Illinois Non-Profit Risk Management Association v. Human Services Center of Southern Metro-East

Appellate Court of Illinois·Decided January 9, 2008·No. 4-07-0472 Rel·Published

Opinion

NO. 4-07-0472 Filed 1/9/08 IN THE APPELLATE COURT

OF ILLINOIS

FOURTH DISTRICT

ILLINOIS NON-PROFIT RISK MANAGEMENT ) Appeal from ASSOCIATION, ) Circuit Court of Plaintiff, ) Sangamon County v. ) Nos. 03L34 HUMAN SERVICE CENTER OF SOUTHERN ) 03L35 METRO-EAST, TRADE INDUSTRIES, CAREER ) 03L75 DEVELOPMENT CENTER, FIVE STAR ) 03LM341 INDUSTRIES, and LAWRENCE CRAWFORD ) 03LM511 ASSOCIATION FOR EXCEPTIONAL CITIZENS, ) 05LM1345 Defendants and Third-Party )

Plaintiffs-Appellants, )

v. )

RISK MANAGEMENT ADMINISTRATORS, INC., ) STANLEY W. MURRAY, DAVID STOVER, ) KENNETH BEST, GREG SHAVER, THOM ) POLLOCK, DAVID BAKER, ARLAN McCLAIN, ) and JO McVEY, ) Honorable Third-Party Defendants- ) Leslie J. Graves, Appellees. ) Judge Presiding.

JUSTICE TURNER delivered the opinion of the court:

Defendants and third-party plaintiffs (pool members), Human Service Center of Southern Metro-East, Trade Industries, Career Development Center, Five Star Industries, and Lawrence Crawford Association for Exceptional Citizens (Lawrence Crawford) appeal from the dismissal with prejudice and without leave to amend their third-party complaint concerning a workers' compensa- tion self-insurance pool against third-party defendants, Risk Management Administrators, Inc. (RMA); Stanley W. Murray; David Stover; Kenneth Best; Greg Shaver; Thom Pollock; David Baker; Arlan McClain; and Jo McVey.

On appeal, the pool members argue the trial court erred

in dismissing their claims against third-party defendants. We affirm.

I. BACKGROUND

Plaintiff, Illinois Non-Profit Risk Management Associa-

tion (INRMA), is a group workers' compensation self-insurance pool organized under the Illinois Insurance Code (Insurance Code) (215 ILCS 5/107a.04 (West 2002)). The pool members are five former insureds of the pool. RMA is the pool's administrator. Murray was the president of RMA. Stover, Best, Shaver, McClain, McVey, Pollock, and Baker were directors and trustees (trustees) of INRMA.

The pool members are not-for-profit agencies providing rehabilitation services to Illinois residents with physical and mental disabilities. At various times, pool members entered into pooling agreements with INRMA that provided the pool members with workers' compensation insurance coverage. The pooling agreements provided each pool member shall make annual contributions or premiums to the pool. Annual contributions were determined by using standard Insurance Code rates and each member's experience- modification factor. A deposit in the amount of 25% of the estimated annual contribution was due at the beginning of each pool year. Along with the annual contributions, pool members were subject to assessments, as necessary, for additional contri- butions on a pro rata basis of annual contributions. Assessments were levied when the loss experience exceeded the total net premiums collected. The pooling agreement provided members were

liable for these year-end assessments for a three-year period regardless of whether they renewed their membership in the pool for the following year.

In February and March 2003, INRMA filed separate complaints against these five pool members for failure to pay the year-end assessments in breach of the parties' pooling agree- ments. Each pool member filed answers and counterclaims against INRMA and brought third-party actions against Murray, RMA, and the trustees. The cases were eventually consolidated.

In January 2005, the pool members, excluding Lawrence Crawford, filed a second-amended third-party complaint against Murray, RMA, and the trustees. Lawrence Crawford filed its third-party complaint in February 2005. The complaints set forth claims of breach of fiduciary duty (RMA and Murray) (count I), fraud (RMA and Murray) (count II), negligent misrepresentation (RMA and Murray) (count III), civil conspiracy (RMA and Murray) (count IV), breach of contract (RMA) (count V), and breach of fiduciary duty (trustees) (count VI). Count III was voluntarily withdrawn.

The third-party complaints alleged the pool members paid all annual contributions required under the pooling agree- ment. By 1999, the pool had developed a deficit and INRMA levied a $2 million assessment against the pool members. At that time, RMA, Murray, and the trustees allegedly represented to pool members that INRMA did not have a cash-flow problem, and the $2 million was not to pay operating expenses or claims losses but

would be set aside with interest being returned to the pool. The dispute arose when INRMA levied three "extraordinary assess- ments," including $2 million in 2001, $3 million in 2002, and an additional $3.6 million dissolution assessment in 2002. The pool members refused to pay the additional assessments. INRMA ceased writing workers' compensation coverage in April 2002. The pool members alleged Murray, Stover, and others engaged in a scheme to deceive INRMA members about the true performance of the pool by manipulating INRMA's finances and making public statements about INRMA's financial performance that were false and misleading.

The third-party complaints alleged INRMA made payments of $161,740 in 1996 and $102,728 in 1997 to Risk Management Solutions, Inc. (RMS), despite Murray's letter to the Illinois Department of Insurance that RMS did not have operational employ- ees or staff and did not perform services for INRMA during 1996 and 1997. The pool members also alleged INRMA paid $59,836 to FIRM, Inc., for promotional and newsletter services. The news- letters allegedly encouraged brokers of the pool to divert "good risk" existing and potential pool members from INRMA to a work- ers' compensation insurance entity controlled by Murray. The pool members alleged RMA, Murray, and the trustees participated in and approved the diversion of "good risk" members from the pool.

The third-party complaints alleged RMA owed a fiduciary duty to the pool members and breached that duty by, inter alia, misrepresenting the financial condition of the pool to pool

members. In the civil-conspiracy count, the pool members alleged RMA contracted with Ernst & Young to provide accounting services for INRMA. RMA and Murray then allegedly conspired with Ernst & Young to prepare inaccurate, untruthful, and deceptive reports for the purpose of misrepresenting the true financial condition of the pool. The pool members alleged they suffered damage in excess of $260,000, collectively, based on extraordinary and unwarranted assessments.

In January 2006, the trustees filed a motion to dismiss count VI of the second-amended third-party complaint pursuant to section 2-615 of the Code of Civil Procedure (Procedure Code) (735 ILCS 5/2-615 (West 2006)). The trustees argued the pool members could not maintain an action against them for breach of fiduciary duty, and even if they could, the complaint failed to allege facts sufficient to establish a fiduciary relationship.

RMA and Murray also filed a motion to dismiss counts I, II, IV, and V pursuant to section 2-619.1 of the Procedure Code (735 ILCS 5/2-619.1 (West 2006)). RMA and Murray argued the pool members' claim for breach of fiduciary duty in count I was barred by the doctrines of res judicata and collateral estoppel based on this court's decision in Illinois Non Profit Risk Management Ass'n v. Support Systems & Services, Inc., No. 4-05-0161 (October 21, 2005) (unpublished order under Supreme Court Rule 23) (here- inafter SSS). Count II's allegation of fraud was subject to dismissal because it was not pled with sufficient particularity and specificity. Further, counts IV and V failed to state a

cause of action.

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