Insurance Law

Trotter v. Harleysville Ins. Co.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 15-3654
Decision Date: 
May 10, 2016
Federal District: 
N.D. Ill., W. Div.
Holding: 
Affirmed

Dist. Ct. did not err in granting defendant-insurance company’s motion for summary judgment in action by plaintiffs (insureds who were injured in same accident) alleging that policy issued by defendant contained underinsured motorist coverage of $500,000 that applied on per person per accident basis. Declaration page of policy stated that underinsured motorist coverage was limited to $500,000 for “each accident,” and Ct. found that there was no ambiguity in policy that would allow for $500,000 limit applying on per person, rather than per accident basis. Accordingly, plaintiffs were not entitled to any claim for underinsured motorist coverage, where plaintiffs collectively had received $500,000 from policy issued by other driver in accident.

State Farm Mutual Automobile Insurance Co. v. Burke

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2016 IL App (2d) 150462
Decision Date: 
Tuesday, March 29, 2016
District: 
2d Dist.
Division/County: 
DuPage Co.
Holding: 
Reversed and remanded.
Justice: 
BIRKETT

Defendant insurer waived its policy defenses for uninsured motorist coverage, by extending coverage to couple and their minor son, who were in car accident with uninsured motorist. Record clearly shows that Defendant insurer told couple that it was "granting coverage" under its policy. Defendant insurer never told couple that, although it was not liable under the policy, it was willing to nevertheless settle their claims to avoid further dispute.  The grant of coverage transformed defendant insurer's conduct unambiguously into a waiver of its policy defenses.(SCHOSTOK and ZENOFF, concurring.)

Illinois Municipal League Risk Management Association v. The City of Genoa

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2016 Il App (4th) 150550
Decision Date: 
Tuesday, April 12, 2016
District: 
4th Dist.
Division/County: 
Sangamon Co.
Holding: 
Reversed and remanded.
Justice: 
POPE

Court erred in finding Illinois Municipal League Risk Management Association had no duty to defend or indemnify City in underlying suit filed against it by Regional Transportation Authority (RTA). RTA alleged its claim against City arose from a "tax kickback scheme" between City and Oil Company, seeking statutory remedies per Section 8-11-21 of Municipal Code and damages and equitable relief, seeking compensation by City for sales tax proceeds it claims it should have received but were never collected by Oil Company. Policy exclusion for the issuance, collection, or management of tax proceeds  does not apply, as RTA is asking City to make RTA whole for taxes never collected by Company. (HARRIS and APPLETON, concurring.)

Pekin Insurance Co. v. Illinois Cement Co., LLC

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2016 IL App (3d) 140469
Decision Date: 
Tuesday, March 29, 2016
District: 
3d Dist.
Division/County: 
LaSalle Co.
Holding: 
Affirmed.
Justice: 
WRIGHT

Plumbing company, which was hired by cement company to install a trash pump, obtained insurance policy from Plaintiff insurer, which listed cement company as an  additional insured for any vicarious liability attrributable to cement company due to plumbing company's negligence. Court properly found that Plaintiff insurer had no duty to defend cement company as an additional insured in negligence action filed by plumbing company's employee, because underlying suit alleged only direct negligence by cement company, and did not allege any negligent act by plumbing company.  Court properly refused to consider cement company's third-party complaint to create a duty for insurer to defend it based on vicarious liability. (CARTER and HOLDRIDGE, concurring.)

Robert R. McCormick Foundation v. Arthur J. Gallagher Risk Management Services, Inc.

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2016 IL App (2d) 150303
Decision Date: 
Thursday, March 31, 2016
District: 
2d Dist.
Division/County: 
DuPage Co.
Holding: 
Reversed and remanded with directions.
Justice: 
HUTCHINSON

Plaintiff foundations filed suit against their former insurance broker for loss of defense coverage under foundations' D&O liability insurance policy.  Court erred in interpreting exclusion by failing to see it as ambiguous. Clause "any other provision. . . used to impose liability" is ambiguous, as it is susceptible to more than one reasonable interpretation. Thus, clause to be strictly construed against the insurer, and narrow construction of clause is the most plausible.(JORGENSEN and HUDSON, concurring.)

Edward T. Joyce & Associates, P.C. v. Professionals Direct Ins. Co.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 14-3341
Decision Date: 
March 21, 2016
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 to determine whether defendant’s professional liability policy required defendant to indemnify plaintiff-law firm in underlying action by members of successful class action alleging that plaintiff (class counsel) breached fiduciary duty with class members by outsourcing lawsuit to third-party law firm to collect on class action judgment instead of pursuing such collection efforts by itself pursuant to contingency agreement plaintiff had with class members. Exclusion in policy pertaining to “any claim for legal fees owed to” plaintiff applied so as to deny coverage in underlying lawsuit, where: (1) basis of underlying lawsuit by class members against plaintiff was for legal fees that plaintiff had collected (as consultant to third-party law firm); and (2) arbitrator’s award in class members’ favor against plaintiff actually adjusted legal fees recovered by plaintiff in successful class action.

Memberselect Insurance Company v. Luz

Illinois Appellate Court
Civil Court
Arbitration
Citation
Case Number: 
2016 IL App (1st) 141947
Decision Date: 
Thursday, March 17, 2016
District: 
1st Dist.
Division/County: 
Cook Co., 4th Div.
Holding: 
Vacated and remanded with directions.
Justice: 
ELLIS

Defendant insured properly demanded arbitration by sending a letter to his insurer, under underinsured motorist provision of Defendant's car insurance policy.  Nothing else was required of Defendant to "commence" the arbitration, and thus his right to seek arbitration was not barred by 3-year limitations provision in the policy. Policy language makes it clear that selection of arbitrator was not mandatory, so that selection of arbitrator was not necessary to "commence" the arbitration. (McBRIDE and COBBS, concurring.)

Essex Insurance Co. v. Galilee Medical Center, S.C.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
Nos. 14-1791 & 14-1801 Cons.
Decision Date: 
March 4, 2016
Federal District: 
N.D. Ill., E. Div.
Holding: 
Affirmed

Dist. Ct. did not err in granting plaintiff-insurance company’s motion for summary judgment in action seeking rescission of insurance policy that plaintiff had issued to defendants-insureds/medical group, after Dist. Ct. found that defendants had made material misrepresentations in their insurance policy application regarding their denial of use of drugs for weight reduction procedures for patients. Record showed that defendants were sued for medical malpractice based on mesotherapy treatments involving injections into subcutaneous layers of fat, that said treatments were contrary to defendants’ representations on policy application, and that said misrepresentations were material in sense that they significantly increased plaintiff’s risk. Ct. rejected defendants’ claims that: (1) physician did not “use” drugs for weight loss where doctor only recommended their use on defendants’ premises and performed mesotherapy treatments elsewhere; and (2) mesotherapy treatments were distinguishable from weight reduction procedures at issue in policy application.

AMCO Insurance Company v. Erie Insurance Exchange

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2016 IL App (1st) 142660
Decision Date: 
Tuesday, February 16, 2016
District: 
1st Dist.
Division/County: 
Cook Co., 1st Div.
Holding: 
Affirmed.
Justice: 
CUNNINGHAM

Court properly granted summary judgment for Defendant insurer of concrete subcontractor, and denied cross-motion for summary judgment filed by Plaintiff insurer of carpentry subcontractor, in declaratory judgment action involving coverage for worker injured at construction site.16-month delay, from time that injured worker filed underlying action against construction company to when Plaintiff insurer received actual notice of suit and its counsel filed appearance on behalf of its insured, was unreasonable as a matter of law.  Construction company (Defendant in underlying suit) tendered notice to other insurers within 1 month after their insureds were named as Defendants in underlying case. Judicial estoppel applies to statements of fact and not to legal opinions or conclusions.  As construction company's untimely notice barred coverage under Defendant insurer policy, Plaintiff insurer was not entitled to seek contribution from Defendant insurer for the $1 million that it paid in settling underlying action. (LIU and CONNORS, concurring.)

Illinois Municipal League Risk Management Association v. State Farm Fire and Casualty Company

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
2016 IL App (1st) 131180
Decision Date: 
Tuesday, February 2, 2016
District: 
1st Dist.
Division/County: 
Cook Co., 2d Div.
Holding: 
Affirmed.
Justice: 
NEVILLE

Clause in umbrella policy that made its coverage apply only after exhaustion of limits of all applicable "insurance and self insurance" is unambiguous and enforceable.  Plaintiff Municipal Association's contract with Village qualifies as self-insurance within meaning of other insurance clause in umbrella policy. Public policy does not make contract unenforceable. (PIERCE and HYMAN, concurring.)