Community Unit School District 200 v. Illinois Insurance Guaranty Fund

CourtAppellate Court of Illinois
DecidedJuly 6, 2005
Docket2-04-0915 Rel
StatusPublished

This text of Community Unit School District 200 v. Illinois Insurance Guaranty Fund (Community Unit School District 200 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
Community Unit School District 200 v. Illinois Insurance Guaranty Fund, (Ill. Ct. App. 2005).

Opinion

                       No. 2--04--0915                           

______________________________________________________________________________

IN THE

APPELLATE COURT OF ILLINOIS

SECOND DISTRICT

______________________________________________________________________________

COMMUNITY UNIT SCHOOL DISTRICT 200,

Plaintiff-Appellant,

v.

ILLINOIS INSURANCE GUARANTY FUND,

Defendant-Appellee.

)    )

)

Appeal from the Circuit Court

of Du Page County.

No. 02--MR--564

Honorable

Patrick J. Leston,

Judge, Presiding.

_____________________________________________________________________________

JUSTICE GROMETER delivered the opinion of the court:

The General Assembly created the Illinois Insurance Guaranty Fund (the Fund) to assume  the obligations of insolvent insurance companies.  Community Unit School District No. 200 (the District) saw its workers' compensation insurer declared insolvent.  It thereafter submitted three pending workers' compensation claims to the Fund for payment.  The Fund declined coverage, citing a statutory provision that an entity with a net worth of more than $25 million was not entitled to coverage.  The District sued the Fund, claiming that it wrongfully refused to pay the claims.  The trial court granted the Fund summary judgment, and the District appeals.

The District raises a number of distinct issues, but they can be summarized as follows: (1) the generic definition of net worth as assets minus liabilities is unworkable when applied to a public school district; and (2) the trial court erred in determining that the District's net worth exceeds $25 million.  We disagree and affirm.

The District operates 22 facilities in the Wheaton-Warrenville area.  As the School Code (105 ILCS 5/1--1 et seq. (West 2002)) requires, the District maintains a system of distinct funds, each designated for a particular purpose.  Its two general funds are the Education Fund and the Operations and Maintenance Fund.  As of December 31, 2000, the Education Fund had a balance of $20,320,139.  The District also maintained a Working Cash Fund with a balance of about $9 million.  The total of the District's funds was $54,774,951.

In 2001, the District obtained workers' compensation insurance through Reliance Insurance Company.  On October 3, 2001, the Commonwealth Court of Pennsylvania ordered Reliance into liquidation.  See Argonaut Insurance Co. v. Safway Steel Products, Inc. , 355 Ill. App. 3d 1, 6 (2004); see also Koken v. Reliance Insurance Co. , 846 A.2d 167 (Pa. Commw. Ct. 2004).  At about this time, three workers' compensation claims were filed against the District.  The parties apparently agree that the claims will eventually total about $100,000.  The District submitted them to the Fund for payment.

The Fund initially rejected the claims because the District had not provided an affidavit of net worth.  The District resubmitted the claims with a letter from its attorney stating its position that the $25 million net-worth provision did not apply to public entities.  However, the District also submitted  audited financial statements.  Allen Schmelter, the Fund's controller, reviewed the financial statements and concluded that the District's net worth was $243,714,243.  Accordingly, the Fund again rejected the District's claims.

The District then filed this action, seeking a declaration that the Fund had to provide coverage for the claims.  During discovery, M. Bert Neuhring, an expert retained by the Fund, examined the district's financial statements and concluded that, as of December 31, 2000, the District's net worth was approximately $86 million.  The District's expert, Timothy Cole, testified at a deposition that the "common, ordinary understanding of net worth was assets minus liabilities."  Nevertheless, Cole opined that only the District's Education Fund should be considered in calculating the District's net worth, because only that fund could be used for any purpose.  Cole conceded that the District had full discretion to transfer money from the Working Cash Fund to the Education Fund, where it could be used for "any legal purpose."  If the Working Cash Fund were added to the Education Fund, the District's discretionary funds alone would exceed the $25 million limit.  

The parties thereafter filed cross-motions for summary judgment.  The trial court granted the Fund's motion, finding that the District's net worth exceeded $25 million.  The court observed that the legislature had made no provision for excluding "allocated funds" and that applying the net-worth limit here was consistent with the statutory purpose of preserving the Fund's assets for smaller entities, which most needed them.  The District timely appealed.

Summary judgment is proper when the pleadings, depositions, and affidavits demonstrate that no genuine issue of material fact exists and that the moving party is entitled to judgment as a matter of law.  735 ILCS 5/2--1005(c) (West 2002).  We review de novo an order granting summary judgment.   Outboard Marine Corp. v. Liberty Mutual Insurance Co. , 154 Ill. 2d 90, 102 (1992).

A brief overview of the statute creating the Fund is necessary to understand the issues.  The legislature created the Fund (215 ILCS 5/535 (West 2002)) to "provide a mechanism for the payment of covered claims under certain insurance policies, to avoid excessive delay in payment, [and] to avoid financial loss to claimants of policyholders because of the entry of an Order of Liquidation" against an insolvent insurance company (215 ILCS 5/532 (West 2002)).  The Fund's purposes are to protect the public from losses caused by insolvent insurance companies and to place claimants in the same position they would have been in had their insurance carriers not been declared insolvent.   Urban v. Loham , 227 Ill. App. 3d 772, 775-76 (1992).  The Fund is to pay covered claims that exist before the entry of an order of liquidation or that arise within 30 days thereafter.  215 ILCS 5/537.2 (West 2002).  A covered claim is "an unpaid claim for a loss arising out of and within the coverage of an insurance policy" to which the statute applies and that is in force at the time of the occurrence giving rise to the claim.  215 ILCS 5/534.3(a) (West 2002).  However, a covered claim does not include a claim against an insured whose net worth exceeded $25 million on December 31 of the year before the claim arose.

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Community Unit School District 200 v. Illinois Insurance Guaranty Fund, Counsel Stack Legal Research, https://law.counselstack.com/opinion/community-unit-school-district-200-v-illinois-insu-illappct-2005.