Kufalk v. Hart

636 F. Supp. 309, 33 Educ. L. Rep. 268, 1986 U.S. Dist. LEXIS 24935
CourtDistrict Court, N.D. Illinois
DecidedMay 28, 1986
Docket84 C 20077
StatusPublished
Cited by12 cases

This text of 636 F. Supp. 309 (Kufalk v. Hart) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kufalk v. Hart, 636 F. Supp. 309, 33 Educ. L. Rep. 268, 1986 U.S. Dist. LEXIS 24935 (N.D. Ill. 1986).

Opinion

ORDER

ROSZKOWSKI, District Judge.

Before the court are cross-motions for summary judgment on behalf of defendant-third party plaintiff Steven Nordquist and third party defendant Economy Preferred Insurance Company. For the reasons stated herein, Economy’s motion is denied; Nordquist’s motion is granted to the extent it requests that Economy be ordered to provide him a defense to this action.

BACKGROUND

In the main action in this case, plaintiff seeks to hold defendant Nordquist and other School of Hope board members liable pursuant to 42 U.S.C. § 1983 for injuries that he suffered as a result of his allegedly wrongful termination as Director of the School of Hope. The underlying facts are fully set forth in this court’s March 18, 1983, order and need not be repeated here. The instant motions are brought to determine whether Economy Preferred Insurance Company (“Economy”) owes Nordquist a defense to this action under Nordquist’s general liability insurance policy.

DISCUSSION

The Illinois law governing this insurance coverage dispute is in theory quite straightforward. As stated in LaRotunda v. Royal Globe Insurance Co., 87 Ill.App.3d 446, 42 Ill.Dec. 219, 224, 408 N.E.2d 928, 933 (1st Dist.1980) (citations omitted) (emphasis in original):

An insurer which contracts to defend its insured must defend any action brought against the insured if the complaint sets forth allegations that bring the claims within or potentially within the risk covered by the policy. The threshold that the complaint must satisfy to present a claim of potential coverage is low. Where there is doubt as to coverage, it is to be resolved in favor of the insured. The complaint must be liberally construed and the insurer is required to defend any claim under the pleadings which might possibly fall within the scope of the policy coverage. That the allegations are groundless, false or fraudulent is of no moment. The insurer can safely and justifiably refuse to defend only when the allegations clearly show on their face that the claim is beyond policy coverage, for the duty to defend is broader than the duty to pay.

The search for potential coverage is thus determined by liberal review of the allegations of the complaint, with consideration of even “groundless, false or fraudulent” allegations.

In Associated Indemnity Co. v. INA, 68 Ill.App.3d 807, 25 Ill.Dec. 258, 386 N.E.2d 529 (1st Dist.1979), the Illinois appellate court expanded the relevant factual inquiry beyond the complaint to include “true but unpleaded facts” within the insurer’s knowledge.

[E]ven though the complaint, standing alone, may not fairly apprise the insurer *311 that the third party is suing the putative insured on an occurence potentially within the policy’s coverage, the insurer is obligated to conduct the putative insured’s defense if the insurer has knowledge of true but unpleaded facts, which, when taken together with the complaint’s allegations, indicate that the claim is within or potentially within the policy’s coverage. While no Illinois court to our knowledge has yet had an occasion to consider this latter principle, it has been recognized by other jurisdictions. To hold otherwise would allow the insurer to construct a formal fortress of the pleadings and to retreat behind its walls, thereby sucecessfully ignoring true but unpleaded facts within its knowledge that require it, under the insurance policy, to conduct the putative insured’s defense.

25 Ill.Dec. at 265, 386 N.E.2d at 535.

The Associated Indemnity court stopped short of requiring an insurer to conduct an independent investigation of the facts underlying the complaint, ruling only that:

an insurance carrier may not ignore unpleaded facts within its knowledge which it knows to be correct and which, when taken together with the complaint’s allegations, indicates that the claim asserted against the putative insured is potentially within the coverage of the insurance policy.

25 Ill.Dec. at 266, 386 N.E.2d at 537 (emphasis in original). The court was also careful to point out that it did not face:

a situation ... where the insurer was informed of certain “alleged” extraneous facts by, e.g., the insured, which the insurer has no way of knowing were in fact correct. To hold the insurer to such facts would amount to a requirement of a reasonable investigation, since the insurer could not reasonably rely on what it was told the “actual” facts were and yet if it did nothing, and the facts proved to be correct, it would be open to possible liability for refusing to tender a defense.

Id. at 265 n. 5, 386 N.E.2d at 536 n. 5. Such an investigation could be undertaken and the insurer would then be bound by its discoveries, see LaRotunda, 42 Ill.Dec. at 225, 408 N.E.2d at 928; an investigation was not however required.

The policy that Nordquist has with Economy provides that:

If a claim is made or suit is brought against any insured for damages because of bodily injury or property damage to which this coverage applies, [Economy] will: (a) Pay up to our limit of liability for the damages for which the insured is legally liable; and (b) provide a defense at our expense by counsel of choice.

“Bodily injury” is defined within the policy as “bodily harm, sickness or disease, including care, loss of services, and death resulting therefrom.” While Nordquist initially argues that the allegations in the complaint that plaintiff’s discharge has caused him to sustain emotional rigor and mental distress arguably fall within the policy’s definition of “bodily injury”, the only two courts to this court’s knowledge to have considered this contention have rejected it. See, e.g., Farm Bureau Mutual Insurance Co. of Michigan v. Hoag, 136 Mich.App. 326, 356 N.W.2d 630 (1984); Rolette County v. Western Casualty & Surety Co., 452 F.Supp. 125 (D.N.D.1978).

During the pendency of these motions, plaintiff’s deposition was taken. Plaintiff testified that because of his discharge he now has high blood pressure and is on medication. Plaintiff also claims that he has had a knee operation with subsequent arthritis, a fractured cheek bone, and a hand injury. Plaintiff alleges that these injuries are all causually related to his discharge. Plaintiff further claims that since his discharge he has suffered bouts of depression resulting in general lethargy, headaches, stomach pains and diarrhea.

Nordquist brings these allegations to the court’s attention to further support his claim that plaintiff’s injuries constitute “bodily injuries” within the meaning of the insurance policy.

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Bluebook (online)
636 F. Supp. 309, 33 Educ. L. Rep. 268, 1986 U.S. Dist. LEXIS 24935, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kufalk-v-hart-ilnd-1986.