Moje v. Fed. Hockey League, LLC
This text of 377 F. Supp. 3d 907 (Moje v. Fed. Hockey League, LLC) is published on Counsel Stack Legal Research, covering District Court, E.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
Joan B. Gottschall, United States District Judge
The plaintiff, Kyler Moje ("Moje"), played professional, minor-league hockey for the Danville Dashers, a team in the now-defunct1 Federal Hockey League ("the League"). Pl.'s Resp. to Def. National Casualty's SUMF ¶ 11. During a game on or about February 10, 2012, a player for the opposing team, the Akwesasne Warriors, allegedly struck Moje in the face with a hockey stick, thrusting the blade under Moje's helmet. Id. ¶ 12.
The pending motions for summary judgment in this diversity case raise choice of law questions and questions of substantive *911insurance law. For the following reasons, National Casualty Company's ("National Casualty") motion for summary judgment is granted, and The David Agency Insurance, Inc.'s ("The David Agency") motion for summary judgment is granted.
I. Background
Except where otherwise noted, the following facts are undisputed. On the night of his injury, Moje was taken to the hospital after medical personnel assessed his injury. Pl.'s Resp. to Def. National Casualty Statement of Undisputed Material Facts ("SUMF") ¶¶ 14-15, ECF No. 95. His injuries resulted in his being placed on the League's 30-day injured reserve ("IR") list. Id. ¶ 17. Fewer than six players were placed on that list each year. Id. ¶ 19.
A. Overview of Claims and Motions
Moje filed a separate lawsuit in this court against the League and the manufacturer of the helmet he was wearing. As detailed below, he obtained a default judgment against the League on June 11, 2014, in the amount of $ 800,000. Moje v. Fed. Hockey League, LLC [Moje I ],
Moje brought this action seeking declaratory relief that an insurance policy issued in June 2012 by defendant National Casualty Co. covers his injury. See Ans. to 2nd Am. Compl. Ex. A ("Policy"), ECF No. 13-1. The policy identifies defendant The David Agency Insurance, Inc. as the policy's producer, National Casualty as the insurer, and the Federal Hockey League ("the League") and its commissioner, defendant Dan Kirnan ("Kirnan"), as the insureds. Moje v. Fed. Hockey League LLC [Moje II ],
In count two of his Second Amended Complaint ("SAC"), Moje seeks a declaratory judgment against The David Agency. He alleges that the League communicated to The David Agency the type of insurance it needed to insure against the injury he sustained, that The David Agency knew what type of policy the League wanted, and that the League "was under the impression that the policy at issue covered personal injury losses, such as that sustained by plaintiff." SAC ¶¶ 38-41 (quotation in ¶ 41). Moje has since made clear his theory: that The David Agency negligently failed to procure the insurance the League wanted. See Slip Op. at 8. This court has not decided whether the policy covers Moje's claim.
Separate motions for summary judgment filed by National Casualty and The David Agency are before the court. National Casualty contends that Kirnan and the League failed to comply with the policy's notice provisions. The David Agency argues that Moje cannot come forward with sufficient evidence to require a trial on his claim that The David Agency negligently procured the policy.
B. Procurement of the Policy
The David Agency is an Illinois insurance producer with a principal place of business in Elmhurst. Pl.'s Resp. to The David Agency SUMF ¶ 1, ECF No. 98. Jo Ellen Weldon, a David Agency employee, produced the policy at issue here. Id. ¶ 7, 8. Someone other than Kirnan associated with the League may have initially contacted The David Agency about procuring insurance. Id. ¶ 13. Following the initial contact, Weldon communicated beginning in October 2011 with Kirnan by phone and email about procuring insurance; Kirnan served as the "primary contact" for the League. Id. ¶¶ 9-10, 13.
*912Kirnan and Weldon had "several conversations" before the policy was issued. Pl.'s Resp. to The David Agency SUMF ¶ 14. The two discussed the possibility of obtaining coverage for certain teams in addition to the League itself, but Weldon told Kirnan that The David Agency could not procure that kind of coverage. Id. ¶ 20. Regarding the League, Kirnan told Weldon "that he wanted to purchase general liability insurance." Id. ¶¶ 17, 18 (testimony that Kirnan was "just looking for a general liability policy") (quoting Weldon Dep. 18:18-19:4, The David Agency SUMF Ex. C, ECF No. 91 ; Kirnan Dep. 125:24-126:2, National Casualty Mem. Supp. Mot. Summ. J. Tab D, ECF No. 94-1 ).
Weldon sent Kirnan a quote for general liability coverage; the quote outlined the policy's coverage and limits. Pl.'s Resp. to The David Agency SUMF ¶¶ 21, 22; Def. The David Agency Resp. to Pl.'s SUMF ¶ 3, ECF No. 105 (quotation therein). Kirnan accepted the quote. Pl.'s Resp. to The David Agency SUMF ¶ 22. At some point Weldon told Kirnan that "the policy contained "an extra coverage for liability, tort liability." Def. The David Agency Resp. to Pl.'s SUMF ¶ 4 (quoting Weldon Dep. 15:8-12). She did not tell Kirnan that claims made by players against the League would be excluded. Id. ¶ 5. Nor did Weldon advise Kirnan that he had to give prompt notice of a claim or lawsuit. Id. ¶ 13.
Kirnan did not know what a "general liability" policy would cover and relied on The David Agency to procure a policy. Id. ¶¶ 11, 12. He "is the only person with knowledge of any requests from the FHL to The David Agency to procure insurance coverage for the FHL," and he is the "only person with knowledge of any communications between the FHL and The David Agency relating to the procurement of insurance coverage for the FHL." Pl.'s Resp. to The David Agency SUMF ¶¶ 15, 16 (undisputed); accord id. ¶ 57.
Weldon sent Kirnan a copy of the policy on November 2, 2011. Id. ¶ 24. The second paragraph of her transmittal letter reads as follows:
I have reviewed your policy but ask that you please take time to examine it carefully to make sure the limits of coverage meet your needs and that no items have been omitted. If there are any portions of the policy that you do not understand, please feel free to call me for an explanation.
Id. (quoting National Casualty Mem. Supp. Mot. for Summ. J. Tab H, ECF No. 94-1 ). Kirnan read and understood the letter when he received it on or around the same day. Pl.'s Resp.
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Joan B. Gottschall, United States District Judge
The plaintiff, Kyler Moje ("Moje"), played professional, minor-league hockey for the Danville Dashers, a team in the now-defunct1 Federal Hockey League ("the League"). Pl.'s Resp. to Def. National Casualty's SUMF ¶ 11. During a game on or about February 10, 2012, a player for the opposing team, the Akwesasne Warriors, allegedly struck Moje in the face with a hockey stick, thrusting the blade under Moje's helmet. Id. ¶ 12.
The pending motions for summary judgment in this diversity case raise choice of law questions and questions of substantive *911insurance law. For the following reasons, National Casualty Company's ("National Casualty") motion for summary judgment is granted, and The David Agency Insurance, Inc.'s ("The David Agency") motion for summary judgment is granted.
I. Background
Except where otherwise noted, the following facts are undisputed. On the night of his injury, Moje was taken to the hospital after medical personnel assessed his injury. Pl.'s Resp. to Def. National Casualty Statement of Undisputed Material Facts ("SUMF") ¶¶ 14-15, ECF No. 95. His injuries resulted in his being placed on the League's 30-day injured reserve ("IR") list. Id. ¶ 17. Fewer than six players were placed on that list each year. Id. ¶ 19.
A. Overview of Claims and Motions
Moje filed a separate lawsuit in this court against the League and the manufacturer of the helmet he was wearing. As detailed below, he obtained a default judgment against the League on June 11, 2014, in the amount of $ 800,000. Moje v. Fed. Hockey League, LLC [Moje I ],
Moje brought this action seeking declaratory relief that an insurance policy issued in June 2012 by defendant National Casualty Co. covers his injury. See Ans. to 2nd Am. Compl. Ex. A ("Policy"), ECF No. 13-1. The policy identifies defendant The David Agency Insurance, Inc. as the policy's producer, National Casualty as the insurer, and the Federal Hockey League ("the League") and its commissioner, defendant Dan Kirnan ("Kirnan"), as the insureds. Moje v. Fed. Hockey League LLC [Moje II ],
In count two of his Second Amended Complaint ("SAC"), Moje seeks a declaratory judgment against The David Agency. He alleges that the League communicated to The David Agency the type of insurance it needed to insure against the injury he sustained, that The David Agency knew what type of policy the League wanted, and that the League "was under the impression that the policy at issue covered personal injury losses, such as that sustained by plaintiff." SAC ¶¶ 38-41 (quotation in ¶ 41). Moje has since made clear his theory: that The David Agency negligently failed to procure the insurance the League wanted. See Slip Op. at 8. This court has not decided whether the policy covers Moje's claim.
Separate motions for summary judgment filed by National Casualty and The David Agency are before the court. National Casualty contends that Kirnan and the League failed to comply with the policy's notice provisions. The David Agency argues that Moje cannot come forward with sufficient evidence to require a trial on his claim that The David Agency negligently procured the policy.
B. Procurement of the Policy
The David Agency is an Illinois insurance producer with a principal place of business in Elmhurst. Pl.'s Resp. to The David Agency SUMF ¶ 1, ECF No. 98. Jo Ellen Weldon, a David Agency employee, produced the policy at issue here. Id. ¶ 7, 8. Someone other than Kirnan associated with the League may have initially contacted The David Agency about procuring insurance. Id. ¶ 13. Following the initial contact, Weldon communicated beginning in October 2011 with Kirnan by phone and email about procuring insurance; Kirnan served as the "primary contact" for the League. Id. ¶¶ 9-10, 13.
*912Kirnan and Weldon had "several conversations" before the policy was issued. Pl.'s Resp. to The David Agency SUMF ¶ 14. The two discussed the possibility of obtaining coverage for certain teams in addition to the League itself, but Weldon told Kirnan that The David Agency could not procure that kind of coverage. Id. ¶ 20. Regarding the League, Kirnan told Weldon "that he wanted to purchase general liability insurance." Id. ¶¶ 17, 18 (testimony that Kirnan was "just looking for a general liability policy") (quoting Weldon Dep. 18:18-19:4, The David Agency SUMF Ex. C, ECF No. 91 ; Kirnan Dep. 125:24-126:2, National Casualty Mem. Supp. Mot. Summ. J. Tab D, ECF No. 94-1 ).
Weldon sent Kirnan a quote for general liability coverage; the quote outlined the policy's coverage and limits. Pl.'s Resp. to The David Agency SUMF ¶¶ 21, 22; Def. The David Agency Resp. to Pl.'s SUMF ¶ 3, ECF No. 105 (quotation therein). Kirnan accepted the quote. Pl.'s Resp. to The David Agency SUMF ¶ 22. At some point Weldon told Kirnan that "the policy contained "an extra coverage for liability, tort liability." Def. The David Agency Resp. to Pl.'s SUMF ¶ 4 (quoting Weldon Dep. 15:8-12). She did not tell Kirnan that claims made by players against the League would be excluded. Id. ¶ 5. Nor did Weldon advise Kirnan that he had to give prompt notice of a claim or lawsuit. Id. ¶ 13.
Kirnan did not know what a "general liability" policy would cover and relied on The David Agency to procure a policy. Id. ¶¶ 11, 12. He "is the only person with knowledge of any requests from the FHL to The David Agency to procure insurance coverage for the FHL," and he is the "only person with knowledge of any communications between the FHL and The David Agency relating to the procurement of insurance coverage for the FHL." Pl.'s Resp. to The David Agency SUMF ¶¶ 15, 16 (undisputed); accord id. ¶ 57.
Weldon sent Kirnan a copy of the policy on November 2, 2011. Id. ¶ 24. The second paragraph of her transmittal letter reads as follows:
I have reviewed your policy but ask that you please take time to examine it carefully to make sure the limits of coverage meet your needs and that no items have been omitted. If there are any portions of the policy that you do not understand, please feel free to call me for an explanation.
Id. (quoting National Casualty Mem. Supp. Mot. for Summ. J. Tab H, ECF No. 94-1 ). Kirnan read and understood the letter when he received it on or around the same day. Pl.'s Resp. to The David Agency SUMF ¶ 25 (citing Kirnan Dep. 113:22-114:8). Kirnan testified that he was "not aware of any errors with respect to the Policy." Id. ¶ 26. "Kirnan does not have any criticisms of The David Agency's conduct in connection with the procurement of the Policy and has no complaints about the Policy that was provided by The David Agency." Id. ¶ 30.
C. The Policy
The policy contains language that National Casualty argues precludes coverage for any claims based on Moje's injury. See Def. The David Agency Resp. to Pl.'s SUMF ¶ 15. "The first exclusion to which National Casualty points precludes coverage for 'bodily injury' or 'property damage' expected or intended from the standpoint of the insured." Def. The David Agency Resp. to Pl.'s SUMF ¶ 7 (quoting Policy pp. 16-17.)
An endorsement to the policy states that National Casualty "will pay those sums that the Insured becomes legally obligated to pay as damages because of 'bodily injury' to any 'participant' to which this insurance *913applies." Pl.'s Resp. to The David Agency SUMF ¶ 28. The term "participant" is defined as 'players, coaches, managers, staff members, team workers, officials, media personnel, Very Important Persons and other personnel who have been granted proper authorization to enter any restricted area.' " Policy 40; Def. The David Agency Resp. to Pl.'s SUMF ¶ 9. The endorsement itself contains an exclusion, however, excepting from coverage "Bodily Injury" to a "Participant." Policy 39; Def. The David Agency Resp. to Pl.'s SUMF ¶ 8.
The endorsement also incorporated the following provisions found in Section IV of the Policy, entitled "Commercial General Liability Conditions:"
2. Duties In The Event of Occurrence, Offense, Claim or Suit
a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, notice should include:
(1) How, when and where the "occurrence" or offense took place;
(2) The names and address of any injured persons and witnesses; and
(3) The nature and location of any injury or damage arising out of the "occurrence" or offense.
b. If a claim is made or "suit" is brought against any insured, you must:
(1) Immediately record the specifics of the claim or "suit" and the date received; and
(2) Notify us as soon as practicable.
c. You and any other involved insured must:
(1) Immediately send us copies of any demanded, notices, summonses, or legal papers.
Policy p. 25; Pl.'s Resp. to The David Agency SUMF ¶ 27.
D. Moje's Suit Against the League
Kirnan had no insurance training, and prior to the Moje matter, he had never filed an insurance claim on the League's behalf. Def. National Casualty's Resp. to Pl.'s SUMF ¶¶ 1, 2, ECF No. 109. Kirnan "Never read the Commercial General Liability policy from National Casualty and at the time of the Underlying Lawsuit he did not understand that insurance carriers had to be promptly notified by the FHL." Id. ¶ 16; see also id. ¶ 17 (Kirnan was not advised by The David Agency of need to advise insurer of suits).
Whether, and if so when, notice of Moje's injuries reached Kirnan before February 2014 (the day he was served with the lawsuit) is disputed.2 See Pl.'s Resp. to Def. National Casualty's SUMF ¶¶ 20-21, ECF No. 95 ; Def. National Casualty's Resp. to Pl.'s SUMF ¶ 4. The Dasher's owner, Barry Soskin, directed an assistant to notify the appropriate insurance company, but the parties cite no evidence that this was done. See Pl.'s Resp. to Def. National Casualty's SUMF ¶ 16; Def. National Casualty's Resp. to Pl.'s SUMF ¶ 24 (undisputed fact that Soskin had "no direct conversations" with National Casualty). Quite the contrary. Kirnan's testimony that he had no conversations with Soskin about procuring insurance stands undisputed. Id. ¶ 23.
*914Eugene Binda ("Binda"), the League's supervisor of referees, testified that he recalled receiving a written report of Moje's injury and that he "would have" forwarded that report to Kirnan by email. See Binda Dep. 21:5-9 23:1-10, Tab E, ECF No. 94-1. Yet no email messages appear in the record, and Kirnan testified that Binda "never did" bring Moje's injury to his attention. Kirnan Dep. 39:6-16.
Kirnan was served with the summons and the complaint against the League on February 6, 2014. Pl.'s Resp. to Def. National Casualty's SUMF ¶ 23. Moje also sued Oakley, Inc. ("Oakley"), the maker of the visor Moje was wearing when he was injured. Moje v. Fed. Hockey League, LLC [Moje I ],
When he was served, Kirnan "believed the policy would provide coverage" for the lawsuit, Pl.'s Resp. to Def. National Casualty's SUMF ¶ 24, but he believed that "it was not worth contacting" National Casualty about the suit, id. ¶ 25. It was Kirnan's policy to file insurance claims when he considered the claim to involve "substantial losses." Pl.'s Resp. to Def. National Casualty's SUMF ¶ 28 (citation omitted; undisputed fact).
Instead of contacting his insurer, on or about February 6, 2014, Kirnan hired John A. LoFaro ("LoFaro"), a New York solo practitioner, to defend the suit. Id. ¶ 30. Although LoFaro prepared a "general denial," he never filed it, and he never filed a notice of appearance for the League. Id. ¶ 31; see also Def. National Casualty's Resp. to Pl.'s SUMF ¶¶ 10, 13-15 (describing LoFaro's testimony regarding his belief that the suit was not meritorious); Moje I ,
Moje moved for entry of default against the League on May 5, 2014. Pl.'s Resp. to Def. National Casualty's SUMF ¶ 32. The district court entered a default against the League on May 14, 2014. Id. ¶ 33. On June 11, 2014, that court held a hearing at which Moje proved up his damages, and the court entered a default judgment against the League. Id. The David Agency "immediately notified" National Casualty of the default judgment. Id. ¶ 36.
Kirnan first learned of the default judgment some four months later, on October 9, 2014. Def. National Casualty's Resp. to Pl.'s SUMF ¶ 5; see also id. ¶ 8 (Kirnan spoke to The David Agency about the default judgment "around the same time"). Kirnan notified National Casualty the same day. Pl.'s Resp. to Def. National Casualty's SUMF ¶ 22. Reserving its rights, National Casualty hired a lawyer who filed a motion to set aside the default on December 15, 2014. Id. ¶¶ 37-38. The motion was denied. On appeal, the Seventh Circuit "assume[d] that LoFaro promised to represent the League yet abandoned his client." Moje I ,
II. Summary Judgment Standard
Summary judgment is appropriate "if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). A genuine dispute as to any material fact exists if "the evidence is such that a reasonable jury could return a verdict for the nonmoving party." Anderson v. Liberty Lobby, Inc. ,
The party seeking summary judgment has the burden of establishing that there is no genuine dispute as to any material fact. See Celotex Corp. v. Catrett ,
III. National Casualty's Motion For Summary Judgment
National Casualty contends no reasonable jury could find that the League complied with the provisions of the policy requiring the League to notify National Casualty of an occurrence, notify it of a claim, and send it copies of "summonses ... or legal papers." Pl.'s Resp. to Def. National Casualty's SUMF ¶¶ 8-10. In their briefing, the parties raise a choice of law problem, but National Casualty effectively abandons its contention that New York law applies in its reply.
A. Choice of Law
A court exercising diversity jurisdiction under
Before performing a choice of law analysis, the court must be sure that there is a conflict. "The party who seeks a choice-of-law determination must establish the existence of an outcome-determinative conflict."
B. Reasonableness of Notice
In West American Insurance Co. v. Yorkville National Bank ,
1. The Specific Language of the Policy's Notice Provision
The plain language of the notice clauses in the policy favors National Casualty. Moje focuses on the language of two of the three notice requirements at issue. See Mem. Opp'n National Casualty's Mot. Summ. J. 7-8, ECF No. 96. The "as soon as practicable language" appears in the first and second notice clauses requiring the insured to give notice "of an 'occurrence' or an offense which may result in a claim" (first clause) and to give notice "[i]f a claim is made or 'suit' is brought against any insured." Pl.'s Resp. to Def. National Casualty's SUMF ¶¶ 8, 9.
As Moje observes, the Illinois Supreme Court has asked whether notice was given within a reasonable time" when interpreting insurance policies requiring notice "as soon as practicable." Berglind ,
More significantly is the presence in all three clauses of mandatory language to describe the insured's duty to notify. See Pl.'s Resp. to Def. National Casualty's SUMF ¶¶ 8-10. As the Seventh Circuit has recently emphasized, the use of mandatory language does not allow the insured to pick and choose as between minor and major occurrences the insurer might not want to know about. See Brumit Servs. ,
This brings the court to the different language in the third notice clause. In contrast with the "as soon as practicable" clauses, the third notice provision says that the insured must "[i]mmediately send [National Casualty] copies of any demands, notices, summonses or legal papers." Id. 10. Moje does not grapple with this linguistic difference at all in his response. See Mem. Opp'n National Casualty's Mot. Summ. J. 7-8. When a contract uses different words in similar provisions, courts presume they mean different things. See Highlands Ins. Co. v. Lewis Rail Serv. Co. ,
The requirement of immediate notice of a summons and complaint furthers the clause's purpose. Generally, "[t]he purpose of an insurance policy's notice provision is to ensure that the insurer will be able to timely investigate and defend claims against its insured." Berglind ,
2. The Insured's Sophistication
National Casualty argues that the second factor is neutral because Kirnan owned several other businesses and was "street smart," having made several other insurance claims. See Def. National Casualty's Reply Supp. Mot. Summ. J. 10-11, ECF No. 110. The Local Rule 56.1 fact statements cited by defendants do not support this proposition, particularly when viewed in the light most favorable to Moje. See id. True, the undisputed fact that "Kirnan had a policy of making claims to insurance companies for only what he perceived to be substantial losses" at least suggests that Kirnan had made other claims, Pl.'s Resp. to Def. National Casualty's SUMF ¶ 28, but, with inferences favorable to Moje, it stops well short of establishing that Kirnan was experienced with "insurance and general commercial matters," Def. National Casualty's Reply Supp. Mot. Summ. J. 11.4
Nor does the fact that Kirnan hired LoFaro by itself establish Kirnan's sophistication. The Seventh Circuit found that Kirnan and the League's handling of this matter, including hiring LoFaro, defied good business judgment. See Moje I ,
A commercial general liability ("CGL") insurance policy lands on the more complex end of the spectrum of sophistication. See Brumit Servs ,
3. The Insured's Awareness of An Event That May Trigger Insurance Coverage
The third factor strongly favors National Casualty. Resolving the disputed facts about when Kirnan learned of Moje's injury, Kirnan knew of the injury and the existence of the lawsuit when he was *919served with a complaint and summons on February 6, 2014. Pl.'s Resp. to Def. National Casualty's SUMF ¶ 23; see also AMCO ,
Moje argues that Kirnan reasonably relied on LoFaro and reported the default judgment to National Casualty promptly when Kirnan learned of it in October.5 See Mem. Opp'n National Casualty's Mot. Summ. J. 9-10. But by then it was too late. Notice clauses exist to provide the insurer, not the insured, with the upfront opportunity to assess these sorts of risks; "[a]n insured cannot simply roll the dice with the insurer's funds, hiding behind the statistical probabilities it has assigned to the case outcome." Brumit Servs. ,
4. The Insured's Diligence in Ascertaining Whether Policy Coverage is Available
For essentially the same reasons, the fourth factor also favors National Casualty. Again, Kirnan believed that coverage was available; he just decided not to use it. Pl.'s Resp. to Def. National Casualty's SUMF ¶¶ 24-25. Moje argues that genuine factual disputes exist as to the fourth factor, pointing to the disputes over whether Kirnan had pre-suit notice of Moje's injuries and the dispute over whether Kirnan and LoFaro discussed insurance coverage. See Resp. 10-11. The court has already explained why the dispute over notice before Kirnan was served on February 6, 2014, is immaterial (because Kirnan's failure to give notice after that date was independently unreasonable). Similarly, on Kirnan's version of events, which the court accepts at summary judgment, he had no discussions with LoFaro about insurance. Kirnan's failure to raise the issue may indicate a lack of diligence.
Moje makes a final argument concerning two of National Casualty's counterclaims here. Mem. Opp'n 11-12. According to Moje, National Casualty's counterclaim (for a declaration that the policy's scope of coverage did not reach Moje's injury) creates a fact issue on whether inspecting the policy would have alerted Kirnan that coverage existed. Id. While inventive, this argument cannot be squared with Kirnan's undisputed testimony that he never read the policy and that he subjectively believed coverage was available when he was served with the complaint and summons in February 2014. Pl.'s Resp. to Def. National Casualty's SUMF ¶ 24; Def. National Casualty's Resp. to Pl.'s SUMF ¶ 16; see also Pl.'s Resp. to Def. National Casualty's SUMF ¶ 27 ("When Kirnan did finally read the Policy's notice conditions [at his deposition], he had no questions about their requirements.").
5. Prejudice to the Insurer
As Moje emphasizes, prejudice cannot be viewed in a vacuum. Brumit Servs. ,
*920Moje blames National Casualty, rather than Kirnan, for the denial of the League's motion to set aside the default judgment. Moje lays emphasis on the Seventh Circuit's statement that the "thin record that the League built in the district court does not compel a ruling in its favor." Moje I ,
Moje cites no evidence, and the court can find none, in the Local Rule 56.1 fact statements, supporting his contentions that bringing either matter to the district court's attention would have produced a different outcome. See
Even if Moje's arguments were supported by evidence, the Seventh Circuit assumed that LoFaro abandoned the League and nonetheless affirmed the default judgment. Moje I ,
Instead of turning to its insurer, which any sensible business should have done, it hired LoFaro. Why? The only reason the League has given is that he had provided satisfactory legal services to Kirnan (and perhaps the League) in earlier years. But what kind of legal services? LoFaro's web site describes his practice as "Personal Injury Criminal Law DWI, Speeding, and all Traffic Related Matters". See http://lofarolaw.com. That list of specialties does not imply aptitude for the defense of a million-dollar tort suit in Chicago. LoFaro practices in Syracuse, New York, and is not admitted to the bar of the Northern District of Illinois. Even if he were a wizard of tort defense, why keep the insurer in the dark? The League has never offered a reason. After a co-defendant told the League that no answer had been filed on its behalf, it did not take precautions such as notifying the insurer, engaging counsel in Chicago, or checking the district court's docket (which can be done from any desktop computer). A check of the docket would have revealed that LoFaro did not file an appearance as the League's attorney and did nothing to protect its interests. Because LoFaro had not filed an appearance, Moje's lawyer would have sent all filings, such as the request for a default judgment and his proof of damages, directly to the League, which sat on its hands. The League cannot escape a substantial share of the responsibility for the outcome.
Moje I ,
Ultimately, Moje's focus on a hypothetical motion to set aside the default glosses over the reality that, had it received prompt notice of the summons and complaint, National Casualty would have had the opportunity to prevent the entry of a default in the first place. The point of notice provisions-the benefit for which the insurer bargains-is to afford the insurer the "opportunity to do its own investigation" in a timely fashion. Brumit Serv's ,
6. Totality of the Circumstances
Considering the factors in their totality, summary judgment for National Casualty is appropriate. The only genuine, material dispute concerns Kirnan's level of sophistication. The reasonableness of notice is a question of law on undisputed material facts. AMCO Ins. Co. v. Erie Ins. Exch. ,
IV. THE DAVID AGENCY'S MOTION FOR SUMMARY JUDGMENT
Moje has made clear that his claim for declaratory relief in Count II of his second amended complaint6 proceeds on the theory "that The David Agency negligently failed to procure the insurance the League wanted." Moje v. Fed. Hockey League, LLC [Moje III ],
Earlier in this case, The David Agency moved to dismiss Moje's complaint, arguing, inter alia , that it owed no duty to Moje. See Moje II,
At summary judgment, The David Agency argues that Moje has not come forward with enough evidence for a reasonable jury to find that Kirnan made a specific enough request to Weldon. "Under Section 2-2201(a), a duty to exercise ordinary care arises only after coverage is 'requested by the insured or proposed insured.' " Norman-Spencer ,
As with any negligence claim, a plaintiff must prove that an insurance producer's breach of duty was the proximate cause of his or her damages. E.g. , Ziemba v. Mierzwa ,
Two cases illustrate how Illinois courts apply proximate cause principles in disputes involving insurance producers. In Pacific Tall Ships , supra , the court entered summary judgment for the defendant on causation because the record showed that the insurance policy "it would have procured would not have covered this particular loss."
The David Agency argues that the League's failure to give reasonable notice of Moje's injury and suit to National Casualty is an independent cause of Moje and the League's injuries. Def. The David Agency's Mem. Supp. Mot. Summ. J. 9-11, ECF No. 89. Moje responds by focusing on the fact issues he alleges exist, including what type of insurance Kirnan requested, how Weldon responded, and whether the policy in fact covers the League's claims based on Moje's injuries. See Pl.'s Mem. Opp'n 8-11, ECF No. 99. Accusing The David Agency of putting the "proverbial cart before the horse," Moje responds that "[t]his issue as to whether or not the FHL's notice to National Casualty of the Underlying Lawsuit entitles National Casualty to summary judgment is being contemporaneously argued in Plaintiff s Response Memorandum to National Casualty's Motion for Summary Judgment." Id. at 11(first quote); id. at 8-9 (second quote). Moje then cites several Illinois cases, such as Berglind , supra , to summarize his arguments that there are fact questions that are material to whether the League gave reasonable notice to National Casualty. Id. at 10-11.
Assuming for the sake of argument that they are genuine, the fact disputes Moje identifies are immaterial. The proverbial horse went before the cart in Part III where it was determined that the League did not comply with the policy's notice provisions and so breached the policy.
As between Moje and The David Agency, the following fact is undisputed: "unreasonably late notice of the Moje claim and Underlying Lawsuit and, in turn, material breach of the Policy's notice requirements, formed an independent basis for National Casualty's denial of coverage to the FHL and Moje." Pl.'s Resp. to The David Agency SUMF ¶ 50. Moje cannot maintain that Kirnan might have submitted a claim sooner if the policy included broader coverage language (and Moje does not so argue) because Kirnan believed that the policy afforded him coverage when he was served in February 2014 but chose not to submit a claim. Id. ¶ 41 (undisputed fact: "[w]hen he received Moje's lawsuit, Kirnan believed he had insurance for the lawsuit under the National Casualty CGL policy, but Kirnan made the conscious decision to contact Mr. LoFaro for representation instead of submitting the claim to his insurance company.") (citation omitted). Consequently, even had The David Agency procured a policy with a broader scope of coverage, it "would not have covered this particular loss" due to Kirnan's failure to give reasonable notice. Pac. Tall Ships ,
This case is like Garrick . In Garrick , the 2005 policy did not cover a loss in 2009, so the broker's alleged failure to expand the scope of the policy's coverage by listing earrings as covered property in 2005 did not proximately cause the plaintiff's injuries. Garrick ,
V. Conclusion
When something seems too good to be true, it sometimes is. "It is the policy of [the Seventh Circuit] to favor trials on the merits over default judgments." Sec. Ins. Co. of Hartford v. Schipporeit, Inc. ,
For the reasons explained above, neither National Casualty nor The David Agency can be held liable to Moje in these circumstances. The motions for summary judgment are granted.
Related
Cite This Page — Counsel Stack
377 F. Supp. 3d 907, Counsel Stack Legal Research, https://law.counselstack.com/opinion/moje-v-fed-hockey-league-llc-illinoised-2019.