Ceyer v. The City of Berwyn

2024 IL App (1st) 231538-U
CourtAppellate Court of Illinois
DecidedJune 17, 2024
Docket1-23-1538
StatusUnpublished

This text of 2024 IL App (1st) 231538-U (Ceyer v. The City of Berwyn) 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
Ceyer v. The City of Berwyn, 2024 IL App (1st) 231538-U (Ill. Ct. App. 2024).

Opinion

2024 IL App (1st) 231538-U FIRST DISTRICT, FIRST DIVISION June 17, 2024

No. 1-23-1538

NOTICE: This order was filed under Supreme Court Rule 23 and is not precedent except in the limited circumstances allowed under Rule 23(e)(1). _____________________________________________________________________________

IN THE APPELLATE COURT OF ILLINOIS FIRST JUDICIAL DISTRICT _____________________________________________________________________________

BENNO CEYER, on his own behalf and on behalf of ) Appeal from the his spouse, Mariola Ceyer, and MARIOLA CEYER,) Circuit Court of ) Cook County, Illinois. Petitioners-Appellees, ) v. ) No. 19 CH 381 ) CITY OF BERWYN, ) Honorable ) Eve M. Reilly, Respondent-Appellant. ) Judge Presiding. _____________________________________________________________________________

JUSTICE COGHLAN delivered the judgment of the court. Presiding Justice Fitzgerald Smith and Justice Pucinski concurred in the judgment.

ORDER

¶1 Held: (1) Firefighter’s claim for health insurance premiums under the Public Safety Employee Benefits Act was not barred under the applicable five-year statute of limitations. (2) Pursuant to Nowak v. City of Country Club Hills, 2011 IL 111838, firefighter’s eligibility to receive PSEBA benefits commenced on the date he was awarded a line-of-duty disability pension.

¶2 In 2005, petitioner Benno Ceyer, a firefighter for the City of Berwyn (City), sustained a

knee injury while on duty. He subsequently sought and was awarded a line-of-duty disability

pension on February 18, 2015, retroactive to October 11, 2008. No. 1-23-1538

¶3 Under section 10 of the Public Safety Employee Benefits Act (PSEBA) (820 ILCS

320/10 (West 2018)), firefighters who suffer a catastrophic injury1 in responding to an

emergency are entitled to payment of health insurance premiums by their employer. In 2019,

Ceyer filed a petition against the City seeking reimbursement for health insurance premiums he

paid between October 11, 2008 and February 18, 2015. The trial court granted summary

judgment for Ceyer, finding that “the effective date of plaintiff’s entitlement to the payment of

premiums for basic group health insurance *** is December 23, 2008.” The court further found

that Ceyer did not have access to health insurance payable from any other source, as would

relieve the City of its obligation to provide health insurance under PSEBA. For the reasons that

follow, we affirm.

¶4 BACKGROUND

¶5 On July 1, 2005, Ceyer injured his right knee while responding to an emergency fire

alarm. Following multiple surgeries and a period of many months where he was unable to

perform any work, he was placed on light duty. On January 8, 2008, his treating surgeon

recommended permanent work restrictions that would prohibit him from returning to full duty.

¶6 Ceyer’s Application for Line-of-Duty Disability Benefits

¶7 On February 28, 2008, Ceyer applied for permanent line-of-duty disability benefits from

the City of Berwyn Firefighters’ Pension Fund (Pension Fund). See 40 ILCS 5/4-110 (West

2006). While his application was pending, he used his accumulated sick time and vacation time

to remain on the City’s payroll until October 11, 2008, when he ceased to be a covered employee

under the City’s basic group health insurance program.

1 A “catastrophic injury” is defined as “an injury resulting in a line-of-duty disability” under section 4-110 of the Pension Code (40 ILCS 5/4-110 (West 2000)). Krohe v. City of Bloomington, 204 Ill. 2d 392, 400 (2003). -2- No. 1-23-1538

¶8 On December 23, 2008, the Pension Fund voted to deny line-of-duty disability benefits.

Ceyer sought administrative review in the circuit court. Ceyer v. Board of Trustees of the Berwyn

Firefighters’ Pension Fund, No. 09-CH-15997 (Cir. Ct. Cook County). On January 28, 2010, the

circuit court, per Judge Peter Flynn, issued a sua sponte order in which it observed that the

hearing officer had a “dual role” as the attorney for the Pension Fund and “appears to have acted

not as a neutral hearing officer, but as an advocate.” The court requested briefing on whether

Ceyer’s right to an impartial hearing was impaired.

¶9 Following briefing by the parties, on March 24, 2010, the court expressed “considerable

concern” that the conduct of the hearing officer was “substantially other than neutral” and found

that “the agency’s determination and the non-level playing field which was evinced during the

hearing seem to be related to each other to some degree.” The court vacated the Pension Fund’s

decision and remanded for a new hearing.

¶ 10 On remand, additional examinations of Ceyer were conducted and multiple hearings were

held before the Pension Fund. On February 18, 2015, the Pension Fund issued a “final and

appealable” decision granting Ceyer a line-of-duty disability pension “effective the date of his

removal from the City’s payroll,” which was October 11, 2008.

¶ 11 The Instant Action

¶ 12 On January 1, 2019, Ceyer and his wife, Mariola Ceyer (Mariola), filed the instant

petition in the circuit court, alleging that under PSEBA, Ceyer was entitled to “payment and

reimbursement of out-of-pocket health insurance premium payments made on [his] own behalf

and on behalf of his wife beginning October 11, 2008 and continuing through present.” 2

2 The complaint also contained a count alleging that Mariola was entitled to payment of health insurance premiums, which the City ceased making on May 29, 2017 on the basis that Mariola turned 65 and was entitled to Medicare health coverage. The trial court granted summary judgment for the City on this count, which is not contested on appeal. -3- No. 1-23-1538

¶ 13 The parties filed cross-motions for summary judgment. On February 16, 2021, the court

granted partial summary judgment for Ceyer, stating:

“Summary judgment is granted that the effective date of plaintiff’s entitlement to the

payment of premiums for basic group health insurance under 820 ILCS 320/10 is

December 23, 2008. A genuine issue of material fact exists as to whether alternate group

health insurance was available to the plaintiff and, if so, when it became so available.”

¶ 14 Subsequently, the parties filed cross-motions for summary judgment on the remaining

issue of whether Ceyer had access to health insurance benefits “payable from any other source.”

820 ILCS 320/10(a)(1) (West 2018) (“Health insurance benefits payable from any other source

shall reduce benefits payable under this Section”). The evidence adduced in support of the

parties’ motions was as follows: In 1980, Ceyer became the sole proprietor of a business known

as Weimer Machine (WM). In March 2014, Ceyer registered the business as a limited liability

company of which he was the sole ownership member. WM has never purchased group health

insurance covering its employees, including Ceyer and Mariola.

¶ 15 Two WM employees, Richard Pietraszewski and Clayton Rausch, had health insurance

policies with Blue Cross Blue Shield. Carol Kalins, the insurance agent who sold Pietraszewski

and Rausch their policies, stated in an affidavit that these were individual health insurance

policies that would have been available to the public generally, and she never sold a group health

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Bluebook (online)
2024 IL App (1st) 231538-U, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ceyer-v-the-city-of-berwyn-illappct-2024.