Lexington Insrance Co. v. Horace Mann Insurance Co.

186 F. Supp. 3d 920, 2016 U.S. Dist. LEXIS 64757, 2016 WL 2977169
CourtDistrict Court, N.D. Illinois
DecidedMay 13, 2016
DocketNo. 11 CV 2352
StatusPublished
Cited by2 cases

This text of 186 F. Supp. 3d 920 (Lexington Insrance Co. v. Horace Mann Insurance Co.) 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
Lexington Insrance Co. v. Horace Mann Insurance Co., 186 F. Supp. 3d 920, 2016 U.S. Dist. LEXIS 64757, 2016 WL 2977169 (N.D. Ill. 2016).

Opinion

OPINION AND ORDER

CHARLES RONALD NORGLE, United States District Court Judge

Plaintiff Lexington Insurance Company (“Lexington”), a professional malpractice insurer, filed this action in 2011 against Defendant/Third-Party Plaintiff Horace Mann Insurance Company (“Horace Mann”), an automobile insurance provider. Lexington seeks a determination that it had no duty to indemnify its insured, Horace Mann, for a loss that Horace Mann encountered. Horace Mann has filed a counterclaim against Lexington and a third-party complaint against its insurance broker, Third-Party Defendant Aon Risk Insurance Services, Inc. (“Aon”), After the parties concluded their presentations of the evidence at a jury trial, Lexington, Horace Mann, and Aon each moved for judgment as a matter of law pursuant to Federal Rule of Civil Procedure 50. For the following reasons, Lexington’s and Aon’s motions are granted, and Horace Mann’s motions are denied.

I. BACKGROUND

A. The Burley Litigation

A motor vehicle accident that occurred on May 16, 2008, in Tampa, Florida has engendered this snarled litigation between the three insurance companies. Christo[923]*923pher Drake- (“Drake”), who had an auto insurance policy with Horace Mann,.was involved in a car accident with Joseph Burley (“Burley”). Burley was riding a motorcycle and Drake was driving a SUV. Burley was severely injured in the accident and air-lifted in a helicopter to Tampa General Hospital for treatment. Drake was issued a traffic citation at the scene. Horace Mann created a claim for the accident the next day.

On June 30, 2008, Horace Mann received a letter from Burley’s .attorney, Gene Odom (“Odom”). The letter offered to settle the entire claim for the bodily injury limits of Drake’s insurance policy—$25,-000—if Horace Mann tendered .a check within twenty days of the letter, which was dated June 26, 2008. The letter included an exchange-of-information form that had been filled out at the scene of the accident, pictures of Burley’s bodily injuries (his mouth was wired shut and his right arm and leg were casted), and pictures of the damage to Burley’s motorcycle, helmet, and jacket. The letter noted that medical records were not yet available, but that the bills would likely exceed $25,000. Horace Mann responded before the twenty days elapsed and acknowledged that it was willing to settle the case for the policy limit, but needed to receive Burley’s hospital records before settling. Horace Mann did not receive the medical records within the twenty days and therefore did not tender a settlement check to Odom’s office.

On August 14, 2008, Horace Mann received a copy of the lawsuit (the “Burley Litigation”) that had been filed on Burley’s behalf against Drake in Hillsborough County, Florida. As reflected in a December 18, 2009 report, Horace Mann realized that Odom’s June 26, 2008 letter was sent as a “bad faith ‘set up’ ” that could expose Horace Mann, not Drake, to extracontrac-tual liability (“ECL”) beyond the $25,000 policy limits. Trial Ex. HM 25, at 11, ECF No. 469-5. -

The jury trial in the Burley Litigation began on January 31, 2011. After a five day trial, the jury returned a $17 million verdict in favor of Burley, which consisted of $1.4- million for special damages and $ 15.6 million for pain and suffering. Drake’s counsel filed post-trial motions, including a motion for remittitur, on February 14, 2011, and a hearing on the motions was set for March 23, 2011, which was continued to March 30, 2011.

On March 3, 2011, Odom sent an email proposing settlement to Alan Nisberg (“Nisberg”)—the attorney who prepared the December 18, 2009 report and was responsible for managing Horace Mann’s prospective ECL matter. In the email, Odom stated:

As you know, we are facing post-trial motions, appeal and the necessary next collection step of bad faith litigation.
$ $ $
I told you last night that our initial offer to settle this case would be the face value of the judgment, or $17 million. I have confirmed that my client is willing to negotiate from that number. In order to get this'case resolved, wherein your client can gain the benéfit of the discount, we should work towards doing this within the upcoming few days. I look forward to hearing from you.

Ex. D to Lexington’s R. 50(a) Mot. J. Matter Law Favor Counts I & II Horace Mann’s Countercl., at 3, ECF No. 465-4. Nisberg forwarded the email to Jeff Strickland, Claims Manager for Horace Mann, and Jay Fylak, Litigation Claims Consultant for Horace Mann, minutes after receiving the email. Horace Mann arranged for a settlement conference with Odom, which occurred on March 23, 2011, via telephone. After several rounds of negotiations, Horace Mann settled the Bur-[924]*924ley Litigation for $7 million; and on April 7, 2011, Horace Mann wired the funds to Odom’s office.

1. Horace Mann’s insurance policy with Lexington.

In 2010, Horace Mann purchased an “Insurance Company Professional Liability Insurance Policy” (the “Policy”) from Lexington. Ins. Co. Profl Liab. Ins. Policy 11, ECF No. 1-1 [hereinafter the “Policy”]. A professional liability policy is commonly referred to as an “Errors and Omissions” or “E&O” policy and its purpose is to insure against losses incurred via mistakes made during the professional representation of a client. This Policy is the document governing the dispute between Horace Mann and Lexington and the relevant provisions of the Policy are below.

Under the Policy, Lexington agreed to “pay the Loss of the Insured arising from a Claim first made against the Insured during the Policy Period and reported in writing to the Company during the Policy Period ... for any actual or alleged Wrongful Act of the Insured in the rendering of or failure to render Professional Services_” Policy 11, cl. 1. Most of the contract terms in the previous sentence are easily defined and are not in dispute. As applied to the Burley Litigation, “Loss” is $5,975,000 (the $7 million settlement minus the $1 million Retention and the $25,000 bodily injury limit paid under Drake’s policy), “Insured” is Horace Mann, the “Policy Period” is September 28, 2010 through September 28, 2011, the “Company” is Lexington, and the “Wrongful Act” is the ECL, or bad faith damages, that Horace Mann incurred for having not settled the Burley Litigation for the $25,000 policy limit when it was initially offered.

What has been, and remains, a hotly-contested issue throughout the present litigation is the definition of a “Claim.” Clause 3 of the Policy defines a “Claim” as:

1. a written demand for monetary damages 1; or
2. a judicial, administrative, arbitration, or other alternative dispute proceeding in which monetary damages are sought.

Policy 11, cl. 3. For Lexington to be obligated to indemnify Horace Mann, Horace Mann had to notify Lexington of a Claim made against it. Clause 8 of the Policy, titled “Notice/Claims Reporting Provisions,” provided the actions required of Horace Mann to properly give notice to Lexington. Endorsement #12 replaced Clause 8 of the Policy “in its entirety,” and the portions relevant to this case are stated as follow:

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Bluebook (online)
186 F. Supp. 3d 920, 2016 U.S. Dist. LEXIS 64757, 2016 WL 2977169, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lexington-insrance-co-v-horace-mann-insurance-co-ilnd-2016.