Direct Auto Insurance Company v. Koziol

2018 IL App (1st) 171931
Appellate Court of Illinois·Decided October 10, 2018·No. 1-17-1931·Unpublished

Opinion

2018 IL App (1st) 171931

FIFTH DIVISION August 3, 2018

No. 1-17-1931 ______________________________________________________________________________ IN THE

APPELLATE COURT OF ILLINOIS

FIRST JUDICIAL DISTRICT

______________________________________________________________________________

) DIRECT AUTO INSURANCE COMPANY, ) Appeal from the ) Circuit Court of Plaintiff-Appellant, ) Cook County. ) v. ) No. 14 CH 18678 ) No. 14 M1 144563 cons. ANDREW KOZIOL, ) ) The Honorable Defendant-Appellee. ) David B. Atkins, ) Judge, Presiding.

JUSTICE HALL delivered the judgment of the court, with opinion. Justices Lampkin and Rochford concurred in the judgment and opinion.

OPINION

¶1 Plaintiff Direct Auto Insurance Company (DAI) appeals from orders of the trial court

which denied its motions for summary judgment and reconsideration, and entered judgment in

favor of defendant Andrew Koziol based on stipulated facts in a declaratory judgment action.

On appeal, DAI contends that the trial court erred in its interpretation of the decision in Direct

Auto Ins. Co. v. Beltran, 2013 IL App (1st) 121128 when it denied its motion for summary No. 1-17-1931

judgment and erred in entering judgment for Koziol. Although defendant has not filed a brief on

appeal, we will consider the appeal pursuant to the principles set forth in First Capitol Corp. v.

Talandis Construction Corp., 63 Ill. 2d 128, 131-33 (1976). For the following reasons, we

affirm.

¶2 BACKGROUND

¶3 DAI filed a declaratory judgment action to determine whether it owed coverage to Koziol

for a claim arising out of an accident on July 21, 2013, when a vehicle operated by Koziol came

into contact with a utility pole. The car that Koziol was driving, a 2008 Dodge Charger, was

insured by DAI under a policy taken out by Koziol on April 8, 2013.

¶4 After the accident, Koziol made a claim under the policy with DAI. DAI subsequently

denied coverage for the accident and rescinded Koziol's policy based on information revealed

during its investigation into the accident. As a result, Koziol filed a breach of contract action

against DAI in the circuit court of Cook County (14 M1 144563) on September 25, 2014,

seeking damages for DAI's refusal to provide coverage for his accident. Additionally, on

November 19, 2014, DAI filed a declaratory judgment action (14 CH 18678), seeking a

declaration that it did not owe coverage to Koziol based on an alleged material misrepresentation

on his application for insurance coverage with DAI that was discovered during its investigation

of the accident. DAI alleged in its complaint that the material misrepresentation made the policy

void ab initio.

¶5 Koziol's answer to DAI's complaint consisted of blanket admissions and denials to the

various paragraphs of DAI's complaint, with the exception of paragraph 3 (whether DAI was an

insurance company in Illinois duly licensed to underwrite insurance policies and sell them to the

public) and paragraph 10 (whether Insure on the Spot was an independent insurance agency

-2­ No. 1-17-1931

acting as Koziol's agent for the purpose of securing insurance), which Koziol neither admitted

nor denied and demanded strict proof. Specifically as to paragraph 17 of DAI's complaint,

Koziol denied that he knowingly and intentionally provided a false answer to DAI in order to

obtain insurance coverage for less money.

¶6 The cases were consolidated on May 5, 2015.

¶7 On April 20, 2016, DAI filed a motion for summary judgment, raising many of the same

allegations it stated in its initial complaint. In the motion, DAI argued that during the course of

the claims investigation into Koziol's accident, DAI learned that Koziol failed to disclose the

existence of a 2002 Ford Explorer XLS that was registered to, and kept at, his home address by

his parents at the time of his electronic insurance application which was submitted through his

agent, Insure on the Spot. Additionally, DAI contended in its motion that Koziol falsely

responded to the following question on his insurance application: "Any other cars in the

household other than those listed on the application?" Koziol answered "no." Further, the

applicant statement contained in the application had the following language:

"APPLICANT STATEMENT: The applicant states that the application

was read and attests that all answers are truthful and that said answers

were made as an inducement to the insurance company to issue a policy,

and it is a special condition of this policy that the policy shall be

NULL and VOID and of no benefit or effect whatsoever as to any claim

arising thereunder in the event that the attestations or statements

in this application shall prove to be false or fraudulent in nature. It is

understood that this application shall be part of the policy of

-3­ No. 1-17-1931

insurance when issued and that it is intended that the company shall rely

on the contents of this application in issuing any policy of insurance

or renewal thereof."

The DAI policy contained a statement regarding "fraud and misrepresentation," which stated, in

pertinent part:

"Statements contained in the application are deemed to be

representations relied upon by the Company in issuing this

policy. In the event that any representation contained in

the application is false, misleading or materially affects the acceptance

or rating of this risk by the Company, by either direct

misrepresentation, omission, concealment of facts or incorrect statements,

then coverage for the accident or loss in question shall not be provided by

the Company and/or this policy shall be null and void and of no

benefit whatsoever from its inception. * * *"

¶8 Rosa Miranda, DAI's Underwriting Manager, submitted an affidavit in support of the

motion for summary judgment in which she averred that "had DAIC been advised that Koziol

had additional vehicles residing at his household at the time of his application, such information

would have affected the rating or the acceptability of the risk under the policy." DAI contended

that had Koziol's omission been disclosed, the policy would have been issued with a substantially

higher premium (specifically a $477 increase). DAI argued that Koziol's misrepresentation

renders the policy null and void under section 15/154 of the Insurance Code (Code) 215 ILCS

-4­ No. 1-17-1931

5/154 (West 2016)), it was entitled to rescind the policy, and it was entitled to summary

judgment as to its request for a declaration that it owed no coverage to Koziol.

¶9 In his response to DAI's motion for summary judgment, Koziol contended that the

decision in Direct Auto Ins. Co. v. Beltran, 2013 IL App (1st) 121128 applied. He contended

that his parents resided in the same building, not the same unit and that the information had been

clearly disclosed and that they were specifically excluded from the policy. Koziol further noted

that DAI only claimed that this information would have raised his insurance rate, not erase

liability for coverage for the vehicle that DAI insured.

¶ 10 DAI did not respond to the applicability of Beltran in its reply.

¶ 11 In its written memorandum opinion and order of September 15, 2016, the trial court cited

the two-prong test from Beltran, 2013 IL App (1st) 121128, for determining whether, under

section 5/154, the policy may be rescinded where there has been a misrepresentation.

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