Illinois Baptist State Ass'n v. Department of Insurance

2025 IL App (4th) 241282-U
Appellate Court of Illinois·Decided October 1, 2025·No. 4-24-1282·Unpublished

Opinion

NOTICE 2025 IL App (4th) 241282-U This Order was filed under FILED

NO. 4-24-1282 October 1, 2025 Supreme Court Rule 23 and is Carla Bender

not precedent except in the th IN THE APPELLATE COURT 4 District Appellate limited circumstances allowed Court, IL

under Rule 23(e)(1).

OF ILLINOIS

FOURTH DISTRICT

ILLINOIS BAPTIST STATE ASSOCIATION, ) Appeal from the an Illinois Not-for-Profit Corporation, ) Circuit Court of Plaintiff-Appellant, ) Sangamon County v. ) No. 20MR325 THE DEPARTMENT OF INSURANCE, )

Defendant-Appellee. ) Honorable ) Christopher G. Perrin, ) Judge Presiding.

JUSTICE LANNERD delivered the judgment of the court.

Justices Steigmann and Vancil concurred in the judgment.

Justice Steigmann also specially concurred.

ORDER

¶ 1 Held: The trial court did not err by granting defendant’s motion for summary judgment on plaintiff’s claim the Illinois abortion insurance coverage mandate violated the Illinois Religious Freedom Restoration Act because plaintiff’s religious beliefs were not substantially burdened by the mandate.

¶2 On May 17, 2024, plaintiff, the Illinois Baptist State Association (Association), and defendant, the Department of Insurance (Department), filed cross-motions for summary judgment on the Association’s claim the abortion insurance coverage mandate (mandate) found in section 356z.4a of the Illinois Insurance Code (215 ILCS 5/356z.4a (West 2020)), which was enacted as part of the Reproductive Health Act (Pub. Act 101-13 (eff. Jun. 12, 2019)), violated the Illinois Religious Freedom Restoration Act (IRFRA) (775 ILCS 35/1 to 99 (West 2020)). On September 4, 2024, the trial court granted the Department’s motion for summary judgment, ruling the mandate did not substantially burden the Association’s religious beliefs. The Association appeals, arguing

the mandate violates its rights under the IRFRA by coercing the Association to provide abortion coverage to its employees. We affirm.

¶3 I. BACKGROUND

¶4 On June 10, 2020, the Association, along with two other corporations (Southland Smiles, Ltd., and Rock River Cartage, Inc.) and the respective owners of those two corporations (Dr. Richard Mantoan and Curt House), filed a two-count complaint for declaratory and injunctive relief against the Department and the Department’s director, Robert Muriel, both in his individual and official capacity. The complaint sought judicial review of the mandate, which states, in part:

“(a) Except as otherwise provided in this Section, no individual or group policy of accident and health insurance that provides pregnancy-related benefits may be issued, amended, delivered, or renewed in this State after the effective date of this amendatory Act of the 101st General Assembly unless the policy provides a covered person with coverage for abortion care.” 215 ILCS 5/356z.4a (West 2020).

Plaintiffs alleged the mandate violated their rights under the IRFRA and the Health Care Right of Conscience Act (Conscience Act) (745 ILCS 70/1 to 14 (West 2020)).

¶5 The Association alleged it had a sincere religious belief abortion is gravely wrong and sinful because it involves the destruction of human life. Further, the Association alleged it “cannot facilitate access to, subsidize, or otherwise materially cooperate with the provision of abortion without violating their conscience and most sacred and solemn obligations to God, betraying their professed religious faith, and disserving the best interests of their fellow human beings.”

¶6 According to the Association, it provided health insurance coverage, including pregnancy-related benefits, to more than 20 employees through a third-party insurer prior to the

enactment of the Reproductive Health Act. The Association alleged it had a religious and moral duty to provide health insurance to its employees and wanted to continue providing this coverage but did not want to provide insurance coverage for abortions or other products and services that violated its religious beliefs. However, because of the mandate, the Association claimed the Department was coercing the Association to violate its religious beliefs by requiring abortion coverage in the health insurance policy the Association purchased.

¶7 On September 8, 2020, defendants filed a motion to dismiss the complaint pursuant to section 2-619.1 of the Code of Civil Procedure (735 ILCS 5/2-619.1 (West 2020)). Defendants argued plaintiffs lacked standing and the claims against Director Muriel in his individual capacity were barred by common law public official immunity. In addition, defendants argued plaintiffs failed to state a claim for relief under the IRFRA and the Conscience Act because plaintiffs had not and could not allege a substantial burden on their religious beliefs because neither the mandate nor the Conscience Act applied to them.

¶8 On April 5, 2021, the trial court granted defendants’ motion to dismiss but allowed plaintiffs to file an amended complaint.

¶9 On May 3, 2021, plaintiffs filed their first amended complaint and named the Department as the only defendant. Once again, the amended complaint contained counts alleging the mandate violated the IRFRA (count I) and the Conscience Act (count II).

¶ 10 On June 30, 2021, the Department moved to dismiss plaintiffs’ Conscience Act claim pursuant to section 2-615 of the Code of Civil Procedure (id. § 2-615), arguing the claim in the amended complaint suffered from the same deficiency as the initial complaint because plaintiffs were not “ ‘health care payers’ ” entitled to protection under the Conscience Act. On September 21, 2021, the trial court agreed and dismissed plaintiffs’ Conscience Act claim with

prejudice.

¶ 11 In March 2023, the trial court granted a motion by Rock River Cartage, Inc., and Curt House to voluntarily dismiss their claim against the Department without prejudice. Then, in January 2024, the court allowed Southland Smiles, Ltd., and Richard Mantoan to voluntarily dismiss their claims without prejudice. As a result, only the Association’s claim alleging a violation of the IRFRA remained.

¶ 12 On April 5, 2024, the trial court entered an agreed order, which stated the Association and the Department had “engaged in fact discovery” and agreed the case could “be fully resolved with dispositive motion practice.” However, the parties reserved the right to engage in expert discovery if their motions for summary judgment were denied. On May 17, 2024, both the Association and the Department filed motions for summary judgment and later filed responses to each other’s motions.

¶ 13 The Department argued the mandate only applied to insurance products it regulated and it did not regulate all the insurance products available to the Association. According to the Department, the mandate did not substantially burden the Association’s exercise of its religion. Further, even if the Association could establish the mandate substantially burdened the exercise of its religion, the Department contended the mandate furthered a compelling government interest by allowing equitable access to a medical procedure and was the least restrictive manner of effectuating that compelling interest.

¶ 14 The Department noted the Association had purchased health insurance from GuideStone Financial Resources (GuideStone)—a Southern Baptist entity based in Dallas, Texas, that provides insurance and financial products to Southern Baptist organizations like plaintiff— for approximately 40 years, until 2019. Jeff Deasy, who had been the Association’s administrative

director of operations since 2016, testified the Association had purchased health insurance plans without abortion coverage from GuideStone for as long as he could remember prior to 2019. The health insurance products the Association purchased through GuideStone were not subject to the Department’s regulations.

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