Geisler v. Everest National Insurance Company

2012 IL App (1st) 103834, 2012 WL 5910470
CourtAppellate Court of Illinois
DecidedNovember 16, 2012
Docket1-10-3834
StatusPublished
Cited by13 cases

This text of 2012 IL App (1st) 103834 (Geisler v. Everest National Insurance Company) 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
Geisler v. Everest National Insurance Company, 2012 IL App (1st) 103834, 2012 WL 5910470 (Ill. Ct. App. 2012).

Opinion

ILLINOIS OFFICIAL REPORTS Appellate Court

Geisler v. Everest National Insurance Co., 2012 IL App (1st) 103834

Appellate Court FRED GEISLER, Plaintiff-Appellant, v. EVEREST NATIONAL Caption INSURANCE COMPANY and WESTERN LITIGATION, INC., Defendant-Appellees.

District & No. First District, Sixth Division Docket No. 1-10-3834

Filed November 16, 2012

Held In an action alleging a breach of defendants’ obligations with regard to (Note: This syllabus two claims under the medical malpractice insurance provided for plaintiff constitutes no part of in his capacity as a neurosurgeon, summary judgment was properly the opinion of the court entered for defendants on the grounds that the policy did not provide but has been prepared coverage for plaintiff in the first claim and no duty to provide a defense by the Reporter of existed, and in the second claim, plaintiff had no right to approve the Decisions for the settlement of the suit and defendants timely paid for the defense of that convenience of the claim. reader.)

Decision Under Appeal from the Circuit Court of Cook County, No. 08-CH-47262; the Review Hon. Nancy J. Arnold, Judge, presiding.

Judgment Affirmed. Counsel on Patrick J. McGuire and Philip J. McGuire, both of Law Offices of Patrick Appeal J. McGuire, of Chicago, for appellant.

Ross D. Roloff, of Merlo Kanofsky & Gregg, Ltd., of Chicago, for appellees.

Panel JUSTICE R. GORDON delivered the judgment of the court, with opinion. Presiding Justice Lampkin specially concurred, with opinion. Justice Garcia specially concurred, with opinion.

OPINION

¶1 Plaintiff Fred Geisler, M.D., filed this suit claiming that defendants Everest National Insurance Company (Everest) and Western Litigation, Inc. (Western), breached its duties under the Everest insurance policy (Everest Policy) regarding two medical malpractice lawsuits in which plaintiff was a named defendant (Townsley Lawsuit and Lalicata Lawsuit). Defendants responded claiming that plaintiff failed to state a claim for breach of the Everest Policy regarding its defense of the Townsley Lawsuit, and that the Everest Policy did not provide plaintiff with coverage for the Lalicata Lawsuit. ¶2 In this appeal, plaintiff seeks to reverse the circuit court’s orders granting summary judgment in favor of defendants. Specifically, plaintiff appeals the trial court’s orders: (1) denying plaintiff’s motion for partial summary judgment; (2) granting summary judgment in favor of defendants; and (3) denying plaintiff’s motion to reconsider and for leave to file a second amended complaint. ¶3 Defendants additionally challenge this court’s jurisdiction to review the trial court’s summary judgment orders, arguing that plaintiff’s notice of appeal was untimely filed. Defendants argue that plaintiff’s motion to reconsider and for leave to file a second amended complaint was not a proper posttrial motion and thus did not toll the time to appeal. Defendants also challenge this court’s jurisdiction to review the trial court’s order denying plaintiff’s motion, arguing that the order was not a final judgment. We affirm.

¶4 BACKGROUND ¶5 I. The Parties ¶6 Plaintiff was formerly employed as a neurosurgeon with the Chicago Institute of Neurosurgery and Neuroscience, Inc. (Chicago Institute), from September 1, 1992, until his employment was terminated allegedly “for cause” on January 4, 2004. On January 1, 2003, the Chicago Institute began providing its employees medical liability insurance under the

-2- Everest Policy. Plaintiff was an insured under the Everest Policy during his employment with the Chicago Institute, and the Everest Policy listed his coverage as effective from September 1, 1992, through December 31, 2003. Defendant Western, a liability claims and risk management company, was contracted by defendant Everest to administer the claims made under the Everest Policy. ¶7 In January 2003 and March 2004, plaintiff was added as a defendant in two medical malpractice lawsuits: the Townsley Lawsuit and the Lalicata Lawsuit, respectively. Defendant Everest reimbursed plaintiff’s defense costs in the Townsley Lawsuit, which was settled without plaintiff’s consent, but did not defend him in the Lalicata Lawsuit. ¶8 As a result, plaintiff brought the instant litigation, claiming that defendants Everest and Western breached their duties under the Everest Policy by: (1) failing to timely reimburse his defense costs in the Townsley Lawsuit; (2) settling the Townsley Lawsuit without his consent; and (3) failing to tender plaintiff a defense in the Lalicata Lawsuit. Plaintiff additionally sought damages under section 155 of the Illinois Insurance Code (215 ILCS 5/155 (West 2004)), claiming Everest acted in bad faith. Defendants filed affirmative defenses claiming that: (1) defense costs for the Townsley Lawsuit were timely paid; (2) plaintiff’s consent was not required to settle the Townsley Lawsuit; (3) the Everest Policy did not provide plaintiff with coverage in the Lalicata Lawsuit; and (4) defendants alternatively had no duty to defend plaintiff in the Lalicata Lawsuit under the provisions of the Everest Policy.

¶9 II. The Everest Policy ¶ 10 Plaintiff’s employer, the Chicago Institute, was obligated under its employment agreement to provide its employees with medical malpractice insurance. From January 1, 2003, through December 31, 2003, the Chicago Institute contracted with defendant Everest to cover its employees under the Everest Policy. The Everest Policy was a “claims made” medical liability insurance, covering “loss events,” including “medical professional services,” or services rendered to a patient for care and treatment in the practice of medicine. Defendant Everest reserved “the right but not the duty or obligation to defend any ‘claim’ or suit against an ‘Insured.’ ” The claims made provision provided coverage for claims that were first made and reported to defendant Everest during the policy period or during an “extended reporting period.” An extended reporting period extends the time for reporting claims after the policy period ends. ¶ 11 The Everest Policy contained several endorsements that periodically amended the terms of the policy’s coverage. One such endorsement was a “schedule of medical insureds” that amended the Everest Policy on November 30, 2003, to list the physicians who were provided coverage (Original Schedule). Plaintiff was listed as an insured on the Original Schedule with a retroactive effective date of September 1, 1992. The Original Schedule did not have a termination date. However, the policy period ended on December 31, 2003. The Everest Policy states that a retroactive date provides an insured with coverage for claims that predate the inception of the Everest Policy. ¶ 12 On December 31, 2003, plaintiff was sent correspondence from defendant Everest

-3- informing him that he was no longer insured and would not receive any future coverage. On August 10, 2004, the Everest Policy was amended by an endorsement to list December 31, 2003, on the Original Schedule as the date of termination of plaintiff’s coverage (General Change Endorsement). On September 9, 2004, the Everest Policy was amended by an endorsement to replace and supersede the Original Schedule with a new schedule of medical insureds that no longer listed plaintiff as an Insured (Revised Schedule). Also on that day, the Everest Policy was amended by endorsement to include an extended reporting period that extended the period to file claims indefinitely, with an effective date of January 1, 2004. The appellate record does not indicate that plaintiff received any notice of the foregoing endorsements. ¶ 13 The Everest Policy contained a $2,500,000 self-insured retention clause (SIR).

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Bluebook (online)
2012 IL App (1st) 103834, 2012 WL 5910470, Counsel Stack Legal Research, https://law.counselstack.com/opinion/geisler-v-everest-national-insurance-company-illappct-2012.