Insurance Law

Rein v. State Farm Automobile Insurance Company

Illinois Appellate Court
Civil Court
Arbitration
Citation
Case Number: 
No. 1-10-0764
Decision Date: 
Friday, March 4, 2011
District: 
1st Dist.
Division/County: 
Cook Co., 6th Div.
Holding: 
Affirmed.
Justice: 
GARCIA
Plaintiff filed declaratory judgment action for uninsured motorist coverage after hit-and-run accident. Court properly held that action was barred by insurer's policy provision requiring arbitration or suit for uninsured motorist coverage to be commenced within two years after date of accident. Arbitration process is not commenced by insured sending letter stating intent to pursue arbitration, where letter did not expressly and unequivocally request arbitration or name an arbitrator on the insured's behalf within two years of accident as policy terms required. (McBRIDE and R.E. GORDON, concurring.)

Westfield Insurance Company v. FCL Builders

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
No. 1-10-0521
Decision Date: 
Tuesday, March 8, 2011
District: 
1st Dist.
Division/County: 
Cook Co., 2d Div.
Holding: 
Affirmed.
Justice: 
CONNORS
(Court opinion corrected 3/11/11.) General contractor (FCL) was hired to work on construction project, and subcontracted out steel fabrication and erection for project to Suburban Ironworks, which subcontracted out steel erection to JAK; employee of JAK was severely injured in fall from steel beam. Court properly granted summary judgment in favor of JAK's insurer, in finding that FCL was not an additional insured under the policy issued to JAK and was thus not obligated to defend or indemnify FCL in tort action filed by injured employee. Plain language of endorsement required that JAK and other entity must have agreed in writing that entity be added as additional insured, and no such written agreement existed between JAK and FCL. Certificate of insurance, which was not issued by insurer but by a third party, expressly confers no rights on certificate holder and expressly does not alter insurer's liability on policy. (KARNEZIS and HARRIS, concurring.)

CIMCO Communications v. National Fire Insurance Company of Hartford

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
No. 1-09-3035
Decision Date: 
Tuesday, February 8, 2011
District: 
1st Dist.
Division/County: 
Cook Co., 2d Div.
Holding: 
Affirmed.
Justice: 
CONNORS
Court properly interpreted business income provision of insurance policy as limiting recovery to only those losses sustained as a result of necessary suspension of operations, during the three-month period of restoration. Business income provision of policy would cover any losses during the three-month period of restoration following a flood, and extended provision would cover any additional losses for up to 30 days between end of period of restoration and resumption of business operations at preflood levels. As Plaintiffs can offer no competing reasonable interpretation, the business income provision is not ambiguous, and summary judgment for Defendant was proper. (CUNNINGHAM and HARRIS, concurring.)

Kartman v. State Farm Mutual Automobile Ins. Co.

Federal 7th Circuit Court
Civil Court
Class Action
Citation
Case Number: 
No. 09-1725
Decision Date: 
February 14, 2011
Federal District: 
S.D. Ind., Indianapolis Div.
Holding: 
Reversed and remanded
Dist. Ct. erred in certifying class action for injunctive relief under Rule 23(b)(2) in action alleging that defendant-insurance company breached contractual obligation by consistently underpaying plaintiffs-policyholders who submitted claims for hail damage done to their roofs. While Dist. Ct. concluded that class claim for injunctive relief could proceed to determine whether defendant should be required to re-inspect plaintiffs' roofs pursuant to uniform and objective standard, instant case was not appropriate for class certification under Rule 23(b)(2) where plaintiffs' remedy in instant case was only for monetary damages, and where there was no contract or tort-based duty requiring defendant to use particular standard for assessing hail damage. Moreover, requested injunction as envisioned by plaintiffs was not final remedy for purposes of Rule 23(b)(2) since class-wide roof re-inspection would only lay evidentiary foundation for subsequent individual determinations of liability.

Golub and Associates v. State Farm

Illinois Appellate Court
Civil Court
Liens
Citation
Case Number: 
No. 5-09-0454
Decision Date: 
Tuesday, January 18, 2011
District: 
5th Dist.
Division/County: 
St. Clair Co.
Holding: 
Affirmed.
Justice: 
GOLDENHERSH
Public insurance adjuster claimed a valid lien on homeowner's insurance proceeds, which lien was created by contract between adjuster and homeowner for fire loss adjusting services to be provided for 10% fee. That Chapter 770 does not specifically describe liens for public insurance adjusters does not mean that such liens cannot exist, as Chapter 770 is not meant to be comprehensive. (SPOMER and WEXSTTEN, concurring.)

United Automobile Insurance Company v. Wilson

Illinois Appellate Court
Civil Court
Arbitration
Citation
Case Number: 
No. 1-09-3061
Decision Date: 
Tuesday, January 18, 2011
District: 
1st Dist.
Division/County: 
Cook Co., 2d Div.
Holding: 
Affirmed.
Justice: 
CONNORS
After arbitrator issued award in favor of Defendants, Plaintiff insurer filed declaratory judgment action asking court to find that Defendants' claim of damages from hit-and-run was not covered under their uninsured motorist coverage, and that the policy was void due to Defendants' alleged spoliation of evidence, as vehicle was junked before being inspected. Nothing in record indicates that the arbitrator exceeded his authority, and no basis exists to vacate the award from the binding arbitration; the court had ordered only that the award be stayed, rather than vacated, pending resolution of coverage issue. (CUNNINGHAM and KARNEZIS, concurring.)

Protective Life Ins. Co. v. Hansen

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 10-2085
Decision Date: 
January 19, 2011
Federal District: 
E.D. Wisc.
Holding: 
Affirmed
Dist. Ct. did not err in granting defendant-employer's motion for summary judgment in instant interpleader action filed by insurance company to determine ownership of life insurance proceeds on $1 million policy taken out by employer in name of key employee, after finding that employer was entitled to said proceeds as named beneficiary of said policy. While employer had intended to allow policy to lapse, record showed that liquidator of employer had unsuccessfully attempted to submit forms to insurance company to transfer ownership of policy to key employee, who in turn attempted to name his girlfriend as beneficiary of policy shortly before key employee committed suicide. Ct. rejected defendant-girlfriend's argument that she was entitled to reformation of policy to reflect actual name of employer so as to effectuate liquidator's failed attempt to transfer ownership of policy to key employee where it was unclear whether, upon any reformation, insurance company would have actually made said transfer. Moreover, Ct. rejected girlfriend's alternative argument that she was third-party beneficiary of insurance contract between employer and insurance company.

R.G. Wegman Construction Co. v. Admiral Ins. Co.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 09-2022
Decision Date: 
January 14, 2011
Federal District: 
N.D. Ill., E. Div.
Holding: 
Reversed and remanded
Dist. Ct. erred in granting defendant-insurance company's motion for summary judgment in action by plaintiff-insured alleging that defendant breached its implied contractual duty of good faith when defendant, while representing plaintiff in underlying personal injury action pursuant to terms of insurance policy, failed to timely alert plaintiff about possibility that damages in underlying lawsuit might exceed $1 million policy limits, which in turn precluded plaintiff from giving timely notice of underlying lawsuit to its excess insurance carrier under circumstances where underlying lawsuit eventually resulted in $2 million judgment. Defendant was presented with conflict of interest once it became aware of reason to believe that plaintiff's liability might result in judgment in excess of policy limit, and duty of good faith required that defendant inform plaintiff of said conflict so that plaintiff could exercise option to either hire new attorney at defendant's expense to take over defense in underlying action or to timely inform excess insurer for purpose of triggering protection of excess policy.

Santa's Best Craft v. Zurich American Insurance

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
No. 1-09-1634
Decision Date: 
Tuesday, December 21, 2010
District: 
1st Dist.
Division/County: 
Cook Co., 2d Div.
Holding: 
Affirmed.
Justice: 
CONNORS
Plaintiff companies were sued by a competitor for intellectual property infringement and deceptive trade practices, and tendered defense of suit to insurer, which agreed to reimburse Plaintiffs for expenses incurred by their independent legal counsel in defending suit. Court properly granted summary judgment for insurer, as insurer had promptly paid half of legal expenses invoiced while reviewing charges, and court determined that some legal expenses were unreasonable. As underlying suit was not for "advertising injury" thus insurer had no duty to defend. "Advertising injury" requires that "advertisement" was broadcast or published by being widely disseminated, even if notice was directed to a "specific market segment" of the general public. Court properly denied motion for prejudgment interest, as damages were not easily determined nor liquidated. (CUNNINGHAM and KARNEZIS, concurring.)

Maxum Indemnity Company v. Gillette

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
No. 3-10-0006
Decision Date: 
Monday, November 22, 2010
District: 
3d Dist.
Division/County: 
LaSalle Co.
Holding: 
Reversed and remanded.
Justice: 
McDADE
(Court opinion corrected 1/5/11.) /Passenger on parade float was injured when she was thrown from the float, when float lunged upon hitting bump in road. Float was being pulled by driver from parade float transport company. Passenger's defective condition claims arose from injuries she sustained while the "auto"/float was being used in manner consistent with its customary use; alleged defective condition created risk to her only while float was in motion. Thus, causal relationship exists between her injuries and the use of the "auto"/float, and the auto exclusion in the company's commercial liability policy applies, so that insurer has no duty to defend company in underlying suit. (CARTER and SCHMIDT, concurring.)