Erie Insurance Co. v. Gibbs

2023 IL App (3d) 220143, 216 N.E.3d 436, 465 Ill. Dec. 1185
Appellate Court of Illinois·Decided February 16, 2023·No. 3-22-0143·Published·Cited by 1 cases

Opinion

2023 IL App (3d) 220143

Opinion filed February 16, 2023

IN THE

APPELLATE COURT OF ILLINOIS THIRD DISTRICT

2023

ERIE INSURANCE COMPANY and ERIE ) Appeal from the Circuit Court INSURANCE EXCHANGE, ) of the 18th Judicial Circuit, ) Du Page County, Illinois.

Plaintiffs-Appellees, )

)

v. )

) Appeal No. 3-22-0143 THOMAS R. GIBBS, D.D.S., and ANTHONY ) Circuit No. 21-MR-394 ADAMS, )

)

Defendants )

)

(Thomas R. Gibbs, D.D.S., ) The Honorable ) Paul M. Fullerton,

Defendant-Appellant). ) Judge, Presiding.

JUSTICE McDADE delivered the judgment of the court, with opinion.

Justices Davenport and Hettel concurred in the judgment and opinion.

OPINION

¶1 In a separate criminal case, the defendant-appellant, Dr. Thomas Gibbs, stipulated to intentionally pushing defendant Anthony Adams, thereby injuring Adams’s knee. Gibbs was subsequently found guilty of misdemeanor criminal battery and sentenced. Adams then filed a negligence action against Gibbs related to the incident.

¶2 The plaintiffs, Erie Insurance Company and Erie Insurance Exchange, filed a declaratory judgment action alleging that they had no duty to defend or indemnify Gibbs in the negligence action pursuant to the home insurance and umbrella policies Gibbs had with the plaintiffs. The plaintiffs filed a motion for summary judgment, which the circuit court granted after finding that the evidence conclusively established that Gibbs acted intentionally and, therefore, Gibbs’s conduct was excluded from coverage by the policies. Gibbs appealed, alleging that the circuit court erred when it (1) denied his motion to stay the declaratory judgment action pending the resolution of the negligence action and (2) granted summary judgment in favor of Erie. We affirm.

¶3 I. BACKGROUND

¶4 On April 19, 2021, Erie Insurance Company and Erie Insurance Exchange (hereinafter Erie) filed a civil complaint against Dr. Thomas Gibbs and Anthony Adams. The complaint, which was subsequently amended on July 26, 2021, sought a declaratory judgment that it did not owe Gibbs a duty to defend and indemnify in a negligence action filed by Adams against Gibbs.

¶5 The complaint alleged that on August 14, 2018, the Downers Grove Police Department responded to a call regarding a domestic dispute at Gibbs’s residence. Gibbs was taken to Good Samaritan Hospital and found to have a 0.282 blood alcohol concentration. Hospital staff reported that Gibbs was aggressive and violent and that he was spitting at and verbally abusing the staff.

¶6 At approximately 5:37 a.m., nurse Megan Howard performed a routine check on Gibbs in his room. Gibbs said he was “getting out of here.” Howard called for security, and Gibbs urinated on the floor. Gibbs then approached Howard and told her to get him “out of this f***

room.” He also grabbed Howard’s arm. At that time, Adams, who was an emergency room technician, came into the room to assist. Gibbs resisted and pushed Adams to the floor.

¶7 Two misdemeanor criminal battery cases were filed against Gibbs as a result of the hospital incident. In the first case, Du Page County circuit court case No. 18-CM-1790, the State alleged that Gibbs intentionally pushed Adams, thereby causing injury to Adams’s left knee. 1 In the second case, Du Page County circuit court case No. 18-CM-1865, the State alleged that Gibbs grabbed and squeezed Howard’s right forearm. On July 30, 2019, Gibbs was found guilty in both cases after he stipulated to the facts as alleged by the State. 2 There was no agreement on sentencing.

¶8 Additionally, the Erie complaint alleged that Gibbs pled guilty in a federal criminal fraud case on December 11, 2019. The complaint stated that, at sentencing on July 22, 2020, Gibbs addressed the court, stating that he had initially been offered pretrial diversion with probation and expungement of the charges after one year, but that offer had been revoked due to the state criminal battery cases. Gibbs stated, in part, that “[the offer] was no longer an option when I accepted responsibility for a misdemeanor battery charge that occurred on the night that my 41- year-marriage collapsed. I was taken drunk from my residence to the hospital.”

¶9 The complaint also alleged that, on July 31, 2020, Adams filed a negligence action against Gibbs, alleging that Gibbs failed to (1) “drink in a reasonable manner,” (2) “urinate in a reasonable manner,” (3) “urinate in a reasonable location,” and (4) “reasonably respond to plaintiff’s attempts to help him.” Adams’s negligence action further alleged that Gibbs “[c]aused plaintiff to slip” and that he sustained severe and permanent injuries as a result.

1

Documents in the record indicated that Adams suffered a broken kneecap.

2

The record on appeal contains the transcript from the criminal battery cases; Gibbs’s counsel clearly stated that Gibbs was stipulating to the facts but pleading not guilty.

¶ 10 Erie’s complaint further stated that it had issued a general home insurance policy and an umbrella policy to Gibbs and his wife that was effective during the time the hospital incident took place. The general policy obligated Erie to “pay all sums up to the amount shown on the ‘Declarations’ which ‘anyone we protect’ becomes legally obligated to pay as damages because of ‘bodily injury’ *** caused by an ‘occurrence’ during the policy period.” “Bodily injury” was defined as including physical harm. “Occurrence” was defined as “an accident, including continuous or repeated exposure to the same general harmful conditions.”

¶ 11 The general policy excluded bodily injury that, inter alia, was “expected or intended” by the insured even if “the degree, kind or quality of the injury *** is different than what was expected or intended ***.” It also excluded coverage for “claims or suits seeking damages, including defense of same, for any person who actively participates in any act of *** physical *** abuse of any person,” excepting certain conduct not applicable in this case.

¶ 12 The umbrella policy obligated Erie to “pay the ultimate net loss which anyone we protect becomes legally obligated to pay as damages because of personal injury or property damage resulting from an occurrence during this policy period.” “Personal injury” included “bodily injury,” which the umbrella policy defined as including physical harm. “Occurrence” was defined in relevant part as “an accident *** which results in personal injury *** which is neither expected nor intended.”

¶ 13 The umbrella policy contained exclusions for, inter alia, personal injury that the insured intended or that resulted from physical abuse by the insured.

¶ 14 Erie’s complaint alleged that neither the general policy nor the umbrella policy provided coverage for at least the following reasons: (1) the facts did not allege an “occurrence,” (2) the exclusion for intentional acts applied, and (3) the exclusion for physical abuse applied.

¶ 15 On August 20, 2021, Gibbs filed a motion for judgment on the pleadings or, in the alternative, to stay the declaratory judgment action pending judgment in the negligence action. In essence, Gibbs alleged that Erie was improperly asking the circuit court to make findings of fact in the negligence action that would ultimately determine Gibbs’s liability in that action. Gibbs sought a ruling that Erie had a duty to defend him in the negligence action. Gibbs also argued that “[a]t an absolute minimum, this case should be stayed or dismissed pending resolution of the underlying Adams case.”

¶ 16 Three days later, Adams also filed a motion to stay the declaratory judgment proceedings. In part, Adams’s motion alleged that there was an undecided question as to whether Gibbs was so intoxicated that the exclusionary clauses from his policies would not apply.

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Erie Insurance Co. v. Gibbs, 2023 IL App (3d) 220143, 216 N.E.3d 436, 465 Ill. Dec. 1185 (Ill. Ct. App. 2023).

2023 IL App (3d) 220143 (Erie Insurance Co. v. Gibbs) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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