McFarlane v. Merit Insurance Co.

374 N.E.2d 951, 58 Ill. App. 3d 616, 16 Ill. Dec. 176, 1978 Ill. App. LEXIS 2358
CourtAppellate Court of Illinois
DecidedMarch 23, 1978
Docket77-764
StatusPublished
Cited by26 cases

This text of 374 N.E.2d 951 (McFarlane v. Merit Insurance 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
McFarlane v. Merit Insurance Co., 374 N.E.2d 951, 58 Ill. App. 3d 616, 16 Ill. Dec. 176, 1978 Ill. App. LEXIS 2358 (Ill. Ct. App. 1978).

Opinion

Mr. JUSTICE WILSON

delivered the opinion of the court:

Plaintiff filed a petition to compel defendant to proceed to arbitration pursuant to the uninsured motorist provision of the automobile policy issued by defendant to plaintiff’s husband. After a hearing, the court dismissed plaintiff’s petition in an order dated January 11, 1977. Plaintiff filed a motion to vacate the order and for reconsideration of her petition. On March 16, 1977, the trial court entered an order denying plaintiff’s motion. Plaintiff appeals from both orders contending that defendant must be compelled to arbitrate since she gave notice “as soon as practicable” as required under her husband’s policy.

We agree with plaintiff and therefore reverse and remand this cause with directions.

All the facts and circumstances relating to this case are set forth in the pleadings, both parties’ memoranda, and plaintiff and her husband’s uncontroverted affidavits:

On January 14, 1974, plaintiff, a pedestrian, was struck and severely injured by an automobile driven by Frank Davidson, an uninsured motorist. At the time of the accident, an automobile policy issued by defendant to plaintiff’s husband, Claudis McFarlane (Claudis), was in effect. The uninsured motorist provision of the policy covered plaintiff as an additional insured and provided that any dispute between the insured and the company regarding damages were to be resolved by arbitration. In addition, the policy contained the following provision:

“3. Notice. In the event of an accident * * * written notice * * * shall be given by or for the insured to the company ° ° ° as soon as practicable.”

Plaintiff’s attorney visited plaintiff while she was in the hospital and asked her to forward Claudis’ policy to him. Plaintiff’s daughter was present during this request and she volunteered to arrange for the policy to be sent. Claudis agreed to send the policy and subsequently informed his wife and daughter that he had, even though he had not. He did not tell his wife, daughter or his wife’s attorney the name of his insurance carrier. Claudis mistakenly believed that his wife’s attorney intended to hold him liable for an accident in which he had no involvement. During the following 12 months, plaintiff’s attorney repeatedly telephoned and wrote to Claudis, requesting a copy of the policy and the identity of his insurance carrier. Claudis. continued to assure his wife that he had forwarded the policy to her attorney.

In late January 1975, plaintiff confronted her husband with this matter and he admitted that he had never sent the policy. In plaintiff’s presence, Claudis mailed the cover and declaration sheet of his renewed policy to plaintiff’s attorney. This was the first time plaintiff became aware of the name of her husband’s insurance carrier. On February 4,1975, almost 13 months after the accident, plaintiff notified defendant of the uninsured motorist claim. Defendant insisted that notification was too late and refused to arbitrate.

Opinion

The threshold issue on this appeal is whether, despite the 13-month delay, plaintiff gave notice of the accident to defendant “as soon as practicable,” as required under Claudis’ insurance policy.

Similar notice provisions have been examined by the courts in numerous cases where the insurance company has claimed that delay has barred the insured’s right to recovery. In construing the “as soon as practicable” language, courts have weighed the desirability of compensation to the insured, against the importance of the notice provision to the insurance company as a means of providing an opportunity to investigate the accident and protect itself against unjustified claims. (Country Mutual Insurance Company v. Kuzmickas (1971), 2 Ill. App. 3d 313, 276 N.E.2d 357, Walsh v. State Farm Mutual Automobile Insurance Co. (1968), 91 Ill. App. 2d 156, 234 N.E.2d 394, International Harvester Co. v. Continental Casualty Co. (1962), 33 Ill. App. 2d 467, 179 N.E.2d 833.) Generally, courts have followed the rule that the insured has a duty to notify the insurer within a reasonable time after the accident. The determination of what constitutes a reasonable period of time depends on the fact and circumstances in a particular case. (Barrington Consolidated High School v. American Insurance Co. (1974), 58 Ill. 2d 278, 319 N.E.2d 25; Sowinski v. Ramey (1976), 36 Ill. App. 3d 690, 344 N.E.2d 635; Farmers Automobile Insurance Association v. Hamilton (1975), 31 Ill. App. 3d 730, 335 N.E.2d 178, aff’d, 64 Ill. 2d 138, 355 N.E.2d 1; Walsh v. State Farm Mutual Automobile Insurance Co. (1968), 91 Ill. App. 2d 156, 234 N.E.2d 394.) A lengthy passage of time is not an absolute bar to coverage provided the insured has a justifiable excuse for the delay. (Utica Mutual Insurance Co. v. State Farm Mutual Automobile Insurance Co. (4th Cir. 1960), 280 F.2d 469.) However, an insured’s lack of diligence is not overlooked merely because the insurer has failed to show actual prejudice due to the delay, although this factor may be considered by the court. (Charter Oak Fire Insurance Co. v. Snyder (1974), 22 Ill. App. 3d 350, 317 N.E.2d 307.) Generally, the actions of the insured are scrutinized under a standard of reasonableness in determining whether he gave notice as soon as it was practicable for him to do so. Utica Mutual Insurance Co. v. State Farm Mutual Automobile Insurance Co. (4th Cir. 1960), 280 F.2d 469.

Therefore, our inquiry is whether plaintiffs actions were reasonable under the facts and circumstances present in this case, thereby excusing the delay in notice to defendant. Defendant suggests that plaintiff should have acted more affirmatively during the thirteen month period in ascertaining whether, in fact, Claudis had forwarded the policy to her attorney. It is argued that plaintiff could have searched her husband’s personal effects for a copy of the policy or a cancelled check indicating the name of his insurance carrier. However, we dispute the contention that these actions would have been reasonable under the circumstances. Plaintiff had a right to believe her spouse. Plaintiffs conduct, in light of her husband’s repeated assurances and her prompt notification to defendant once she obtained the insurance policy, constitutes the actions of a reasonable person under the circumstances.

We believe the situation in Utica Mutual Insurance Co. v. State Farm Mutual Automobile Insurance Co. (4th Cir. 1960), 280 F.2d 469, is analogous to that present in the instant case.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

West American Insurance v. Yorkville National Bank
939 N.E.2d 288 (Illinois Supreme Court, 2010)
Berglind v. PAINTBALL BUSINESS ASS'N
921 N.E.2d 432 (Appellate Court of Illinois, 2009)
Country Mutual Insurance Co. v. Livorsi Marine, Inc.
222 Ill. 2d 303 (Illinois Supreme Court, 2006)
Country Mutual Ins. Co. v. Livorsi Marine
856 N.E.2d 338 (Illinois Supreme Court, 2006)
Northbrook Property & Casualty Insurance v. Applied Systems, Inc.
729 N.E.2d 915 (Appellate Court of Illinois, 2000)
American Country Insurance Co. v. Bruhn
Appellate Court of Illinois, 1997
American Country Insurance v. Bruhn
682 N.E.2d 366 (Appellate Court of Illinois, 1997)
Jones v. Universal Casualty Co.
630 N.E.2d 94 (Appellate Court of Illinois, 1994)
American Country Insurance v. Efficient Construction Corp.
587 N.E.2d 1073 (Appellate Court of Illinois, 1992)
Atlanta International Insurance v. Checker Taxi Co.
574 N.E.2d 22 (Appellate Court of Illinois, 1991)
Lawler v. Government Employees Ins. Co.
569 So. 2d 1151 (Mississippi Supreme Court, 1990)
St. Paul Mercury Insurance v. Statistical Tabulating Corp.
508 N.E.2d 433 (Appellate Court of Illinois, 1987)
Crowell v. Life Investors Insurance Co. of America
479 N.E.2d 1087 (Appellate Court of Illinois, 1985)

Cite This Page — Counsel Stack

Bluebook (online)
374 N.E.2d 951, 58 Ill. App. 3d 616, 16 Ill. Dec. 176, 1978 Ill. App. LEXIS 2358, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcfarlane-v-merit-insurance-co-illappct-1978.