Allstate Insurance v. Employers Reinsurance Corp.

441 F. Supp. 2d 865, 2005 U.S. Dist. LEXIS 40674, 2005 WL 3875351
CourtDistrict Court, N.D. Illinois
DecidedMarch 18, 2005
Docket01 C 1093
StatusPublished
Cited by3 cases

This text of 441 F. Supp. 2d 865 (Allstate Insurance v. Employers Reinsurance Corp.) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Allstate Insurance v. Employers Reinsurance Corp., 441 F. Supp. 2d 865, 2005 U.S. Dist. LEXIS 40674, 2005 WL 3875351 (N.D. Ill. 2005).

Opinion

MEMORANDUM OPINION AND ORDER

HIBBLER, District Judge.

Employers Reinsurance Corporation (ERC) reinsured Allstate Insurance Company’s automobile insurance line from 1934 until 1978 under a number of different agreements. In 1999, Allstate reported to ERC 88 claims that arose under a Treaty agreement that had been in effect from *868 1972 to 1978. ERC denied coverage on all 88 claims, which prompted Allstate to file this suit. ERC filed a counter claim in which it seeks a declaratory judgment that Allstate violated the Treaty Agreement by untimely submitting thése 88 claims and that it is not obligated to pay Allstate any amount for any of the 88 claims. The parties have filed cross-motions for summary judgment.

I. Factual Background

As is frequently the case in contract disputes, the facts of this case are largely not in dispute. ERC and Allstate began a business relationship in 1934, when ERC agreed to provide reinsurance coverage for the automobile insurance that Allstate provided to its customers. Among other things, ERC reinsured Allstate on its Personal Injury Protection (PIP) coverage that provided, in various states with no-fault insurance laws, unlimited, lifetime medical payments to persons injured in automobile accidents. In 1971, the parties rewrote a 1959 reinsurance treaty, and entered into a Liability Excess Reinsurance Agreement (the Treaty). Under the Treaty, initially, Allstate was responsible for the first $250,000 of loss on each PIP claim. In 1976, the retention increased to the first $350,000 of each claim. But above the retention, ERC was obligated to indemnify Allstate for its payments on PIP claims in the amount of 100% for the first several hundred-thousand dollars and 50% of Allstate’s payments thereafter until Allstate’s total payment on the claim reached $5,000,000. Allstate terminated the Treaty effective January 1, 1978, but ERC remained obligated on PIP claims that arose on or after January 1, 1972 and before January 1,1978.

The dispute between the parties turns upon Article XII of the Treaty. Article XII states in relevant part:

CLAIMS. The REINSURED [Allstate] agrees that it will investigate and will settle or defend all claims arising under policies with respect to which reinsurance is afforded by this agreement, and that it will give prompt notice to the CORPORATION [ERC] of any event or development which, in the judgment of the REINSURED, might result in a claim upon the CORPORATION hereunder, and will forward promptly to the CORPORATION copies of such pleadings and reports of investigation as may be requested by the CORPORATION.

Through 1998, the parties appeared to have little trouble working under the Treaty. In 1999, Allstate conducted a review of its open PIP claims in connection with its process improvement project. Allstate discovered 88 open claims that were covered under the Treaty, but had not yet been submitted to ERC. Allstate then submitted to ERC a list of these 88 claims that contained basic information regarding each claim. Allstate noted that the “vast majority of these claims have not reached [their] retention level,” but that because of the “age and nature” of the claims it believed it would be helpful to notify ERC that they remained open. Allstate offered to provide “any additional information [ERC might] require on [those] claims.”

ERC then investigated its records and the documentation submitted by Allstate on each claim. ERC noted that seven of the 88 claims already exceeded the Treaty retention and that Allstate had billed it $1,622,000.13 for these seven claims. ERC also noted that another 22 claims carried reserves greater than 50% of Allstate’s retention. The remaining 59 claims carried reserves less than 50% of Allstate’s retention. In November 1999, ERC sent Allstate a letter denying the 7 claims that had already exceeded retention and the 22 claims that carried reserves greater than 50% of Allstate’s retention, citing Article *869 XII of the Treaty. ERC concluded the letter by commenting that “[a]ll claims for which the reserve exceeds one half the applicable retention should have been promptly reported to ERC.”

Allstate responded to ERC’s letter, noting its disappointment that ERC had denied the claims, and commenting that Article XII of the Treaty contains no express provision requiring Allstate to provide notice to ERC when the reserves exceed 50% of retention. ERC responded that its intention in using the “ ‘half of retention’ marker” was “not to assert that [it] was a term of the Treaty, but merely to illustrate that the reporting of the claims for which Allstate is now submitting billings is particularly dilatory.” Allstate countered by suggesting that the Treaty “does not require Allstate to comply with ERC’s standards for when ‘it might expect a rein-sured to report a claim’ ..., [but rather] specifically empowers Allstate with discretion to determine when a claim might impact the [Treaty.]”

The parties met in 2000 to attempt to resolve the dispute, but were unable to do so. Instead, in February 2001, Allstate filed this suit. Allstate seeks a coverage declaration for 29 of the 88 claims and reimbursement for 8 of the 88 claims. 1 ERC has filed a counterclaim seeking a declaration that it has no obligation to pay Allstate any sums for any of the 88 claims.

II. Standard of Review

Summary judgment is appropriate when the record shows “that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(c); Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). For a dispute to be genuine, the evidence must be such that a “reasonable jury could return a verdict for the nonmoving party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 2510, 91 L.Ed.2d 202 (1986). For the fact to be material, it must relate to a disputed matter that “might affect the outcome of the suit.” Id.

In evaluating a summary judgment motion, the court must draw all reasonable inferences in favor of the non-moving party. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986). When both parties have moved for summary judgment, the court therefore construes the facts in the light most favorable to the non-moving party and both parties must demonstrate that no genuine issue of material fact exists. Allen v. City of Chi, 351 F.3d 306, 311 (7th Cir.2003). If issues of fact do exist, neither party is entitled to summary judgment.

III. Choice of Law

The Treaty contains no choice-of-law clause, and only ERC addresses which law governs this dispute. In diversity actions, federal courts follow the forum state’s choice-of-law rules. Hinc v. Lime-O-Sol Co.,

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Bluebook (online)
441 F. Supp. 2d 865, 2005 U.S. Dist. LEXIS 40674, 2005 WL 3875351, Counsel Stack Legal Research, https://law.counselstack.com/opinion/allstate-insurance-v-employers-reinsurance-corp-ilnd-2005.