Banes v. Western States Insurance

616 N.E.2d 1021, 247 Ill. App. 3d 480, 186 Ill. Dec. 579, 1993 Ill. App. LEXIS 1075
CourtAppellate Court of Illinois
DecidedJuly 15, 1993
DocketNo. 2—92—0718
StatusPublished
Cited by4 cases

This text of 616 N.E.2d 1021 (Banes v. Western States Insurance) 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
Banes v. Western States Insurance, 616 N.E.2d 1021, 247 Ill. App. 3d 480, 186 Ill. Dec. 579, 1993 Ill. App. LEXIS 1075 (Ill. Ct. App. 1993).

Opinion

JUSTICE WOODWARD

delivered the opinion of the court:

Defendant, Western States Insurance Company, appeals the order of the circuit court entering summary judgment in favor of plaintiff, Mary J. Banes, as guardian of the estate of Susan Faciano, in her declaratory judgment action. The issue for review is whether an insurer is entitled to reduce the amount payable to its insured by the amount paid by an underinsured tort-feasor when the insured’s damages exceed the limits of both policies.

Plaintiff sought a declaratory judgment against defendant based on an accident caused by Jennifer King, who injured the insured, Susan Faciano. Plaintiff’s insurance policy included an underinsured motorist coverage with a bodily injury limit of $100,000. King’s insurance policy had a bodily injury liability limit of $50,000. Faciano’s damages exceeded $300,000. King’s insurer proposed to settle with plaintiff for the policy limit of $50,000. Plaintiff then sought $100,000 from defendant under the underinsured motorist coverage. Defendant claimed that it was liable for only $50,000 because it was entitled to deduct the $50,000 to be paid on behalf of King. Plaintiff sought a declaration that she is entitled to the full $100,000 in underinsured motorist coverage from defendant.

Defendant answered the complaint and attached a copy of the insurance policy to its answer. The limit of liability section of the under-insured motorist coverage provision provided, in relevant part, that “the limit of liability shall be reduced by all sums paid because of the ‘bodily injury’ by or on behalf of persons or organizations who may be legally responsible.” Based on the insurance policy and on section 143a — 2 of the Illinois Insurance Code (Insurance Code) (215 ILCS 5/ 143a — 2 (West 1992)), defendant moved for summary judgment. Defendant asserted that under the policy it was entitled to a reduction by the amount paid on behalf of the underinsured driver. Plaintiff filed a cross-motion for summary judgment, arguing that, under Hoglund v. State Farm Mutual Automobile Insurance Co. (1992), 148 Ill. 2d 272, since plaintiff’s damages exceed the amounts of both insurance policies, defendant was not entitled to a setoff.

The court entered summary judgment in favor of plaintiff and denied defendant’s motion for summary judgment based on its interpretation of Hoglund. The court stated that it would be a violation of public policy to allow a setoff when there is no double recovery by the plaintiff. The court therefore ruled that plaintiff was entitled to the policy limit of $100,000. Defendant timely appealed.

Defendant contends that the trial court erred in entering summary judgment for plaintiff and against defendant. Summary judgment is appropriate where, as here, there are no factual issues, and the court entered judgment as a matter of law. (Monsalud v. State Farm Mutual Automobile Insurance Co. (1991), 210 Ill. App. 3d 102, 106; 735 ILCS 5/2 — 1005(c) (West 1992).) The construction of the terms of an insurance policy and the effect of the statutory requirements are questions of law appropriate for a summary judgment disposition. (Librizzi v. State Farm Fire & Casualty Co. (1992), 236 Ill. App. 3d 582, 587.) In such a situation, the reviewing court must determine whether judgment was entered correctly for the moving party as a matter of law. (University of Illinois v. Continental Casualty Co. (1992), 234 Ill. App. 3d 340, 343.) We review the entry of summary judgment de novo. Outboard Marine Corp. v. Liberty Mutual Insurance Co. (1992), 154 Ill. 2d 90,102.

When the language of an insurance policy is clear and unambiguous, the court will give effect to those terms. (Grevas v. United States Fidelity & Guaranty Co. (1992), 152 Ill. 2d 407, 410.) As noted above, the insurance policy at issue provides that defendant’s liability shall be reduced by the amount paid on behalf of the underinsured driver. This language is clear and unambiguous. “Parties to a contract may agree to any terms they choose unless their agreement is contrary to public policy.” (Sulser v. Country Mutual Insurance Co. (1992), 147 Ill. 2d 548, 559.) Section 143a — 2(4) of the Insurance Code provides that “[t]he limits of liability for an insurer providing underinsured motorist coverage shall be the limits of such coverage, less those amounts actually recovered under the applicable bodily injury insurance policies, bonds or other security maintained on the underinsured motor vehicle.” (215 ILCS 5/143a — 2(4) (West 1992).) The public policy embodied in this statute is to “fill the gap” between the amount recovered from the underinsured driver’s insurance and the amount of coverage provided in the insured’s policy. (Sulser, 147 Ill. 2d at 556.) The underinsured motorist provision here does not conflict with the policy embodied in the statute.

Defendant argues that the court improperly relied on Hoglund to find that defendant was not allowed a reduction. In each consolidated case in Hoglund, the insured was injured by both an insured tortfeasor and an uninsured tort-feasor. The insurer attempted to set off the amount of uninsured motorist coverage by the amount paid on behalf of the insured tort-feasor, so that the insured party would receive nothing from the uninsured motorist coverage. The supreme court rejected the insurer’s interpretation of the policy and the Insurance Code. The court noted the insurer’s argument would frustrate the purpose of uninsured motorist coverage, which is to place the insured in substantially the same position as if the uninsured driver had been insured. (Hoglund, 148 Ill. 2d at 279-80.) The court held that the insurer was entitled to a setoff only to the extent necessary to prevent a double recovery. 148 Ill. 2d at 280-81.

While we agree with plaintiff that the Hoglund rationale is not limited to uninsured motorist cases, Hoglund nevertheless is distinguishable from the present cause. The concern for double recovery arises only in the context of more than one tort-feasor, as the amount paid by one tort-feasor acts to reduce the recoverable damages from the remaining tort-feasors. (See Greenawalt v. State Farm Insurance Co. (1991), 210 Ill. App. 3d 543, 547, affd sub nom. Hoglund v. State Farm Mutual Automobile Insurance Co. (1992), 148 Ill. 2d 272.) In that situation, if the plaintiff’s damages did not amount to the full liability limits of both tort-feasors, the plaintiff could not recover the full amount from both insurance policies. It is only when the plaintiff’s damages exceed both tort-feasors’ policy limits and his or her own uninsured or underinsured motorist coverage limits that the plaintiff is entitled to recover the full amount from all policies. Here there was only one tortious driver.

This cause is more like the situation in Obenland v. Economy Fire & Casualty Co. (1992), 234 Ill. App. 3d 99. In Obenland, the plaintiffs were injured by an underinsured driver. The plaintiffs had four insurance policies, each with underinsured motorist coverage limits of $300,000 per person/$300,000 per incident, and the underinsured motorist’s insurer paid $200,000. Based on Hoglund, the plaintiffs sought to stack their insurance policies to their limits, provided they did not recover more than their actual damages.

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Cite This Page — Counsel Stack

Bluebook (online)
616 N.E.2d 1021, 247 Ill. App. 3d 480, 186 Ill. Dec. 579, 1993 Ill. App. LEXIS 1075, Counsel Stack Legal Research, https://law.counselstack.com/opinion/banes-v-western-states-insurance-illappct-1993.