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

CourtAppellate Court of Illinois
DecidedJanuary 9, 2008
Docket4-07-0472 Rel
StatusPublished

This text of Illinois Non-Profit Risk Management Association v. Human Services Center of Southern Metro-East (Illinois Non-Profit Risk Management Association v. Human Services Center of Southern Metro-East) 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
Illinois Non-Profit Risk Management Association v. Human Services Center of Southern Metro-East, (Ill. Ct. App. 2008).

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

- 2 - 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

- 3 - 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

- 4 - 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,

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