Continental Casualty Co. v. Donald T. Bertucci, Ltd.

926 N.E.2d 833, 399 Ill. App. 3d 775, 339 Ill. Dec. 358, 2010 Ill. App. LEXIS 218
CourtAppellate Court of Illinois
DecidedMarch 19, 2010
Docket1-09-0502
StatusPublished
Cited by29 cases

This text of 926 N.E.2d 833 (Continental Casualty Co. v. Donald T. Bertucci, Ltd.) 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
Continental Casualty Co. v. Donald T. Bertucci, Ltd., 926 N.E.2d 833, 399 Ill. App. 3d 775, 339 Ill. Dec. 358, 2010 Ill. App. LEXIS 218 (Ill. Ct. App. 2010).

Opinion

JUSTICE McBRIDE

delivered the opinion of the court:

This is an insurance coverage dispute involving a lawyer’s professional liability policy and allegations that counsel retained an excessive amount of attorney fees from the settlement proceeds of a medical malpractice action. The lawyer has been sued in state court and named in attorney disciplinary proceedings. On cross-motions for summary judgment, the circuit court of Cook County found the insurer owed no duty to defend or cover the lawsuit, but owed coverage in the disciplinary action. Both sides appeal.

The construction of an insurance contract and a determination of the rights and obligations of the contracting parties are questions of law and suitable for resolution by summary judgment. Zurich Insurance Co. v. Raymark Industries, Inc., 118 Ill. 2d 23, 58, 514 N.E.2d 150, 166 (1987). We address the trial court’s determinations de novo. Pekin Insurance Co. v. Wilson, 391 Ill. App. 3d 505, 509-10, 909 N.E.2d 379, 385 (2009) (construction of insurance policy is reviewed de novo); City of Collinsville v. Illinois Municipal League Risk Management Ass’n, 385 Ill. App. 3d 224, 229, 904 N.E.2d 70, 75 (2008) (entry of summary judgment is reviewed de novo).

In order to determine whether the insurer has a duty to defend the insured, we consider the allegations of the underlying pleadings and compare those allegations to the relevant provisions of the insurance contract. Pekin Insurance Co., 391 Ill. App. 3d at 510, 909 N.E.2d at 385. If the facts alleged in the underlying complaint fall within or potentially within the policy’s coverage, the insurer is duty bound to defend. Pekin Insurance Co., 391 Ill. App. 3d at 510, 909 N.E.2d at 385. The threshold a complaint must meet to present a claim for potential coverage and raise a duty to defend is minimal, and any doubts are to be resolved in favor of the insured. City of Collinsville, 385 Ill. App. 3d at 230, 904 N.E.2d at 75-76.

On May 11, 2007, Continental Casualty Company (Continental Casualty), the plaintiff in this insurance coverage dispute, issued a $2 million lawyers professional liability policy to Chicago attorney Donald T. Bertucci and his solo law practice on a claims-made-and-reported basis. The written contract tendered for our consideration specifies that all words and phrases appearing in bold font are defined in the contract. The “INSURING AGREEMENT” of the policy indicates there is “Coverage” for “all sums in excess of the [$5,000] deductible that the Insured shall become legally obligated to pay as damages and claim expenses because of a claim that is both first made against the Insured and reported in writing to the Company during the policy period by reason of any act or omission in the performance of legal services by the Insured.”

The policy defines “Claim” as “a demand received by the Insured for money or services arising out of an act or omission, including personal injury, in the rendering of or failure to render legal services.” “Legal services” are “those services performed by an Insured for others as a lawyer, arbitrator, mediator, title agent or as a notary public.” “Damages” are limited to “judgments, awards and settlements” and do not include “legal fees, costs and expenses *** charged by the Insured *** and injuries that are a consequence of any of the foregoing.” “Claim expenses” consist of “fees charged by attorneys designated by the Company or by the Insured with the Company’s written consent” and “all other reasonable and necessary fees, costs and expenses resulting from the investigation, adjustment, defense and appeal of a claim if incurred by the Company, or by the Insured with the written consent of the Company.”

The section of the contract concerning the policy’s limits of liability and deductible, indicates “[ajlthough not [considered] Damages,” the company will make “Supplementary payments” “up to $10,000.00 for any Insured and in the aggregate for attorney fees and other reasonable costs, expenses, or fees *** resulting from a Disciplinary Proceeding *** arising out of an act or omission in the rendering of legal services by such Insured.” Again, “legal services” consist of “those services performed by an Insured for others as a lawyer, arbitrator, mediator, title agent or as a notary public.” Further, “In the event of a determination of No Liability of the Insured against whom the Disciplinary Proceeding has been brought, the Company shall reimburse such Insured for Disciplinary Fees, including those in excess of the $10,000 cap set forth above, up to $100,000.”

A few weeks after purchasing the policy, Bertucci requested defense and coverage of a lawsuit filed against him by a woman he represented in a medical malpractice case that settled in 2002 for $2.25 million, Rodriguez v. Illinois Masonic Medical Center, No. 97— L — 16741. Bertucci characterized the suit against him, Rodriguez v. Bertucci, No. 07 — L—06247, as a claim for damages as defined by the insuring agreement. He subsequently requested defense and coverage of related proceedings being conducted by the Attorney Registration and Disciplinary Commission (ARDC), Donald Thomas Bertucci, in relation to Lourdes Rodriguez, No. 07 — Cl—2293.

According to the verified pleading filed in state court and correspondence sent to the disciplinary agency, Bertucci’s former client, Lourdes Rodriguez, is a native Spanish speaker with little formal education, who returned to Mexico while her medical malpractice suit was pending. She did not take issue with Bertucci’s handling of her claim or with the settlement figure he secured. But based on Bertucci’s retention of $750,000 of the proceeds and subsequent representation about his right to retain them, Rodriguez brought claims of breach of contract, unjust enrichment, conversion, breach of fiduciary duty, fraud, and violation of the Illinois statute which limits contingent legal fees in medical malpractice actions, section 2 — 1114 of the Code of Civil Procedure. 735 ILCS 5/2 — 1114 (West 1996). The statute, which took effect in 1985, limits the total contingent fee for a plaintiff’s attorney or attorneys in a medical malpractice action to 33.33% of the first $150,000 of the sum recovered, 25% of the next $850,000, and 20% of any amount over $1 million. 735 ILCS 5/2— 1114(a) (West 1996). The statute also provides that, “[i]n special circumstances, where an attorney performs extraordinary services involving more than usual participation in time and effort the attorney may apply to the court for approval of additional compensation.” 735 ILCS 5/2 — 1114(c) (West 1996). Rodriguez alleged that the fee statute and her written agreement with Bertucci executed on December 23, 1996, limited his compensation to no more than $512,500, and that he had taken an additional $237,500 without getting her consent and the court’s approval. Furthermore, he had given her an amended settlement statement in which he “represented and implied” that he had obtained judicial approval for the enhanced fees.

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Cite This Page — Counsel Stack

Bluebook (online)
926 N.E.2d 833, 399 Ill. App. 3d 775, 339 Ill. Dec. 358, 2010 Ill. App. LEXIS 218, Counsel Stack Legal Research, https://law.counselstack.com/opinion/continental-casualty-co-v-donald-t-bertucci-ltd-illappct-2010.