Mount Mansfield Insurance Group v. American International Group

Appellate Court of Illinois·Decided March 30, 2007·No. 1-06-0974 Rel·Published

Opinion

THIRD DIVISION

March 30, 2007

No. 1-06-0974

MOUNT MANSFIELD INSURANCE ) Appeal from GROUP, INC., ) the Circuit Court ) of Cook County.

Plaintiff-Appellant, )

)

v. )

)

AMERICAN INTERNATIONAL GROUP, INC., ) INSURANCE COMPANY OF THE STATE OF ) No. 05 L 6662 PENNSYLVANIA, ILLINOIS NATIONAL ) INSURANCE COMPANY, NATIONAL UNION ) FIRE INSURANCE COMPANY, AIG RISK ) MANAGEMENT, INC., and AIG CLAIM ) SERVICES, INC., ) Honorable ) Paddy McNamara,

Defendants-Appellees. ) Judge Presiding.

PRESIDING JUSTICE THEIS delivered the opinion of the court:

Plaintiff, Mount Mansfield Insurance Group, Inc. (Mount Mansfield), filed a ten-count complaint against defendants, American International Group, Inc. (AIG), and several of its affiliates, including Insurance Company of the State of Pennsylvania, Illinois National Insurance Company, National Union Fire Insurance Company, AIG Risk Management, Inc., and AIG Claim Services, Inc. (collectively referred to as AIG’s affiliates). The complaint alleged that AIG and its affiliates improperly handled workers’ compensation claims, inflated the value assigned to Mount Mansfield’s reserve requirements, and unnecessarily forced Mount Mansfield into

rehabilitation, resulting in damage to the corporation. Mount Mansfield sought recovery under various theories including breach of contract, conversion, fraud, and violation of the Consumer Fraud and Deceptive Business Practices Act (815 ILCS 505/1 et seq. (West 2004)). The circuit court dismissed the complaint pursuant to section 2-619(a)(4) of the Code of Civil Procedure (the Code) (735 ILCS 5/2-619(a)(4) (West 2004)), finding that the claims were barred by the doctrine of res judicata based upon a prior lawsuit.

On appeal, Mount Mansfield contends that the trial court erred in finding its complaint barred by res judicata for the following reasons: (1) the claims and the parties are distinct from the prior case; (2) AIG and its affiliates are judicially estopped from relying on the doctrine based on inconsistent positions taken in the two cases; and (3) application of the doctrine would be unfair and unjust. For the following reasons, we reverse the judgment of the circuit court and remand for further proceedings. BACKGROUND In 1992, a group of companies in the business of leasing employees in the trucking and distribution industries formed a holding company called MMIG, Inc. (MMIG). Additionally, at the same time, Mount Mansfield was established as MMIG’s wholly owned subsidiary to create a captive insurance company for workers’ compensation claims. AIG and its affiliates were responsible for issuing the insurance policies to the shareholder companies of MMIG and providing them with claims handling services for claims filed by their employees. As the “captive insurer,” Mount Mansfield provided reinsurance to AIG and its affiliates to reimburse them for losses. As part of that responsibility, it was required to maintain a certain amount of

reserves for claims. These reserve requirements were based upon calculations made by AIG.

Over time, a dispute arose regarding AIG and its affiliates’ claims handling practices and the value assigned to Mount Mansfield’s reserve requirements, allegedly causing the shareholder companies of MMIG to incur increased premiums on their workers’ compensation policies, and causing Mount Mansfield to appear less financially solvent. Shortly thereafter, AIG and its affiliates allegedly informed the Vermont Department of Banking, Insurance, Securities and Health Care Administration that, according to its calculations, Mount Mansfield was indeed insolvent. On February 3, 1997, Mount Mansfield’s assets were seized and its board of directors was enjoined from transacting the company’s affairs. An order to rehabilitate Mount Mansfield was entered on October 30, 1997. On June 19, 2003, the rehabilitation proceedings were terminated, and Mount Mansfield was released back to the control of its board of directors. The Previous Litigation In order to fully comprehend the proceedings which AIG now claims act as a bar to the current litigation, it is necessary to provide a history of the various amended complaints that were filed and the parties involved in those proceedings (Aldworth v. AIG, No. 97 L 14647 (Cir. Ct. Cook Co.)) (the Aldworth action). Originally, in 1997, Mount Mansfield’s sole shareholder, MMIG, and several of its shareholder companies filed a complaint against AIG and its affiliates. After several amendments, the shareholder companies of MMIG sought recovery from AIG and its affiliates alleging that their wrongful conduct caused an increase in their insurance premiums, a need to reimburse Mount Mansfield for its losses, and an increase in the cost of future workers’ compensation insurance. Additionally, MMIG purported to bring a shareholder derivative action

on behalf of Mount Mansfield. MMIG alleged that as a result of AIG’s improper conduct, it and Mount Mansfield were “effectively driven out of business” and Mount Mansfield was forced into rehabilitation. Mount Mansfield was not a party to the litigation as it was in rehabilitation and its board of directors was allegedly enjoined from transacting business, including authorizing the filing of a lawsuit in its name.

Thereafter, AIG and its affiliates filed a motion to dismiss the amended complaints pursuant to sections 2-615 and 2-619 of the Code. 735 ILCS 5/2-615, 2-619 (West 2002)). Therein, they argued, inter alia, that the shareholder companies of MMIG lacked standing in counts I and II to allege injuries for their lost investment in Mount Mansfield because that alleged injury resulted only from their status as shareholders and was, thus, derivative in nature. They asserted that these claims “belong, if they exist at all, to Mount Mansfield, an insolvent Vermont reinsurance company, which is not a party to this action.”

Additionally, AIG and its affiliates argued that in counts III, IV and V, MMIG failed to allege the prerequisites for a proper shareholder derivative action. Specifically, they maintained that MMIG failed to allege that their purported demand on Mount Mansfield or the rehabilitator had been rejected, and failed to allege that such a rejection would be the result of fraud, illegality or conflict of interest as mandated by the Business Corporation Act of 1983 (805 ILCS 5/1.01 et seq. (West 2002)). Accordingly, AIG argued that the shareholder companies of MMIG lacked standing to proceed under counts I and II, and that MMIG failed to comply with the prerequisites for bringing a proper shareholder derivative action in counts III, IV and V. On September 19, 1998, the circuit court granted the shareholder companies of MMIG leave to amend and replead

counts I and II against AIG and its affiliates, and dismissed counts III, IV and V, the derivative counts, without prejudice.

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