Memberselect Insurance Company v. Luz

2016 IL App (1st) 141947, 51 N.E.3d 953
CourtAppellate Court of Illinois
DecidedMarch 17, 2016
Docket1-14-1947
StatusUnpublished
Cited by4 cases

This text of 2016 IL App (1st) 141947 (Memberselect Insurance Company v. Luz) 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
Memberselect Insurance Company v. Luz, 2016 IL App (1st) 141947, 51 N.E.3d 953 (Ill. Ct. App. 2016).

Opinion

2016 IL App (1st) 141947

FOURTH DIVISION March 17, 2016

No. 1-14-1947

MEMBERSELECT INSURANCE COMPANY, ) Appeal from the ) Circuit Court of Plaintiff-Appellee, ) Cook County. ) v. ) No. 12 CH 28339 ) FERDINAND LUZ, ) Honorable ) Kathleen M. Pantle, Defendant-Appellant. ) Judge Presiding.

JUSTICE ELLIS delivered the judgment of the court, with opinion. Presiding Justice McBride and Justice Cobbs concurred in the judgment.

OPINION

¶1 This appeal addresses whether a letter sent by an insured, defendant Ferdinand Luz, to

plaintiff MemberSelect Insurance Company (MemberSelect) was a sufficient demand for

arbitration under the underinsured motorist provision of defendant's car insurance policy with

MemberSelect. The policy contained a limitations provision that barred any arbitration of an

underinsured motorist claim unless it was "commenced within three years after the date of the

accident." Less than two months after the accident, defendant's attorney sent MemberSelect a

letter requesting arbitration of the underinsured motorist claim. There was no subsequent

correspondence between the parties in the more than three years that passed while the underlying

personal-injury suit progressed and ultimately settled. Defendant then sought arbitration of his

underinsured motorist claim, and MemberSelect filed this declaratory-judgment action seeking a

declaration that it did not have to cover defendant's claim because the limitations period had run.

On cross-motions for summary judgment, the trial court found that defendant's letter had not No. 1-14-1947

sufficiently demanded arbitration because it was not unequivocal and because defendant failed to

select an arbitrator.

¶2 We disagree. Defendant's request for arbitration was unequivocal. And under the terms of

the policy, defendant could have reasonably concluded that, in order to commence arbitration—

and thus avoid the limitations period—all he had to do was demand arbitration. The policy did

not require defendant to select an arbitrator in order to commence arbitration. Accordingly, we

vacate the trial court's award of summary judgment for MemberSelect and remand with

directions that the trial court enter summary judgment in favor of defendant.

¶3 I. BACKGROUND

¶4 On July 18, 2007, defendant was in a car accident with another vehicle in Skokie, Illinois.

The driver of the other vehicle had an insurance policy with a limit of $20,000 per person.

¶5 At the time of the accident, defendant's policy with MemberSelect had a provision

providing him coverage in case of an accident with an underinsured driver (i.e., a driver whose

policy limits would be insufficient to cover defendant's damages, up to the limits of defendant's

own policy). The underinsured motorist coverage contained a provision governing the conduct of

arbitration between defendant and MemberSelect, providing that, if defendant or MemberSelect

had a dispute regarding defendant's ability to recover damages from the underinsured driver, or

the amount of damages:

"Either party may demand, in writing, that the issues, excluding matters of coverage [sic].

In this event, each party will select an arbitrator. The two arbitrators will select a third. If

such arbitrators are not selected within 45 days, either party may request that the

arbitration be submitted to the American Arbitration Association."

-2- No. 1-14-1947

The underinsured motorist coverage also contained a limitations provision, which read, "Under

Underinsured Motorists Coverage, any suit, action or arbitration against [MemberSelect] will be

barred unless commenced within three years after the date of the accident."

¶6 On September 4, 2007—less than two months after the accident—defendant's attorney

sent MemberSelect a letter entitled, "NOTICE OF ATTORNEY'S LIEN for UNDERINSURED

MOTORIST and MEDICAL PAYMENTS CLAIM." It stated defendant's name, the policy

number, and the date and location of the accident. It also notified MemberSelect of the attorney

fee agreement with defendant and claimed a lien on any recovery defendant would receive. The

letter concluded with the following two paragraphs:

"Plaintiff [(i.e., defendant in this case)] Requests Arbitration of the

Underinsured Motorist Claim

Please acknowledge receipt of this lien so that we may discuss this matter."

(Emphasis in original.)

MemberSelect received the letter on September 10, 2007.

¶7 On June 22, 2009, defendant's counsel sent MemberSelect a list of "partial items of

medical special damages totaling $15,196.40." Defendant's counsel requested that MemberSelect

pay the amount of damages, or its policy limits, whichever was smaller. MemberSelect paid

defendant $1,000, the limits of the medical payment coverage under the policy.

¶8 On July 10, 2009, defendant filed his lawsuit against the other driver involved in the car

accident. His complaint sought damages "in excess of $30,000."

¶9 On March 8, 2011, defendant settled his underlying personal-injury suit with the other

driver in the accident. Defendant received $20,000, the limits of the other driver's policy.

-3- No. 1-14-1947

¶ 10 On March 11, 2011, defendant's counsel sent MemberSelect a letter which listed "special

damages incurred by [defendant] as a result of the negligence of an underinsured motorist."

Counsel added that she would contact MemberSelect "within the next two weeks to determine if

[they could] arrive at an amicable disposition of this matter."

¶ 11 On May 3, 2012, defendant filed a demand for arbitration of the underinsured motorist

claim with the American Arbitration Association.

¶ 12 MemberSelect sent defendant a letter on May 14, 2012, denying defendant's underinsured

motorist claim because the limitations period in the policy had run. Defendant's counsel

responded to MemberSelect's denial by saying that she had sent MemberSelect "notice

demanding arbitration" on September 4, 2007. She also said, "[I]n as much as the underlying tort

claim was not settled until November 2011, *** there was no underinsured motorist claim to be

commenced until the underlying tort claim was concluded."

¶ 13 MemberSelect filed a complaint for declaratory judgment, alleging that it did not have to

cover defendant's underinsured motorist claim because the limitations provision of the policy

barred coverage. The complaint also included other counts not at issue in this appeal.

¶ 14 Both parties moved for summary judgment. Defendant argued that his attorney's

September 4, 2007 letter to MemberSelect was sufficient to demand arbitration under the policy's

arbitration clause. According to defendant, because he had commenced arbitration, the

limitations period had not run. Defendant also argued that MemberSelect was estopped from

raising the limitations period, that the limitations period was tolled pursuant to section 143.1 of

the Illinois Insurance Code (215 ILCS 5/143.1 (West 2006)), and that the limitations provision

violated public policy.

-4- No. 1-14-1947

¶ 15 MemberSelect argued that the September 2007 letter was insufficient to serve as a

demand for arbitration under the policy because "[i]t did not 'demand' arbitration or name,

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

Related

United Equitable Insurance Company v. Webb
Appellate Court of Illinois, 2026
Niemiec v. Markel Insurance Co.
2025 IL App (1st) 242222 (Appellate Court of Illinois, 2025)
Monroy-Perez v. Sentry Select Insurance Co.
2025 IL App (1st) 241711 (Appellate Court of Illinois, 2025)
Willis v. United Equitable Insurance Co.
2017 IL App (1st) 162308 (Appellate Court of Illinois, 2017)
Willis v. United Equitable Insurance Company
2017 IL App (1st) 162308 (Appellate Court of Illinois, 2017)

Cite This Page — Counsel Stack

Bluebook (online)
2016 IL App (1st) 141947, 51 N.E.3d 953, Counsel Stack Legal Research, https://law.counselstack.com/opinion/memberselect-insurance-company-v-luz-illappct-2016.