its claim that separate contract arose at that time, since defendant never accepted plaintiff’s demand.

St. Paul Fire & Marine Insurance Co. v. City of Waukegan

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2017 IL App (2d) 160381
Decision Date: 
Tuesday, August 1, 2017
District: 
2d Dist.
Division/County: 
Lake Co.
Holding: 
Affirmed.
Justice: 
BIRKETT

(Court opinion corrected 8/4/17.) Juan Rivera was convicted of 1992 rape and murder of 11-year-old girl; he was tried and convicted 2 more times, but each conviction was reversed. In 2012, Rivera filed federal wrongful conviction complaint against numerous defendants, including City and certain police officers. Rivera's procedural due process (Brady) claim and 5th-amendment claim did not trigger coverage under insurance policies the iinsurers had issued to City. Law enforcement activity on which those claims were based occurred before policies took effect.(HUTCHINSON and ZENOFF, concurring.)

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.