Bartkowiak v. Underwriters at Lloyd's London
Bartkowiak v. Underwriters at Lloyd's London
Opinion
FOURTH DIVISION August 13, 2015
No. 1-13-3549
NANCY BARTKOWIAK, Individually and as ) Independent Administrator of the Estate of ) Joseph Bartkowiak, ) Appeal from the ) Circuit Court of Plaintiff-Appellant, ) Cook County. ) v. ) No. 12 CH 39995 ) UNDERWRITERS AT LLOYD'S, LONDON, ) Honorable ) Mary Anne Mason, Defendant-Appellee. ) Judge Presiding. ) )
JUSTICE ELLIS delivered the judgment of the court, with opinion. Justices Howse and Cobbs concurred in the judgment and opinion.
OPINION
¶1 In this appeal, we must interpret a “Contingent Automobile Liability” insurance policy, in
which the insurer provides some measure of secondary liability coverage in the event the insured’s
primary liability insurance fails to cover the insured’s loss. Exactly what kind of secondary
coverage it provides is the question before this court.
¶2 The contingent liability policy says that its coverage does not apply if the insured has
“valid and collectible Automobile Liability insurance of any nature.” Defendant, the contingent
insurer, says that means that if the insured has any primary insurance coverage at all, the
contingent policy is not triggered. Plaintiff, on the other hand, says that the contingent liability
insurance kicks in if the insured has primary insurance, but that primary insurance is inadequate to
fully cover the loss to the insured—plaintiff reads it, in other words, as “excess” coverage if the
primary insurance is insufficient. The trial court agreed with defendant. So do we. We thus affirm No. 1-13-3549
the trial court’s dismissal of the declaratory-judgment action.
¶3 I. BACKGROUND
¶4 As often happens in insurance-coverage cases, this matter began with an underlying
tragedy. On October 31, 2009, a truck delivering road-resurfacing materials struck and killed a
road-construction flagger, Joseph Bartkowiak. The decedent’s wife, plaintiff Nancy Bartkowiak,
sued the truck driver, Stan Wdowikowski; the trucking company that employed him, Denise
Wdowikowski Trucking, Inc. (DWT); and the truck broker that assigned to the job to DWT, Jack
Gray Services, Inc. (Jack Gray). It is worth noting that plaintiff’s wrongful-death suit did not
mention any insurance policies any of the defendants may have had.
¶5 The truck driver, Wdowikowski, had a $1 million automobile liability policy through
Northland Insurance (Northland). Jack Gray, the truck broker, was an additional insured on the
Northland policy for this delivery.
¶6 In addition to being covered as an additional insured under the Northland policy, Jack Gray
had an insurance policy with defendant Underwriters at Lloyd's, London. Defendant had issued
Jack Gray a policy entitled "Contingent Automobile Liability" insurance for the period of July 1,
2009 to July 1, 2010, with a limit of $1 million per occurrence. Defendant agreed to pay "damages
resulting from automobile liability that may arise on a contingent basis." Specifically, defendant
agreed to pay on Jack Gray's behalf "all sums which [Jack Gray] shall become legally obligated to
pay as damages" because of an individual's bodily injury and death "caused by an occurrence and
arising out of the transportation of merchandise" as part of Jack Gray's truck brokerage. Defendant
also agreed to pay the costs and expenses to defend any lawsuit alleging such bodily injury,
including "such investigation, negotiation and settlement of any claim or suit as [defendant] deems
expedient."
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¶7 Under defendant’s policy with Jack Gray, Jack Gray was required to obtain primary
automobile liability insurance for any job it assigned. On the job that led to the death of plaintiff’s
decedent, Jack Gray satisfied that requirement by being an additional insured on the Northland
policy; Northland was the primary insurer.
¶8 Condition IV of defendant’s policy with Jack Gray stated:
"APPLICATION OF CONTINGENT LIABILITY. It is expressly understood and
agreed that the coverage provided under this Certificate of Insurance shall not apply if
there is valid and collectible Automobile Liability insurance of any nature."
¶9 Jack Gray tendered its defense of plaintiff's wrongful-death lawsuit to defendant, seeking
coverage under the policy. In a letter dated December 7, 2010, defendant denied that the policy
covered the lawsuit, citing Condition IV and the fact that Jack Gray had “valid and collectible”
liability insurance through Northland. Whether the Northland insurance would be sufficient to
wholly cover Jack Gray’s liability did not matter, defendant claimed, because defendant had not
promised to cover liability over and above the primary insurance—it only applied if Jack Gray
effectively had no primary coverage due to some invalidity or complete failure of the primary
insurance policy. Defendant acknowledged that other parts of its policy with Jack Gray did provide
excess coverage in certain circumstances but claimed that this was not one of those instances.
¶ 10 On February 28, 2012, the court presiding over plaintiff's wrongful-death suit entered an
order approving the parties' settlement agreement. Pursuant to the settlement, plaintiff received
$7.8 million, including the full $1 million from Northland. Jack Gray remained exposed in the
amount of $4.2 million, so it agreed to assign to plaintiff its rights under Jack Gray’s insurance
policy with defendant.
¶ 11 Plaintiff, now standing in Jack Gray’s shoes, filed this action, seeking a declaration that
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defendant owed a duty to defend and indemnify Jack Gray for its liability stemming from the truck
accident. Plaintiff sought a declaratory judgment that defendant had breached its duties to defend
and indemnify Jack Gray in the personal-injury suit, that defendant was required to cover the
excess $4.2 million referenced in the settlement, and that defendant acted in bad faith in denying
coverage. In addition to recounting the above facts regarding the accident and the personal-injury
suit, plaintiff alleged that defendant denied coverage even though it "knew that Northland's $1
million policy limits had been offered a number of times and [were] refused as woefully
inadequate to settle the personal injury suit." Plaintiff also alleged that, even if defendant could
rely on Northland's policy in assessing its duty, Condition IV did not apply to exclude the
personal-injury suit from coverage because Northland's policy could not constitute "valid and
collectible" insurance to the extent that it failed to wholly cover the loss.
¶ 12 Defendant moved to dismiss, raising essentially the same arguments it did to Jack Gray in
initially refusing to defend or indemnify. Relying on Condition IV cited above, defendant argued
that, because Jack Gray did, in fact, have “valid and collectible” automobile liability insurance,
defendant owed no duty to plaintiff. Defendant emphasized that its policy was a contingent
automobile liability policy, and the specific contingency it covered—the complete failure of the
primary coverage—never occurred.
¶ 13 On June 5, 2013, the trial court granted defendant's motion to dismiss. The court found that
Northland's insurance was "collectible" because plaintiff had collected $1 million from it. The
court also stated, "[T]o accept the proposition that Northland's policy was not collectible because
the policy limits have been exhausted leaving a portion of the underlying settlement unsatisfied
would require the court to transform the Contingent Automobile Liability coverage into excess
coverage—something this court cannot do." Plaintiff appeals.
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¶ 14 II. ANALYSIS
¶ 15 A motion to dismiss under section 2-615 challenges the legal sufficiency of a complaint.
Kanerva v. Weems,
2014 IL 115811, ¶ 33. In reviewing a trial court's decision to grant a section
2-615 motion, we ask whether the allegations of the complaint, when construed in the light most
favorable to the plaintiff, state a cause of action.
Id.We take as true all well-pleaded facts in the
complaint, as well as any reasonable inferences arising from those facts.
Id.We apply de novo
review.
Id.¶ 16 Plaintiff raises three issues regarding the trial court's decision to grant defendant's section
2-615 motion to dismiss. First, plaintiff contends that the trial court erred in looking outside the
underlying personal-injury complaint and the policy to determine that defendant was not obligated
to provide coverage. Second, plaintiff argues that the policy covers this loss or at least is
ambiguous and, as such, must be construed in favor of coverage. Third, plaintiff argues that
defendant was estopped from raising Condition IV as a reason to deny coverage because it failed to
either defend Jack Gray under a reservation of rights or seek a declaratory judgment that the policy
did not cover Jack Gray's loss. We address each of plaintiff's arguments in turn.
¶ 17 A. The "Eight Corners" Rule
¶ 18 Before reaching the question of defendant's duties under the policy, we address plaintiff's
argument that the trial court employed an improper procedure in dismissing her complaint.
Plaintiff claims that the circuit court erred in looking beyond the pleadings in the wrongful-death
suit and the policy to determine that defendant properly denied coverage. The basis for the trial
court’s ruling was the existence of the Northland policy, but that policy was not mentioned in the
underlying lawsuit’s pleadings, nor was it specifically mentioned in defendant’s policy with Jack
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Gray. Plaintiff says the trial court’s review should have been confined to those two documents in
determining the duty to defend.
¶ 19 In a declaratory judgment action regarding an insurer's duty to defend, "a court ordinarily
looks first to the allegations in the underlying complaint and compares those allegations to the
relevant provisions of the insurance policy." Pekin Insurance Co. v. Wilson,
237 Ill. 2d 446, 455(2010). If the facts alleged in the underlying complaint fall within, or potentially fall within, the
policy's coverage, the insurer's duty to defend is triggered.
Id.This general rule has been referred
to as the " 'eight corners rule.' " Geisler v. Everest National Insurance Co.,
2012 IL App (1st) 103834, ¶ 70.
¶ 20 But in evaluating an insurer's duty to defend, the trial court may look beyond the
underlying complaint as long as the trial court does not determine an issue critical to the outcome
of the underlying lawsuit. Wilson,
237 Ill. 2d at 459-60. The ultimate outcome of the underlying
lawsuit is relevant to an insurer's duty to indemnify its insured, not to its duty to defend. Crum &
Forster Managers Corp. v. Resolution Trust Corp.,
156 Ill. 2d 384, 398(1993) ("The duty to
indemnify arises only if the facts alleged actually fall within coverage." (Emphasis added.))
(emphasis in original). Allowing the trial court to inquire into the merits of the underlying case, in
determining the duty to defend, risks merging the two duties, when in fact the duty to defend is
much broader.
Id.¶ 21 But provided that the trial court is not, in effect, adjudicating a critical issue in the
underlying case, there is no reason why the trial court could not consider relevant, objective,
undisputed facts in deciding the duty to defend, even if those facts fall outside the pleadings of the
underlying lawsuit. In fact, " '[t]he only time such evidence should not be permitted is when it tends
to determine an issue crucial to the underlying lawsuit.' " (Emphasis added.) Wilson, 237 Ill. 2d at
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461 (quoting Fidelity & Casualty Co. of New York v. Envirodyne Engineers, Inc.,
122 Ill. App. 3d 301, 304-05(1983)).
¶ 22 Here, there was no dispute that the truck driver’s policy with Northland served as the
primary insurance, and that Northland provided a defense to Jack Gray in the underlying suit.
Plaintiff admitted as much in her declaratory judgment complaint. We see no reason why the trial
court should have been required to ignore these objective, undisputed facts in evaluating
defendant's duties under the policy. There was no risk that doing so would require the trial court to
determine an issue critical to the underlying case; the fact that Northland provided insurance and a
defense to Jack Gray had no effect on the issues of the underlying case, which concerned the
defendants’ negligence for the death of plaintiff’s husband. To demand that the court simply
ignore basic, uncontroverted facts such as these would impose the kind of "judicial blinders" that
the Illinois Supreme Court has decried. (Internal quotation marks omitted.) Id. at 460-61.
¶ 23 Plaintiff recognizes that a trial court may look beyond the pleadings, under certain
circumstances, when assessing coverage but contends that the trial court could not do so in this
case, because defendant did not file a declaratory judgment action or defend Jack Gray under a
reservation of rights. Plaintiff cites Employers Insurance of Wausau v. Ehlco Liquidating Trust,
186 Ill. 2d 127(1999), in support of its contention. But the issue in Ehlco was whether the insurer
was estopped from raising policy defenses, not whether the trial court committed error in
considering facts beyond the underlying complaint when evaluating coverage.
Id. at 150-55. Ehlco
does not support plaintiff's contention.
¶ 24 Plaintiff also cites Illinois Tool Works Inc. v. Travelers Casualty & Surety Co.,
2015 IL App (1st) 132350, but that case is distinguishable as well. That case involved a slew of toxic-tort
cases where the plaintiffs claimed they were exposed to hazardous chemicals while performing
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work as welders. Id. ¶ 4. The plaintiffs sued Illinois Tool Works (ITW) and other manufacturers of
welding tools over that exposure. Id. The parties all agreed that ITW did not begin manufacturing
welding materials until 1993, but some of the lawsuits blamed ITW for exposure that occurred
prior to 1993. Id. ¶ 12. The insurance company refused to defend ITW on those lawsuits alleging
pre-1993 exposure because they were groundless. Id. ¶ 10. The court, noting that the underlying
complaints were clearly within the language of the policy, said that the insurer could not rely upon
its extrinsic information—the fact that ITW did not manufacture welding products until 1993—to
deny coverage. Id. ¶¶ 14-21. The court emphasized, in particular, that the language of the policy
with ITW stated that the insurer would defend ITW on personal-injury actions “even if the
allegations of the suit [were] false or groundless.” Id. ¶ 5. Just as importantly, the extrinsic fact on
which the insurance company relied spoke directly to the merits of the underlying lawsuit, which,
as we have explained above, is precisely the type of determination a court is not permitted to make
in considering the duty to defend. See Wilson,
237 Ill. 2d at 460-61(court should not consider
extrinsic evidence when doing so requires determination of issue central to underlying case).
¶ 25 This case is different. Here, in determining that defendant owed no duty to defend, the trial
court relied on certain facts—the existence of the Northland policy, and the fact that Northland
provided a defense and at least partial indemnification to Jack Gray—that were not only objective
and undisputed, but which also did not require the trial court to delve into the merits of the
underlying suit and determine a critical issue in that lawsuit. The trial court committed no error
here.
¶ 26 B. The Term "Collectible"
¶ 27 We now turn to plaintiff's contention that defendant breached its duty to defend Jack Gray
in the lawsuit arising from Wdowikowski's accident. When determining whether a lawsuit
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triggered an insurer's duty to defend, the question is whether the allegations of the lawsuit fall
within, or potentially within, the policy's coverage. Outboard Marine Corp. v. Liberty Mutual
Insurance Co.,
154 Ill. 2d 90, 125(1992). If they do, then the insurer has a duty to defend its
insured.
Id.An insurer's duty to defend is "much broader" than its duty to indemnify.
Id.Thus,
where an insurer has no duty to defend, it necessarily has no duty to indemnify. Crum & Forster
Managers Corp.,
156 Ill. 2d at 398.
¶ 28 When construing the language of an insurance policy, we apply the same principles as
when we construe the language of a contract. Hobbs v. Hartford Insurance Co. of the Midwest,
214 Ill. 2d 11, 17(2005). Our primary goals are to determine the parties' intent in agreeing to the terms
of the policy and to give effect to that intent, as expressed through the language of the policy.
Id.In
determining the parties' intent, we construe the policy as a whole and take into account the type of
insurance provided and the purposes of the entire contract. Crum & Forster Managers Corp.,
156 Ill. 2d at 391; Outboard Marine Corp.,
154 Ill. 2d at 108.
¶ 29 If the language of the policy is unambiguous, the policy is applied as written unless it
contravenes public policy. Hobbs,
214 Ill. 2d at 17. Where a policy is ambiguous, an insurer's
liability will be liberally construed in favor of coverage.
Id.A policy is ambiguous where it is
susceptible to more than one reasonable interpretation; we will not strain to find ambiguity where
the policy contains none.
Id.¶ 30 The parties' dispute centers on Condition IV of the policy: "[T]he coverage provided under
this Certificate of Insurance shall not apply if there is valid and collectible Automobile Liability
insurance of any nature." (Emphases added.) Defendant cites this provision as its reason for
denying coverage of the wrongful-death suit, noting that Northland, the truck driver's automobile
liability insurer, covered the loss. In defendant's view, Condition IV applies if the insured procures
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any automobile insurance policy, of any amount and kind, as long as that insurance policy is valid
and the insured is capable of collecting on it—even if that policy does not wholly cover the
insured's loss.
¶ 31 Plaintiff, on the other hand, reads "collectible" as implying a monetary limit. In plaintiff's
view, if the insured has a valid policy but it does not wholly cover the insured's loss, that policy is
"collectible" only to the extent it covers that loss and is otherwise "uncollectible." Thus, to the
extent that the underlying automobile insurance failed to fully cover the insured's loss in this
matter, that insurance was "uncollectible," and defendant remained obligated to cover the
remaining portion of the loss. Plaintiff's back-up argument is that, even if defendant's
interpretation is reasonable, so is plaintiff's, and any ambiguity should be resolved in favor of
coverage for the insured. See
id.¶ 32 As we have noted, a more fundamental way to look at plaintiff's position is that plaintiff
views Condition IV as "excess" coverage—coverage for any loss that exceeds the limit of the
underlying insurance's coverage. See 1 Steven Plitt et al., Couch on Insurance 3d § 219:5 (1995)
(noting that excess insurance "provides that an insurer will pay a loss only after other available
primary insurance is exhausted"). Defendant views Condition IV (and indeed, the heading of
Condition IV suggests as much) as providing only "contingent" coverage—coverage only if a
certain event does or does not happen, here if the insured has other "valid and collectible"
automobile liability insurance. That provision is sometimes referred to as an "escape clause." See
Home Insurance Co. v. Liberty Mutual Insurance Co.,
266 Ill. App. 3d 1049, 1052(1994).
¶ 33 The policy does not define the term "collectible." Therefore, we must give that term its
"plain, ordinary and popular" meaning as it appears in the dictionary. Founders Insurance Co. v.
Munoz,
237 Ill. 2d 424, 436(2010); Valley Forge Insurance Co. v. Swiderski Electronics, Inc., 223
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3549 Ill. 2d 352, 366 (2006). Webster's Third New International Dictionary 444 (1993), defines
"collectible" as, "1 : suitable for a collection : fit for being collected *** 2 : due for present
payment : capable of being collected : exchangeable for cash." On the other hand, Black's Law
Dictionary 257 (7th ed. 1999) defines "collectability" as, "The relative ability of a judgment
creditor to make a judgment debtor pay the amount of the judgment; the degree to which a
judgment can be satisfied through collection efforts against the defendant."
¶ 34 So the dictionaries are not much help; they offer support for both parties' positions. In
accord with defendant's view, the Northland policy was certainly "suitable" or "fit for being
collected," as plaintiff actually collected from that policy. However, in accord with plaintiff's
view, the judgment against the insured could not be satisfied through Northland's policy, and
plaintiff thus lacked the ability to receive "the amount of the judgment" from Northland alone.
¶ 35 So in isolation, the word "collectible" is not clear. But that does not necessarily render it
ambiguous. Among our commands in interpreting insurance policies is not only to examine the
words in controversy but to examine them in light of the policy as a whole. Crum & Forster
Managers Corp.,
156 Ill. 2d at 391; Outboard Marine Corp.,
154 Ill. 2d at 108. Reviewing the
policy as a whole, we find that another provision in this insurance policy sheds significant light on
the matter.
¶ 36 That provision is Condition VIII of the policy, which governs the policy's coverage in the
event that the insured obtains other contingent automobile liability insurance (the same kind it
obtained from defendant). The relevant first sentence of Condition VIII reads as follows:
"OTHER INSURANCE. The coverage provided herein is excess over and above
any other valid Contingent Automobile Liability Insurance that provides coverage for any
loss that otherwise would be covered by the terms and conditions of this Certificate."
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¶ 37 Again, by comparison, Condition IV, which governs the policy's coverage when the
insured obtains standard automobile liability insurance, reads in full:
"APPLICATION OF CONTINGENT LIABILITY. It is expressly understood and
agreed that the coverage provided under this Certificate of Insurance shall not apply if
there is valid and collectible Automobile Liability Insurance of any nature."
¶ 38 A comparison of these two provisions supports defendant's position that Condition IV is
not an excess-coverage provision but rather an escape hatch. The parties knew how to express their
desire to contract for excess liability coverage, because they clearly did so in Condition VIII. The
language "excess over and above any other" insurance in Condition VIII is so clear as to be, if
anything, redundant. The absence of such language in Condition IV is conspicuous. Indeed,
Condition IV not only fails to contain any language suggesting that it serves as "excess" coverage
but also contains language indicating that it does not—it states that coverage under the policy
"shall not apply" in the event there is other valid, collectible insurance. Saying that coverage "shall
not apply" if there is certain other insurance is markedly different than saying that coverage will
apply only in excess of the primary coverage, or to the extent that the primary coverage is
insufficient, or any other way one might convey the concept of excess coverage. And it is glaringly
different when we see that, in Condition VIII, the policy had no trouble expressing the concept of
excess coverage quite clearly. If the intent of the policy was to provide excess coverage above and
beyond any standard automobile liability insurance that the insured procured, we can think of no
reason why the policy would not have expressed that intent in Condition IV in precisely the same
way it expressed that concept in Condition VIII, concerning other contingent liability insurance.
¶ 39 We find further support for defendant's position in Home Insurance Co.,
266 Ill. App. 3d 1049. Neither of the parties have called this case to our attention, perhaps because the facts were
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more convoluted and the positions of the parties somewhat reversed compared to this case. But
among the questions presented to the court was the interpretation of a provision nearly identical to
Condition IV here—and we determined that it was not an excess clause but an escape clause.
Id. at 1054-55. An endorsement in that policy provided that the policy " '[did] not apply to that portion of
the loss for which [the insured] has other valid and collectible insurance.' "
Id. at 1052. We
interpreted that provision as excluding coverage where any other insurance policy applied, not as
providing excess coverage.
Id. at 1054-55. Here, we are presented with similar language and reach
the same conclusion.
¶ 40 We find additional support for our conclusion in Northbrook Property & Casualty
Insurance Co. v. United States Fidelity & Guaranty Co.,
150 Ill. App. 3d 479, 483(1986), where,
in an admittedly different context, we wrote that "[t]he terms 'valid and collectible' are directed to
an insurance policy which is legal and valid, as distinguished from one which was procured by
fraud or cannot be collected due to insolvency of the company." This language further supports
defendant's position that, in order to disclaim coverage under Condition IV, defendant was only
required to demonstrate the existence of a valid insurance policy, not procured by fraud or
rendered worthless by virtue of the insurance company's insolvency—it did not depend on whether
that primary insurance coverage did or did not cover the loss in whole.
¶ 41 Reading the policy as a whole, the parties' intent is clear. Pursuant to Condition IV,
defendant undertook to provide primary coverage where, for some reason, the automobile liability
insurance for the trucks brokered by the insured, Jack Gray, completely failed due to invalidity or
insolvency. If Jack Gray could collect at all from that primary insurance, then defendant's policy
would not apply. A complete reading of the policy does not permit us to convert Condition IV into
an excess-coverage provision.
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¶ 42 Plaintiff contends that our interpretation of the policy renders it illusory. As we previously
noted, the policy required that Jack Gray obtain proof of the automobile liability insurance carried
by the trucks it brokered. Thus, plaintiff argues, by requiring Jack Gray to obtain valid automobile
liability insurance but then denying coverage if plaintiff has valid automobile liability insurance,
the policy effectively covers nothing at all. But as we have explained above, we agree with
defendant that the point of the policy was to cover the insured’s loss in the very specific
contingency that the underlying insurance failed, either because it was invalid for some reason or
because it had become wholly uncollectible for some reason such as the insurance company’s
insolvency. That is the deal the parties struck, and we will not alter it.
¶ 43 Plaintiff cites O'Neal v. Argonaut Midwest Insurance Co.,
415 S.W.3d 720(Mo. Ct. App.
2013), but we do not find this case persuasive. In O'Neal, the policy at issue contained a
"contingency clause" stating that the policy only applied when the other, required insurance on the
leased automobile was " 'not in effect or [was] not collectible.' "
Id. at 722, 725. While the court,
applying the dictionary definition of the term "collectible," found that that term meant "due for
present payment," it ultimately held that the other policy was not collectible because the driver of
the car was expressly excluded as an insured in the other policy. (Internal quotation marks
omitted.)
Id. at 725. Because the driver was not an insured under the other policy, the parties could
not collect from that policy, and the contingency clause was satisfied.
Id.In this case, unlike the
driver in O'Neal, it is undisputed that Jack Gray was able to collect under the Northland policy.
Thus, the holding of O'Neal is inapplicable.
¶ 44 As there was other "collectible" insurance available to Jack Gray, defendant did not have a
duty to defend Jack Gray in the lawsuit. And defendant thus had no duty to indemnify Jack Gray
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for any losses it incurred, either. Crum & Forster Managers Corp.,
156 Ill. 2d at 398. Accordingly,
the trial court did not err in dismissing the complaint.
¶ 45 C. Estoppel
¶ 46 Plaintiff's final contention is that defendant is estopped from raising its arguments
regarding coverage because it denied coverage without seeking a declaratory judgment that it was
not obliged to cover the accident or defending the suit under a reservation of rights. Plaintiff
contends that, because defendant simply denied coverage, it could not later claim that the policy
did not cover the accident.
¶ 47 The doctrine of estoppel holds that an insurer may not simply deny coverage when a
complaint alleges facts potentially covered by a policy. Ehlco,
186 Ill. 2d at 150. Instead, the
insurer must either seek a declaratory judgment that the policy does not cover the suit or defend the
suit while reserving its rights under the policy.
Id.If the insurer fails to take these steps, and is
subsequently found to have wrongfully denied coverage, then it may not later assert policy
defenses to avoid coverage.
Id. at 150-51; Waste Management, Inc. v. International Surplus Lines
Insurance Co.,
144 Ill. 2d 178, 208(1991). For example, an insurer may not wrongfully deny
coverage and then raise defenses such as the insured's failure to provide timely notice of a lawsuit
(Ehlco,
186 Ill. 2d at 154), waiver (Statewide Insurance Co. v. Houston General Insurance Co.,
397 Ill. App. 3d 410, 424(2009)), or cancellation of the policy (American Standard Insurance Co.
of Wisconsin v. Gnojewski,
319 Ill. App. 3d 970, 978(2001)).
¶ 48 But estoppel does not apply where the insurer ultimately prevails in its argument that it has
no duty to defend. Ehlco,
186 Ill. 2d at 151("Application of the estoppel doctrine is not
appropriate if the insurer had no duty to defend, or if the insurer's duty to defend was not properly
triggered."). In other words, the estoppel doctrine cannot create coverage where none existed in the
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first place. Ismie Mutual Insurance Co. v. Michaelis Jackson & Associates, LLC,
397 Ill. App. 3d 964, 974(2009). As stated above, the policy did not provide coverage for the loss in this case.
Because defendant had no duty to defend, estoppel does not apply.
¶ 49 III. CONCLUSION
¶ 50 For the reasons stated above, we affirm the judgment of the trial court. Defendant owed its
insured no duty to defend or indemnify where its contingent liability policy only provided
coverage if there was no other collectible insurance, and the policy did not suggest that defendant
would provide excess coverage for this loss.
¶ 51 Affirmed.
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Reference
- Cited By
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