D'Agostino v. Illinois Farmers Insurance Co.

2023 IL App (1st) 210567-U
Appellate Court of Illinois·Decided March 31, 2023·No. 1-21-0567·Unpublished

Opinion

2023 IL App (1st) 210567-U No. 1-21-0567

Order filed March 31, 2023 FIFTH DIVISION

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 DISTRICT

NATALIE D’AGOSTINO, ) Appeal from the ) Circuit Court of

Plaintiff-Appellant, ) Cook County.

)

v. ) No. 19 CH 06907 )

ILLINOIS FARMERS INSURANCE COMPANY, ) Honorable ) Allen P. Walker,

Defendant-Appellee. ) Judge Presiding.

JUSTICE LYLE delivered the judgment of the court.

Justices Mitchell and Navarro concurred in the judgment.

ORDER

¶1 Held: We affirm the judgment of the circuit court where the automobile insurance policy at issue is not ambiguous, the limitations period in the policy was not tolled, and the defendant insurance company did not waive the limitations period.

¶2 This appeal arises following the circuit court’s grant of defendant’s, Illinois Farmers Insurance Company (Farmers), motion to dismiss the complaint of plaintiff, Natalie D’Agostino, and the court’s subsequent denial of Ms. D’Agostino’s motion for reconsideration. Ms. D’Agostino’s complaint was based on an underinsured motorist claim that she filed with Farmers

following her involvement in a motor vehicle accident. More than two years after she filed the claim with Farmers, Farmers denied the claim and determined that Ms. D’Agostino had failed to demand arbitration within the time limitation provided in the automobile insurance policy.

¶3 In her complaint, Ms. D’Agostino sought an order from the circuit court forcing Farmers to arbitrate her claim. She also sought attorney fees pursuant to section 155 of the Illinois Insurance Code (Insurance Code) (215 ILCS 5/155 (West 2004)) based on Farmers’ “unreasonable and vexatious” conduct in handling the claim. Farmers filed a motion to dismiss the complaint pursuant to section 2-619 of the Illinois Code of Civil Procedure (Code) (735 ILCS 5/2-619 (West 2018)) arguing that Ms. D’Agostino failed to make a timely demand for arbitration within the time allowed by the policy. The court granted the motion and subsequently denied Ms. D’Agostino’s motion for reconsideration.

¶4 On appeal, Ms. D’Agostino maintains that the circuit court erred in granting Farmers’ motion to dismiss and in denying her motion for reconsideration. She asserts that the limitations provision in the policy is ambiguous, that the limitations period was tolled, and that Farmers had waived its reliance on the limitations period by continuing to handle her claim after it claimed that the limitations period had lapsed. She also maintains that the court erred in denying her claim for fees and costs pursuant to section 155 of the Insurance Code. For the reasons that follow, we affirm the judgment of the circuit court.

¶5 I. BACKGROUND

¶6 In her complaint, Ms. D’Agostino alleged that on March 11, 2015, she was involved in a motor vehicle collision that caused her to suffer significant personal injury. She was not at fault in the accident, and filed a claim against the responsible driver’s automobile insurance policy, which was issued by Founders Insurance Company (Founders). Ms. D’Agostino and her husband, Donald

D’Agostino, were insured by Farmers. In January 2017, Ms. D’Agostino entered into a settlement agreement with Founders for $20,000, the policy’s limit.1 Ms. D’Agostino filed an underinsured motorist claim with Farmers under her policy.

¶7 Ms. D’Agostino alleged that she complied with all policy requirements, but Farmers “failed and refused to pay the benefit” due under the policy. Ms. D’Agostino asserted that on May 6, 2019, she demanded arbitration of her underinsured motorist claim, but Farmers refused to proceed to arbitration. Ms. D’Agostino sought an order from the circuit court declaring (1) that their automobile policy was “in full force and effect;” (2) that she complied with all of the conditions under the policy; and (3) that Farmers must proceed to arbitration on her underinsured motorist claim. Ms. D’Agostino also sought costs, fees, and penalties pursuant to section 155 of the Insurance Code (215 ILCS 5/155 (West 2004)) based on Farmers’ “unreasonable and vexatious conduct.”

¶8 Farmers filed a motion to dismiss the complaint pursuant to section 2-619 of the Code (735 ILCS 5/2-619 (West 2018)). In its motion, Farmers contended that pursuant to the limitations language in the policy, Ms. D’Agostino failed to make a demand for arbitration within the time allowed. Farmers noted that the policy contained a limitations provision that provided that:

“An insured person must agree to a settlement or begin a proceeding in arbitration by making written demand to us for such proceeding within two years from the date the limits of liability under any applicable bodily injury[,] liability bonds or policies have been exhausted by payment or judgment or settlement. Failure to comply with the time limit will relieve us of any obligation to the insured person under Coverage C-1.” 2

1 Mr. D’Agostino also entered into a settlement agreement with Founders for $20,000.

2 Coverage “C-1” concerns underinsured motorist claims.

Farmers alleged that it received notice that Ms. D’Agostino settled her claim with Founders and executed a settlement with Founders on December 3, 2016. That settlement was tendered to Founders on January 12, 2017. It was Farmer’s contention that under the limitations provision, this constituted the exhaustion of the limits of liability of the Founders policy and triggered the two- year limitations period for Ms. D’Agostino to begin the arbitration process with Farmers. Farmers asserted that the deadline for Ms. D’Agostino’s arbitration demand was therefore January 12, 2019. Farmers contended that Ms. D’Agostino failed to demand arbitration within the limitations period and was therefore barred from pursuing an underinsured motorist claim under the policy.

¶9 Farmers also asserted that the court should dismiss Ms. D’Agostino’s claim for fees and costs under section 155 of the Insurance Code because it had a bona fide defense to the claim which demonstrated that its conduct could not be considered unreasonable and vexatious. Farmers maintained that granting its motion to dismiss also required the dismissal of the section 155 claim.

¶ 10 Ms. D’Agostino responded that although the signed settlement releases were forwarded to Founders in January 2017, corrected payment checks were not issued until July 19, 2018. Ms. D’Agostino stated that she submitted proof of loss to Farmers under the policy on August 15, 2015.

¶ 11 Ms. D’Agostino asserted that the limitations provision in the policy was ambiguous because it was susceptible to more than one interpretation. Ms. D’Agostino pointed out that the policy provided for three events that could trigger the running of the two-year limitations period for filing arbitration. These three events were when the limits of liability had been exhausted by payment, settlement, or judgment. She noted that the policy did not prioritize these events and there was “no requirement that the insurer or policyholder select one trigger over another at the time the claim is made or during the pendency of the claim.”

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