Barbee v. Illinois Insurance Guaranty Fund

915 N.E.2d 871, 395 Ill. App. 3d 211, 333 Ill. Dec. 800, 2009 Ill. App. LEXIS 922
CourtAppellate Court of Illinois
DecidedSeptember 24, 2009
Docket5-08-0390
StatusPublished
Cited by2 cases

This text of 915 N.E.2d 871 (Barbee v. Illinois Insurance Guaranty Fund) 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
Barbee v. Illinois Insurance Guaranty Fund, 915 N.E.2d 871, 395 Ill. App. 3d 211, 333 Ill. Dec. 800, 2009 Ill. App. LEXIS 922 (Ill. Ct. App. 2009).

Opinion

JUSTICE CHAPMAN

delivered the opinion of the court:

Beverly Joyce Barbee appeals from the trial court’s July 10, 2008, declaratory judgment in favor of the Illinois Insurance Guaranty Fund. One issue was presented in this declaratory judgment. Barbee sought to have the court declare that the Illinois Insurance Guaranty Fund (the Fund) was obligated to pay death benefits coverage to her deceased husband’s dependents after the underlying insurance company had been declared insolvent and thereafter liquidated by a state government. The trial court dismissed the case pursuant to a motion filed by the Fund. The dismissal was on the basis that the decedent’s disability claim and the survivor’s death benefits claim were separate and independent claims and that the claim for death benefits was untimely and therefore not a “covered” claim. We affirm.

Barbee’s husband sustained a devastating work injury in 1976. Through his employer, he was awarded permanent and total disability benefits under the Workmen’s Compensation Act (Ill. Rev. Stat. 1973, ch. 48, par. 138.8(f) (now see 820 ILCS 305/8(f) (West 2008))). These benefits were awarded on May 30, 1980. The insurance company that issued Wilford Barbee’s employer’s policy was American Mutual Liability Insurance Company. Following the award, the company began the payment of his disability benefits.

Approximately 10 years later, the State of Massachusetts determined that American Mutual Liability Insurance Company was insolvent, and Massachusetts entered a liquidation order. After the insurance carrier became insolvent, the Fund accepted Wilford Bar-bee’s permanent and total disability award as a “covered claim” under the Illinois Insurance Guaranty Fund statute — article XXXIV of the Illinois Insurance Code (Ill. Rev. Stat. 1983, ch. 73, par. 1065.82 et seq. (now see 215 ILCS 5/532 et seq. (West 2008))). Thereafter, the Fund assumed and continued the disability benefits payments to Wilford Barbee.

On January 26, 2007, Wilford Barbee died as a result of injuries he sustained in the original workers’ compensation accident. His death occurred approximately 17 years after the insolvency of the insurer. Following his death, Mrs. Barbee asserted her own claim for death benefits with the Fund. The Fund denied that coverage existed. Bar-bee then filed an action for a declaratory judgment asking the court to declare that coverage for the death claim did, in fact, exist.

The Fund filed a motion to dismiss the claim pursuant to section 2 — 619 of the Code of Civil Procedure (735 ILCS 5/2 — 619 (West 2006)) on the basis that the death benefits claim was a new claim — separate and independent from the original disability benefits claim. The Fund contended that the survivor’s claim was distinct in that there was a different claimant, a different date of loss, a different rate of calculation, and completely different benefits. The Fund also argued that the claim was “untimely” — beyond the time limitation for the presentation of a claim to the Fund. On July 10, 2008, the trial court agreed with this argument and granted the Fund’s motion, thereby dismissing Barbee’s claim.

Barbee appeals.

On appeal, Barbee asks us to determine whether the Fund remains liable for survivor’s death benefits, because the Fund accepted the timely filed disability claim of the now-deceased employee after the insurer had become insolvent.

When a judgment pursuant to section 2 — 619 of the Code of Civil Procedure (735 ILCS 5/2 — 619 (West 2006)) is appealed to this court, we must review that judgment on a de novo basis. Van Meter v. Darien Park District, 207 Ill. 2d 359, 368, 799 N.E.2d 273, 278 (2003). In reviewing that judgment, we must construe all the pleadings and supporting documentation in the light most favorable to the nonmoving party. Van Meter, 207 Ill. 2d at 367-68, 799 N.E.2d at 278.

The Fund was created in order to maintain the status quo of a claimant, ensuring that payments would continue uninterrupted in the event that an insolvent company was liquidated. 215 ILCS 5/532 (West 2006).

However, coverage pursuant to the Fund was not automatic. Because of its statutory nature, we will examine several sections of the statute.

“The purpose of this Article is to provide a mechanism for the payment of covered claims ***.” (Emphasis added.) 215 ILCS 5/532 (West 2006). The statute defines a “covered claim” as “an unpaid claim for a loss arising out of and within the coverage of an insurance policy to which this Article applies and which is in force at the time of the occurrence giving rise to the unpaid claim *** made by a person insured under such policy or by a person suffering injury or damage for which a person insured under such policy is legally liable *** if[ ] (i) The company issuing the policy becomes an insolvent company *** and (ii) The claimant or insured is a resident of this State at the time of the insured occurrence.” 215 ILCS 5/534.3(a) (West 2006). The Fund is obligated to pay under several circumstances on all “covered claims,” including those that are in existence before the order of liquidation is entered, as well as those that arise within 30 days after the liquidation order is entered or before the expiration of the insurance policy at issue, as long as the policy ended within 30 days after the date that the liquidation order had been entered. 215 ILCS 5/537.2 (West 2006). The Fund essentially steps into the shoes of the insolvent insurer by assuming the insurer’s obligations, but only with regard to “covered claims.” 215 ILCS 5/537.4 (West 2006).

The statute further indicates that a “covered claim” is a “claim which appears on the books and records of the insolvent company as of the date of the Order of Liquidation or a claim for which notice is given in writing to the liquidator of the insolvent company’s domiciliary state or to an ancillary receiver in this State, if any, or to the Fund or its agents prior to the earlier of the last date fixed for the timely filing of proofs of claim in the domiciliary liquidation proceedings or 18 months after the entry of the order of liquidation.” 215 ILCS 5/540.5(a) (West 2006).

COVERED CLAIM

Claim for Which Written Notice Is Given Within 18 Months of Liquidation Order

At the time that American Mutual Liability Insurance Company became insolvent, there was no doubt that Wilford Barbee’s claim for workers’ compensation disability benefits was a covered claim. And, in fact, the Fund continued to make those payments.

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Cite This Page — Counsel Stack

Bluebook (online)
915 N.E.2d 871, 395 Ill. App. 3d 211, 333 Ill. Dec. 800, 2009 Ill. App. LEXIS 922, Counsel Stack Legal Research, https://law.counselstack.com/opinion/barbee-v-illinois-insurance-guaranty-fund-illappct-2009.