Fogelmark v. Western Casualty & Surety Co.

137 N.E.2d 879, 11 Ill. App. 2d 551
CourtAppellate Court of Illinois
DecidedNovember 23, 1956
DocketGen. 10,954
StatusPublished
Cited by5 cases

This text of 137 N.E.2d 879 (Fogelmark v. Western Casualty & Surety Co.) 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
Fogelmark v. Western Casualty & Surety Co., 137 N.E.2d 879, 11 Ill. App. 2d 551 (Ill. Ct. App. 1956).

Opinion

PRESIDING JUSTICE EOVALDI

delivered the opinion of the court.

This is an action at law brought by plaintiff to recover funeral expenses, within a policy limitation of one thousand ($1,000) dollars, under the “Medical Payments” clause of an automobile insurance policy issued by the defendant to plaintiff’s testate. On motion of defendant, supported by affidavit, the circuit court of Peoria County entered a Summary Judgment for defendant from which this appeal is taken.

The pleadings upon which the cause was determined consisted of the complaint, with a copy of the insurance policy appended; Answer of defendant; Defendant’s Motion for Summary Judgment, together with supporting affidavit; and affidavit of plaintiff in Opposition to Motion for Summary Judgment.

The plaintiff’s theory of the case is that the terms of the policy do not exclude defendant from liability for the reasonable funeral expenses of the deceased insured and that the trial court erred in construing the policy so as to deny plaintiff recovery for her loss.

It is defendant’s theory that the policy in question is clear and unambiguous; that plaintiff’s claim for funeral expenses is clearly and specifically excluded by reason of payments to her under the Workmen’s Compensation Law; and that the trial court committed no error in so finding.

The uncontroverted facts established by the pleadings upon which the Summary Judgment appealed from was based, show that on March 18, 1949 defendant executed and delivered to Charles H. Fogelmark a standard combined automobile insurance policy, the effective period of which was April 10, 1949 to April 10, 1950. One coverage declared by the policy was “C — Medical Payments,” for which the company’s liability was limited to “$1,000.00 each person.”

In Paragraph I of the section of the policy entitled “Insuring Agreements,” the company’s liability under Coverage C was agreed upon as follows:

“Coverage C — Medical Payments.

“To pay all reasonable expenses incurred within one year from the date of accident for necessary medical, surgical, ambulance, hospital, professional nursing and funeral services, to or for each person who sustains bodily injury, sickness or disease, caused by accident, while in or upon, entering or alighting from the automobile if the automobile is being used by the named insured or with his permission.” (Italics ours.)

Another section of the policy, however, contains certain exclusions from the insuring agreements, one of which is as follows:

“This policy does not apply:

“(g) Under Coverage C to bodily injury to or sickness, disease or death of any person if benefits therefor are payable under any workmen’s compensation law.”

On March 18, 1950, during the effective period of said policy, the insured, Charles H. Fogelmark, was killed in an accident while riding in the automobile insured by the said policy. At the time of his death he was an employee of the West Disinfecting Company of Chicago and as such was under and subject to the provisions of the Workmen’s Compensation Laws of Illinois. Subsequently, West Disinfecting Company paid to plaintiff, as the surviving widow of the deceased insured, the compensation due her for the fatal injury of the deceased insured under the provisions of the said compensation laws.

After the death of Charles H. Fogelmark, and on August 9, 1950, plaintiff, Vivian Fogelmark, became the duly qualified and acting Executrix of the decedent’s estate. On August 24, 1951, after the defendant insurance company had refused to pay reasonable expense for funeral services, plaintiff commenced this action at law for their recovery in the amount of $1,000. In raising the issue of its liability under the facts and terms of the policy, by motion for Summary Judgment, the defendant insurance company adopted the theory that because benefits resulting from the death of Charles H. Fogelmark were payable and paid under the Workmen’s Compensation Law of the State of Illinois, Coverage C of the policy was, by the terms of paragraph (g) of the exclusions, excluded from the application of the policy.

The trial court ordered that defendant have judgment in bar of plaintiff’s cause of action, and that plaintiff take nothing by her suit and pay the costs of the proceeding.

In view of the factual circumstance that the plaintiff, as widow of the deceased insured, was paid death benefits under Illinois "Workmen’s Compensation Laws, tbe sole issue presented by this appeal is tbe construction to be given to tbe interrelated insuring and exclusionary clauses pertaining to “Coverage C,” tbe medical payments coverage. No decision bas been cited, either in tbis or in other jurisdictions, where tbe agreement to pay funeral expenses has been construed with reference to workmen’s compensation exclusions.

Tbe principles governing tbe construction of insurance policies have been long established through tbe opinions of tbe courts of review of tbis jurisdiction, and they may be applied to resolve tbe problem at band. In the recent case of Canadian Radium & Uranium Corp. v. Indemnity Ins. Co. of North America, 411 Ill. 325, at 332, tbe court said:

“Tbe construction to be given insurance contracts, like other contracts, should be a natural and reasonable one. ... If tbe language is clear, tbe terms are to be taken and understood according to their plain, ordinary and popular sense. . . . But because tbe insurer is tbe one who prepares tbe contract, ambiguous or equivocal expressions whereby tbe insurer seeks to limit its liability will be construed most strongly against tbe insurer.”

In tbe recent case of Wolf v. American Casualty Co. of Reading, Pa., 2 Ill.App.2d 124, where a different facet of tbe insuring clause here involved was under consideration, tbe court, at pp. 125-126, said:

“Plaintiff argues that tbe clause of tbe policy involved is ambiguous and should be construed most strongly against tbe insurance company. . . . Tbe rule relating to tbe construction of insurance policies bas been stated often. It is summarized in Mosby v. Mutual Life Ins. Co. of New York, 405 Ill. 599, 92 N.E.2d 103, as follows: ‘Ambiguous provisions or equivocal expressions whereby an insurer seeks to limit its liability will be construed most strongly against tbe insurer and liberally in favor of tbe insured. Lenkutis v. N. Y. Life Ins. Co., 374 Ill. 136, 28 N.E.2d 86.’ This is a sound rule. It recognizes the realities of the transaction, that is, that the provisions of an insurance policy are not the product of negotiations between insurer and insured but are written by the insurance company and out of necessity, perhaps, submitted for acceptance without change.”

In Feigenbaum v. Aetna Casualty and Surety Co., 240 Ill. App. 502, at page 507, the court had this to say:

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137 N.E.2d 879, 11 Ill. App. 2d 551, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fogelmark-v-western-casualty-surety-co-illappct-1956.