Harris v. St. Paul Fire & Marine Insurance

618 N.E.2d 330, 248 Ill. App. 3d 52, 187 Ill. Dec. 739, 1993 Ill. App. LEXIS 197
CourtAppellate Court of Illinois
DecidedFebruary 22, 1993
Docket1 — 91—3434
StatusPublished
Cited by7 cases

This text of 618 N.E.2d 330 (Harris v. St. Paul Fire & Marine Insurance) 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
Harris v. St. Paul Fire & Marine Insurance, 618 N.E.2d 330, 248 Ill. App. 3d 52, 187 Ill. Dec. 739, 1993 Ill. App. LEXIS 197 (Ill. Ct. App. 1993).

Opinion

JUSTICE O’CONNOR

delivered the opinion of the court:

Plaintiff Stephanie Harris sustained personal injuries on March 2, 1984, after being struck by an automobile driven by Dorothy Williams. Plaintiff’s injuries occurred as she was about to reenter a parked vehicle owned by Universal Recording Corporation (Universal). Plaintiff had been a guest and passenger of a Universal employee.

Plaintiff filed a claim for underinsured motorists (UIM) benefits with Universal’s insurer, defendant St. Paul Fire & Marine Insurance Company, which denied her claim. Plaintiff thereafter filed a one-count breach of contract action against defendant to obtain those benefits. Plaintiff appeals from a final judgment of the circuit court of Cook County which found her to be covered under defendant’s policy; that defendant’s UIM limits were implied in the amount of $30,000; and that defendant was entitled to a $15,000 setoff for plaintiff’s receipt of that sum from Williams’ liability insurer. Defendant has not cross-appealed from any of these findings. We affirm.

Because defendant has not appealed the circuit’s court’s finding that plaintiff was an insured under its policy, we take this fact as established. Consequently, we need not focus on how the accident occurred, but rather, the procedural development of this case.

Following the accident, plaintiff made claim against Williams’ insurer, which paid plaintiff its full $15,000 liability limit to plaintiff. Plaintiff also notified defendant that she was making a claim under Universal’s policy for “medical payments” and UIM benefits. Defendant subsequently tendered $1,000 to plaintiff under the policy’s medical payments coverage. On August 13, 1985, plaintiff notified defendant of her intent to accept Williams’ insurer’s tender of $15,000. Defendant did not respond and refused to tender a copy of Universal’s policy in effect at the time of the accident. On December 26, 1985, plaintiff filed the instant action.

Plaintiff’s breach of contract claim alleges that she had been an occupant of a vehicle which defendant insured. At the time she was struck by Williams, plaintiff was about to enter the insured vehicle, which qualified her to be an “insured” under defendant’s policy. Plaintiff alleged that she received $15,000 in benefits from Williams’ insurer and that defendant has refused to pay her any UIM benefits. Plaintiff asserted that defendant’s refusal amounted to a breach of contract.

Significantly, plaintiff’s complaint contains no allegations that defendant failed to offer Universal increased uninsured (UM) and/or UIM benefits, or that the policy in question should be reformed to include UM/UIM benefits in the amount of the policy’s bodily injury/liability limits, which are $500,000. Plaintiff has never sought to amend her complaint.

Defendant’s amended answer admitted issuing a policy to Universal, but denied all material allegations of plaintiff’s complaint. Defendant’s affirmative defenses included one seeking to limit its exposure to the $30,000 UIM coverage less a setoff of $15,000.

Defendant subsequently moved for summary judgment. In this motion, defendant argued it was entitled .to judgment as a matter of law because plaintiff could not maintain a breach of contract action against defendant absent contractual privity. Defendant alternatively argued that its liability under the UIM coverage was limited to the $30,000 UIM coverage limit, less a $15,000 setoff.

At the summary judgment hearing, the circuit court dismissed plaintiff’s complaint sua sponte without prejudice on the basis that it was premature in that plaintiff had failed to seek arbitration of her UIM claim.

Plaintiff moved for a rehearing. Upon rehearing September 20, 1991, the court ruled orally that it was vacating its prior ruling, that plaintiff did not have to proceed to arbitration to preserve her rights; that plaintiff failed to allege that a proper tender of UM coverage had not been made; that UIM coverage was to be implied in the same amount as UM coverage, namely $30,000; that plaintiff was a covered party; and that defendant was entitled to a $15,000 setoff. The court’s subsequent final order included all of its oral rulings except its arbitration finding and plaintiff’s failure to allege an improper offer.

Plaintiff’s notice of appeal seeks reversal of the circuit court's judgment that defendant’s UIM exposure was $30,000. Plaintiff also seeks this court “to find that St. Paul failed to properly offer higher limits of coverage and hold the- applicable limit to equal the limit of bodily injury coverage, or alternatively to remand the cause for trial on all issues.” Defendant has filed no cross-appeal.

This case presents itself in an unusual posture. Plaintiff filed a breach of contract action, yet she now asks this court to view it as one seeking declaratory relief and reformation of the policy based upon defendant’s alleged failure to offer higher limits of UM/UIM coverage to Universal. We are thus faced with the issue of whether plaintiff’s breach of contract theory of recovery encompasses a claim that defendant wrongfully failed to offer higher limits of UM and/or UIM benefits to Universal.

Only a generous judicial view of a breach of contract action will allow plaintiff to pursue, as part of that action, a claim that defendant failed to offer higher limits of UM and/or UIM benefits. The cases which have addressed these latter types of claims are declaratory relief actions seeking reformation of the policy to imply a higher level of UM and/or UIM coverage. These actions contain allegations of an improper offer of higher UM/UIM limits. (See Taruc v. State Farm Mutual Automobile Insurance Co. (1991), 218 Ill. App. 3d 51, 578 N.E.2d 134; Bernier v. Transamerica Insurance Co. (1991), 215 Ill. App. 3d 118, 574 N.E.2d 873; Orr v. Illinois Farmers Insurance Co. (1991), 210 Ill. App. 3d 1015, 569 N.E.2d 619; Rutter v. Horace Mann Insurance Co. (1989), 190 Ill. App. 3d 467, 545 N.E.2d 1381; Krska v. Allstate Insurance Co. (1987), 162 Ill. App. 3d 549, 515 N.E.2d 1304.) As noted, plaintiff’s complaint is silent on the matter of improper offers.

Admittedly, a breach of contract action predicated on the wrongful withholding of insurance benefits necessarily requires a court to ascertain the meaning of the insurance policy. To this extent, a breach of contract action overlaps with a declaratory judgment action. However, the breach of contract action allows the court only to interpret the language as written. A declaratory judgment action which seeks reformation of the policy based on an improper UM/UIM offer goes well beyond this by invoking a court’s equitable powers.

In this case, plaintiff should have amended her complaint once she discovered that defendant potentially failed to properly offer higher limits of UM and/or UIM coverages.

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618 N.E.2d 330, 248 Ill. App. 3d 52, 187 Ill. Dec. 739, 1993 Ill. App. LEXIS 197, Counsel Stack Legal Research, https://law.counselstack.com/opinion/harris-v-st-paul-fire-marine-insurance-illappct-1993.