Allstate Insurance v. Gonzalez-Loya

589 N.E.2d 882, 226 Ill. App. 3d 446, 168 Ill. Dec. 482
CourtAppellate Court of Illinois
DecidedMarch 6, 1992
Docket1-91-0981
StatusPublished
Cited by18 cases

This text of 589 N.E.2d 882 (Allstate Insurance v. Gonzalez-Loya) is published on Counsel Stack Legal Research, covering Appellate Court of 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. Gonzalez-Loya, 589 N.E.2d 882, 226 Ill. App. 3d 446, 168 Ill. Dec. 482 (Ill. Ct. App. 1992).

Opinion

JUSTICE MURRAY

delivered the opinion of the court:

This is an appeal from a declaratory judgment action involving the construction of an automobile liability insurance policy issued by Allstate Insurance Company (Allstate) to Juan Pablo Gonzalez-Loya and his family members. Allstate filed a declaratory judgment action which asked the trial court to declare that the defendants are not entitled to underinsured motorist benefits pursuant to the policies of insurance issued to the defendants for their claims resulting from the injuries and death of Flor E. Loya.

On September 16, 1988, Flor E. Loya, a pedestrian, was struck and severely injured by a truck driven by James Patterson. On November 8, 1988, Flor E. Loya (Flor) died as a result of the injuries she sustained on September 16,1988.

Flor’s hospital bill from Loyola Hospital (Loyola) totaled $354,000. Loyola has asserted a hospital lien for that amount.

Flor is survived by her husband, Juan Pablo Gonzalez-Loya (Juan Pablo), and her five children, Flor D. Loya, born May 4, 1965; Laura Loya, born February 27, 1966; Juan P. Loya, bom April 29, 1968; Claudia Gonzalez, born April 1, 1972; and Melissa Gonzalez, born February 3,1977.

Juan Pablo and Flor’s five children filed a lawsuit against James Patterson (Patterson), the driver of the truck, for the following causes of action: (1) wrongful death; (2) survival; (3) family expense; and (4) loss of consortium.

Patterson had an insurance policy with State Farm Insurance Company (State Farm) with available liability limits of $100,000 for all claims against him arising out of Flor’s injury and death. State Farm has offered the $100,000 policy limit in full settlement of all claims against Patterson.

Juan Pablo owned five automobiles at the time of the accident. Four of the automobiles were insured by Allstate under one policy of insurance. The fifth automobile was covered under a separate policy issued by Allstate. The policy language of the two insurance policies was identical. Each policy provided underinsured motorist benefits of $100,000 each person/$300,000 each occurrence and $50,000 of medical expense coverage. Allstate has tendered $50,000 in medical expense coverage and that amount or coverage is not in dispute.

Loyola has agreed to settle its entire $354,000 lien claim for the payment of the $100,000 liability limits of the State Farm policy and the $50,000 medical payment coverage of the Allstate policy. The $100,000 offered by State Farm would be allocated to the family expense act claim to settle Loyola’s claim in full. During the pendency of this appeal the trial court has approved State Farm’s settlement offer. The result of the settlement and distribution is that the five children of the decedent, her husband and the decedent’s estate receive nothing from the driver’s liability policy except payment of Flor’s medical bills.

Decedent’s husband, the decedent’s children and the decedent’s estate presented multiple claims to Allstate for underinsured motorist benefits. Allstate denied that the claimants were entitled to any underinsured motorist benefits and denied that any of the underinsured motorist coverages could be stacked. On May 15, 1990, Allstate filed a declaratory judgment action.

On July 9, 1990, defendants filed a motion for judgment on the pleadings claiming that Allstate’s insurance policies were ambiguous and further did not prohibit the stacking of underinsured motorist benefits.

On August 21, 1990, Allstate filed its own motion for judgment on the pleadings claiming the subject insurance policies were not ambiguous and further that the policies prohibited stacking of underinsured motorist benefits.

During the next several months the parties filed various other pleadings. On November 27, 1990, the trial court heard argument and granted Allstate’s motion for judgment on the pleadings. At the same time the trial court denied defendants’ motion for judgment on the pleadings.

On December 6, 1990, defendants filed a motion to vacate the order of November 27, 1990, and requested leave to take additional discovery. On December 17, 1990, the trial court stayed the effect of its November 27, 1990, order. On January 9, 1991, the trial court granted defendants leave to conduct limited discovery and set the matter for hearing on March 20, 1991. On March 20, 1991, an agreed order was entered lifting the previous stay and the defendants’ motion to vacate was withdrawn. The defendants filed their notice of appeal on March 21,1991.

On appeal the defendants argue that the language of the various Allstate policies is ambiguous with respect to its underinsured motorist coverage and further that it does not prohibit the stacking of underinsured motorist benefits.

For the following reasons, unfortunately, we must affirm the decision of the trial court.

Defendants argue that the language of the Allstate policies that purports to contain the underinsured motorist provisions is ambiguous and unclear. Defendants maintain that a review of section SS (the section containing the uninsured and underinsured motorist provisions) reveals that its language is directed at uninsured motorist coverage and not underinsured motorist coverages; thus, there is no insuring agreement for underinsured motorist coverage.

It is the defendants’ position that because Allstate has failed to set forth any limiting language with regard to underinsured motorist coverage, each claimant is entitled to a claim of up to $100,000 on each policy on each vehicle, with a total amount payable by Allstate to all claimants not to exceed $300,000 on each of the five vehicles ($1,500,000 in total).

In opposition Allstate makes three arguments: First, Allstate maintains that its policy provisions are equally applicable to underinsured and uninsured motorist coverage; second, the Loyas’ policies plainly preclude stacking; third, even if this court allows stacking and thus determines that underinsured motorist coverage applies, only a single “each person” limit is available.

The law relating to the interpretation of the language of insurance policies is clear. If the language of an insurance policy is ambiguous, it must be construed against the insurance company and in favor of the insured. (West American Insurance Co. v. Vago (1990), 197 Ill. App. 3d 131, 553 N.E.2d 1181.) However, if a policy of insurance is clear and unambiguous, it must be enforced according to its terms. (United States Fire Insurance Co. v. Schnackenberg (1981), 88 Ill. 2d 1, 429 N.E.2d 1203.) “All the provisions of the insurance contract, rather than an isolated part, should be read together to interpret it and to determine whether an ambiguity exists.” (United States Fire Insurance Co. v. Schnackenberg (1981), 88 Ill. 2d 1, 5, 429 N.E.2d 1203

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Bluebook (online)
589 N.E.2d 882, 226 Ill. App. 3d 446, 168 Ill. Dec. 482, Counsel Stack Legal Research, https://law.counselstack.com/opinion/allstate-insurance-v-gonzalez-loya-illappct-1992.