Kahn v. Aetna Casualty & Surety Co.

542 N.E.2d 878, 186 Ill. App. 3d 803, 134 Ill. Dec. 532, 1989 Ill. App. LEXIS 1137
CourtAppellate Court of Illinois
DecidedJuly 27, 1989
DocketNo.1—88—2230
StatusPublished
Cited by6 cases

This text of 542 N.E.2d 878 (Kahn v. Aetna Casualty & Surety Co.) 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
Kahn v. Aetna Casualty & Surety Co., 542 N.E.2d 878, 186 Ill. App. 3d 803, 134 Ill. Dec. 532, 1989 Ill. App. LEXIS 1137 (Ill. Ct. App. 1989).

Opinion

JUSTICE LINN

delivered the opinion of the court:

Defendant, the Aetna Casualty and Surety Company, issued an automobile insurance policy to plaintiff Hope Hughes. Hughes and a passenger were subsequently involved in an automobile accident. Hughes and the other plaintiff, Paula Kahn, administrator of the passenger’s estate, claimed benefits pursuant to the underinsured motorist provision of the policy.

Plaintiffs then brought this declaratory judgment action in the circuit court of Cook County against Aetna. Plaintiffs sought a declaration that the policy’s underinsured motorist coverage extended to the insured’s total damages, reduced by any payment by the tortfeasor. The trial court granted Aetna judgment on the pleadings, finding that the policy’s underinsured motorist coverage extended only to the policy’s limit of liability, reduced by any payment by the tortfeasor. Plaintiff appeals, assigning error to the trial court’s findings and judgment.

We affirm the judgment of the trial court.

Background

The pleadings allege that on March 17, 1986, Hughes and her passenger, Donna Sclafani, were involved in an automobile accident near 2700 North Lake Shore Drive in Chicago, Illinois. Another automobile struck Hughes’ vehicle, causing serious injuries to Hughes and Sclafani, which resulted in Sclafani’s death. The insurers of the tortfeasors paid each plaintiff $39,900, which was the total amount of coverage available to the tortfeasors.

Plaintiffs made a claim to Aetna for benefits pursuant to the policy’s underinsured motorist coverage. The policy states in pertinent part:

“UNDERINSURED MOTORISTS COVERAGE
We will pay damages which a covered person is legally entitled to recover from the owner or operator of an underinsured motorist vehicle because of bodily injury sustained by a covered person and caused by an accident. *** * * *
LIMIT OF LIABILITY
The limit of liability shown in the Declarations under Uninsured Motorists ($50,000 per person/$100,000 per accident) is our maximum limit of liability under this coverage for all damages resulting from any one accident. This is the most we will pay regardless of the number of premiums shown in the declarations or vehicles involved in the accident.
* * *
Any amounts otherwise payable for damages under this coverage shall be reduced by:
1. all sums paid because of the bodily injury by or on behalf of persons or organizations who may be legally responsible. This includes all sums paid under the Liability Coverage of this policy ***.” (Emphasis added.)

Aetna paid $10,100 to each plaintiff as the benefits due under the policy’s underinsured motorist coverage.

Plaintiffs brought this declaratory judgment action, seeking a declaration that the policy’s underinsured motorist coverage extended to the insured’s total damages, reduced by any payment by the tortfeasor. Aetna answered and subsequently moved for judgment on the pleadings; plaintiffs moved for summary judgment.

At the close of a hearing on these motions, the trial court granted Aetna judgment on the pleadings and denied plaintiffs’ motion for summary judgment. The trial court found that the policy’s underinsured motorist coverage extended only to the policy’s limit of liability, reduced by any payment by the tortfeasor. Since the policy’s limit of liability was $50,000 per person, and since each plaintiff received $39,900 from the tortfeasors, then Aetna’s payment of $10,100 was correct under the terms of the policy. Plaintiffs appeal.

Opinion

A motion for judgment on the pleadings (Ill. Rev. Stat. 1987, ch. 110, par. 2 — 615(e)) requires a determination of whether the pleadings raise any genuine issue of material fact and, if not, whether the moving party is entitled to judgment as a matter of law. (City of Chicago v. Mendelson (1973), 14 Ill. App. 3d 950, 954-55, 304 N.E.2d 16, 19.) The motion admits all well-pled facts and all fair inferences to be drawn from the pleadings of the opposing party. Quaintance Associates, Inc. v. PLM, Inc. (1981), 95 Ill. App. 3d 818, 821, 420 N.E.2d 567, 569.

At oral argument in this court, plaintiffs correctly noted that the resolution of this controversy turns on the meaning of the insurance policy. Plaintiffs contend that Aetna and the trial court distort the plain language of the policy. Plaintiffs argue that Aetna erroneously established its coverage “by first considering the limitations of coverage rather than the grant of coverage.” (Emphasis in original.)

Rather, plaintiffs contend that the phrase “[a]ny amounts otherwise payable for damages under this coverage” refers to the grant of coverage found at the beginning of the policy. There, Aetna promises to “pay damages which a covered person is legally entitled to recover.” Plaintiffs argue that the phrase does not include the limit of liability provision ($50,000 per person/$100,000 per accident) because that provision is “used elsewhere in the policy for special purposes and with specific intent.” Since the limit of liability provision is not used in the disputed phrase, plaintiffs infer that Aetna did not intend to include the provision within the meaning of the phrase. Aetna, rather, intended something different than “limit of liability” with the language it did use.

A court will resolve any ambiguity or uncertainty in an insurance policy against the insurer; however, this does not alter the principle that insurance policies are contracts and the general rules of construction that apply to other contracts also apply to insurance policies. Whether an ambiguity exists is a question of law for the court to determine. Where the language of the policy is clear and unambiguous, the court must take it in its plain, ordinary, and popular sense, and the court must determine the intent of the parties solely from the language used. Accordingly, we must examine the entire policy in the present case and interpret its pertinent parts in light of the whole document to determine whether there exists any ambiguity or uncertainty in the language at issue. Ohio Casualty Insurance Co. v. Tyler (1980), 85 Ill. App. 3d 410, 412, 407 N.E.2d 77, 79.

After examining the entire policy, we find no ambiguity or uncertainty in its language. Further, we reject plaintiffs’ interpretation of the policy. The problem with plaintiffs’ argument is that it does not consider the entire policy as a whole. Indeed, plaintiffs attempt to locate, categorize, and isolate the limit of liability provision, so that they may argue that it is not included in the phrase “[a]ny amounts otherwise payable for damages under this coverage.”

The trial court was correct in rejecting plaintiffs’ argument.

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Cite This Page — Counsel Stack

Bluebook (online)
542 N.E.2d 878, 186 Ill. App. 3d 803, 134 Ill. Dec. 532, 1989 Ill. App. LEXIS 1137, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kahn-v-aetna-casualty-surety-co-illappct-1989.