Insurance Law

ACE American Ins. Co. v. RC2 Corp., Inc.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 09-3032
Decision Date: 
April 5, 2010
Federal District: 
N.D. Ill., E. Div.
Holding: 
Reversed and remanded
Dist. Ct. erred in finding that commercial general liability insurance policy issued by plaintiff covered losses incurred by defendant (insured manufacturer of toys) where losses were generated by lawsuits filed by U.S. citizens who purchased toys containing lead paint that had been manufactured in China. Plaintiff's policy excluded coverage for injuries that occurred within U.S., and policy-triggering occurrences took place in U.S. where purchasers were exposed to lead paint, and not in China where toys had been manufactured.

Nicholson v. State Farm Mutual Automobile Insurance Company

Illinois Appellate Court
Civil Court
Insurance
Citation
Case Number: 
No. 2-08-0639
Decision Date: 
Tuesday, March 23, 2010
District: 
2d Dist.
Division/County: 
DuPage Co.
Holding: 
Affirmed.
Justice: 
SCHOSTOK
Whenever vehicle liability coverage is increased above that provided under the previous policy, insurers must again offer uninsured motorist (UM) coverage equal to liability coverage, and must obtain signed election declining such equal coverage.

Continental Casualty Company v. Bertucci, LTD

Illinois Appellate Court
Civil Court
Legal Malpractice
Insurance
Citation
Case Number: 
No. 1-09-0502
Decision Date: 
Friday, March 19, 2010
District: 
1st Dist.
Division/County: 
Cook Co.
Holding: 
Affirmed in part and reversed in part.
Justice: 
McBRIDE
Insurance coverage dispute as to attorney's professional liability policy and allegations that attorney retained excessive fees from settlement of medical malpractice case. Court found that insurer owed no duty to defend or cover state court action brought against attorney, but owed coverage in ARDC action. Client's claims are not for ordinary, nonlegal services, and were not performed by insured for others as a lawyer within policy terms, thus no coverage for suit. ARDC proceedings not covered, as it does not concern performance of legal services for others.

West Bend Mutual Ins. Co. v. U.S. Fidelity and Guaranty Co.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 09-2519
Decision Date: 
March 25, 2010
Federal District: 
N.D. Ind., S. Bend Div.
Holding: 
Affirmed
Dist. Ct. did not err in granting defendants' motion for summary judgment in breach of contract action alleging that defendants improperly declined to defend insured in class action alleging that gas from insured's gas station leaked out of underground tank and contaminated groundwater. Exclusion in defendant's policy, that precluded coverage for property damages caused by pollutants that included motor fuel, applied to gasoline leak at issue in underlying lawsuit. Ct. rejected plaintiff's claim that subject exclusion was required to specifically mention gasoline in order for exclusion to apply. Ct. also found that umbrella policy also did not apply where products-hazard clause in umbrella policy covered only knowing market transactions and abandoned products, while underlying lawsuit concerned accidental leak. (Dissent filed.)

Estate of Luster v. Allstate Ins. Co.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 09-2483
Decision Date: 
March 23, 2010
Federal District: 
N.D. Ind., Hammond 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 terms of insurance policy by failing to pay for loss arising out of fire damage to plaintiff's home. While defendant attempted to rescind policy by returning premiums after it discovered that plaintiff had not been living in her home for 4.5 years, fact that insured may not have occupied her home is not type of breach that would have entitled defendant to rescind policy. However, defendant will be permitted on remand to establish whether plaintiff's non-occupancy of home substantially increased risk of loss and/or whether vandalism was cause of fire so as to excuse defendant from payment of loss under vandalism or increase-in-hazard exclusions contained in policy.

Schultz v. Illinois Farmers Insurance Company

Illinois Supreme Court
Civil Court
Insurance
Citation
Case Number: 
No. 108038
Decision Date: 
Thursday, March 18, 2010
District: 
1st Dist.
Division/County: 
Cook Co.
Holding: 
Appellate court affirmed.
Justice: 
KARMEIER
Statutory requirement of Illinois Insurance Code that "permissive users" shall be covered for underinsured motorist (UIM) coverage includes not only permissive drivers, but permissive occupants of vehicle. Provision of insurance policy which excludes occupants from UIM coverage is contrary to public policy, thus void and unenforceable. Insurers cannot define insureds for UIM purposes differently than for purposes of liability and uninsured motorist (UM) coverage.

Milwaukee Metropolitan Sewerage District v. American International Specialty Lines Ins. Co.

Federal 7th Circuit Court
Civil Court
Insurance
Citation
Case Number: 
No. 09-1645 et al. Cons.
Decision Date: 
March 10, 2010
Federal District: 
E.D. Wisc.
Holding: 
Reversed and vacated in part and remanded
Dist. Ct. erred in entering judgment in favor of plaintiff-insured in action seeking reformation of insurance policy so as to require defendant-insurance company to pay for environmental cleanup costs on property owned by plaintiff. Record showed that there was no meeting of minds regarding actual property that plaintiff wished to insure, which served to defeat instant reformation action. Moreover, plaintiff knew at all relevant times that policy did not include coverage for subject property.

State Farm v. The City of Chicago

Illinois Appellate Court
Civil Court
Insurance
Administrative Law
Citation
Case Number: 
No. 1-08-0679
Decision Date: 
Friday, February 26, 2010
District: 
1st Dist.
Division/County: 
Cook Co.
Holding: 
Reversed and remanded.
Justice: 
CAHILL
City Department of Revenue sent a City employee a notice that he owed City $895 for damage to City police car that employee hit. Notice created actual controversy ripe for adjudication, because notice states employer will be notified, and his indebtedness can be publicized per FOIA and on City website, and is subject to wage garnishment or discharge. Exhaustion of remedies inapplicable, because notice does not state employee's right to administrative hearing to contest debt, thus did not initiate administrative proceeding.

Chicago Hospital Risk Pooling Program v. Illinois State Medical Inter-Insurance Exchange

Illinois Appellate Court
Civil Court
Contribution
Insurance
Citation
Case Number: 
Nos. 1-07-2195 & 1-07-2258 Cons.
Decision Date: 
Tuesday, January 26, 2010
District: 
1st Dist.
Division/County: 
Cook Co.
Holding: 
Reversed.
Justice: 
THEIS
Hospital Risk Pool sued insurer for equitable contribution and equitable subrogation to recover portion of settlement it made on behalf of physician in malpractice suit, and insurer counterclaimed to recover its defense costs. Court improperly granted summary judgment for Risk Pool on its equitable subrogation claim against insurer, as Risk Pool had relinquished its right to recover in subrogation given totality of its affirmative conduct. Once physician sought coverage exclusively from Risk Pool, the Risk Pool had the sole responsibility to defend and indemnify physician, and insurer had duty for standby coverage in event Risk Pool refused to defend. Thus, error for court to have awarded insurer only half of its defense costs, because Risk Pool wrongly refused insurer's tender.

Children's Advantage Network v. National Union Fire Company of Pittsburgh, PA

Illinois Appellate Court
Civil Court
Duty to Defend
Notice
Citation
Case Number: 
No. 1-08-3400
Decision Date: 
Wednesday, February 3, 2010
District: 
1st Dist.
Division/County: 
Cook Co.
Holding: 
Affirmed in part and reversed in part; remanded.
Justice: 
MURPHY
Residential children's facility and its HR Vice-President were named in federal ADA discrimination suit after EEOC claim by former employee for retaliatory discharge. Claims-made-and-reported policy. Facility received EEOC charge during first policy period but did not report it to insurer until second policy period, when it sent copy of federal court complaint to insurer, which was sufficient for actual notice of claim. Insurer estopped from asserting late-notice defense because they failed to either defend under reservation of rights or file declaratory action. Genuine dispute as to coverage precluded Section 155 damages against insurer.