Direct Auto Insurance Co. v. Reynosa

2020 IL App (1st) 190610-U
Appellate Court of Illinois·Decided March 24, 2020·No. 1-19-0610·Unpublished

Opinion

2020 IL App (1st) 190610-U No. 1-19-0610

SECOND DIVISION

March 24, 2020

NOTICE: This order was filed under Supreme Court Rule 23 and may not be cited as precedent by any party except in the limited circumstances allowed under Rule 23(e)(1).

IN THE

APPELLATE COURT OF ILLINOIS FIRST JUDICIAL DISTRICT

DIRECT AUTO INSURANCE CO., ) Appeal from the Circuit Court ) of Cook County.

Plaintiff-Appellee, )

)

v. ) No. 16 CH 15555 )

MARIA REYNOSA and RANDY GUTIERREZ, )

Individually and as Father and Next Friend to ) The Honorable KHRISTOPHER GUTIERREZ and KHAMILA ) Celia Gamrath, GUTIERREZ, minors, ) Judge Presiding.

)

Defendants-Appellants. )

JUSTICE PUCINSKI delivered the judgment of the court.

Presiding Justice Fitzgerald Smith and Justice Lavin concurred in the judgment.

ORDER

¶1 Held: The circuit court’s order granting summary judgment in favor of the plaintiff insurer and against the defendants is affirmed as to the defendants of majority age, where (1) defendants’

counsel forfeited the issue that the insurance policy’s notice requirements for uninsured motorist claims violate public policy, and (2) defendants could not assert that section 143.1 of the Insurance Code tolled their claim because defendants’ counsel submitted no clear argument or evidence as to when they submitted proof of loss to the insurer. The circuit court’s order granting summary judgment is reversed as to the minor defendants where the record requires more factual development as to the minor’s age and interest in the case.

¶2 Defendant Maria Reynosa was the insured under an insurance policy issued by plaintiff Direct Auto Insurance Company (Direct Auto). Defendants were in a motor vehicle accident with an individual insured by Interstate Bankers Casualty Company (Interstate), and filed suit against the individual. Subsequently, Interstate was ordered into liquidation, and defendants submitted an uninsured motorist claim to Direct Auto. Direct Auto filed suit against defendants for a declaratory judgment that defendants were not entitled to uninsured motorist coverage because they did not file a timely notice of their uninsured motorist claim under the terms of Reynosa’s policy. The circuit court granted summary judgment in favor of plaintiff Direct Auto and against defendants.

¶3 On appeal, defendants allege that the circuit court erred in granting Direct Auto summary judgment where (1) the 30-day notice provision in the insurance policy issued by Direct Auto violates public policy; (2) it was plain error to apply a time limitation on the uninsured motorist claims of minors Kristopher and Khamila Gutierrez; and (3) section 143.1 of the Illinois Insurance Code (Code) (215 ILCS 5/143.1 (West 2010)) tolled the policy’s time limitation. We affirm in part, reverse in part, and remand with instructions.

¶4 BACKGROUND

¶5 On November 30, 2016, Direct Auto filed a complaint for declaratory judgment. Direct Auto alleged that on June 18, 2011, Reynosa was the named insured under an automobile liability policy issued by Direct Auto. Reynosa operated a vehicle containing passengers Randy, Khristopher, and Khamila Gutierrez (collectively, the Gutierrezes), when they were involved in a motor vehicle accident with Angela Nowaczyk on June 18, 2011. The record reflects that the same law firm that represented defendants following the accident also represented defendants in this case both before the circuit court and on appeal. Reynosa and the Gutierrezes filed suit against Nowaczyk in the circuit court of the Twelfth Judicial Circuit in Will County, Illinois, under case

number 2013 L 0005. However, on August 19, 2015, the circuit court of Cook County ordered Nowaczyk’s insurer, Interstate, into liquidation. Direct Auto alleged that on August 23, 2016, “more than one year from the date [Interstate] went into liquidation and more than five years from the date of the accident,” defendants notified Direct Auto of their uninsured motorist claim under Reynosa’s policy.

¶6 Direct Auto attached to its complaint the policy, which stated in relevant part that under Condition 3, “[a]s a condition precedent to coverage, within 30 days of any accident, occurrence or loss, regardless of fault, [Direct Auto] must receive written notice” containing the following information: (1) the time and location of the loss; (2) the full name and address of any known person who occupied a vehicle involved in the loss or who was present when the loss occurred; (3) the purpose of the vehicle’s use at the time of the loss; (4) “facts surrounding the loss”; and (5) “[a]ny other information the Company requests in order to conclude its investigation of the loss.”

¶7 The policy further states the following:

“PART II – UNINSURED MOTORIST COVERAGE

***

COVERAGE C: UNINSURED MOTORIST BODIL [sic] INJURY and COVERAGE D: UNINSURED MOTORIST PROPERTY DAMAGE.

If you have paid for this coverage(s), have provided prompt and proper notice of the loss pursuant to Condition 3, and have submitted your written claim by certified mail, return receipt requested, for Uninsured Motorist coverage within two (2) years from the date of the accident, unless otherwise set forth herein, we will pay all sums (up to your applicable policy limits) which the named insured or his legal representative shall be legally entitled to recover as damages from the owner or operator of an uninsured motor

vehicle because of property damage to a vehicle described in the policy and bodily injury, including death resulting there from [sic] sustained by the insured provided that the damages were:

(1) caused by accident; and (2) while ‘you’ are an occupant in an ‘insured automobile’ as defined herein, and (3) were as a result of the ownership, maintenance or use of such uninsured motor vehicle.

***

‘uninsured motor vehicle’ means:

***

(d) a motor vehicle where on, before, or after the accident date the liability insurer thereof is unable to make payment with respect to the legal liability of its insured within the limits specified in the policy because of the entry by a court of competent jurisdiction of an order of rehabilitation or liquidation by reason of insolvency on or after the accident date, provided, however, that:

1. the insured reported the accident within thirty (30) days of the accident ***; and 2. the insured notifies the Company of his/her claim under this provision within the later of either: (a) thirty (30) days from the date of such court order of rehabilitation or insolvency or (b) two (2) years from the date of the accident. To the extent that this provision conflicts with this policy’s exclusion for claims submitted to the company more than two years after the accident, this provision shall control.”

¶8 The policy also contains a provision requiring the insured to submit proof of loss for uninsured motorist claims, which states:

“As soon as practicable any injured person or someone on his/her behalf making claim shall give to the Company written proof, under oath if required, including full particulars of the accident or loss and the nature and extent of the injuries, treatment, and other details entering into the determination of the amount payable.”

¶9 We note that while the parties dispute on appeal whether defendants provided proof of loss and complied with subsection (d)(2) of the notice requirements for uninsured motorist claims, Direct Auto did not clearly dispute, either in its summary judgment motion before the circuit court or before this court, whether defendants reported the accident within 30 days of the accident under subsection (d)(1). Nonetheless, the record contains no evidence that defendants even minimally reported the accident to Direct Auto within 30 days of the accident.

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Direct Auto Insurance Co. v. Reynosa, 2020 IL App (1st) 190610-U (Ill. Ct. App. 2020).

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