Piser v. State Farm Mutual Automobile Insurance Company

CourtAppellate Court of Illinois
DecidedNovember 12, 2010
Docket1-09-3379 Rel
StatusPublished

This text of Piser v. State Farm Mutual Automobile Insurance Company (Piser v. State Farm Mutual Automobile Insurance Company) 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
Piser v. State Farm Mutual Automobile Insurance Company, (Ill. Ct. App. 2010).

Opinion

FIFTH DIVISION November 12, 2010

No. 1-09-3379

JONATHAN H. PISER, ) ) Appeal from the Plaintiff-Appellant, ) Circuit Court of ) Cook County, v. ) ) 08 L 9784 STATE FARM MUTUAL AUTOMOBILE ) INSURANCE COMPANY, ) The Honorable ) Lynn M. Egan, Defendant-Appellee, ) Judge Presiding. )

JUSTICE TOOMIN delivered the opinion of the court:

In this appeal, we determine whether breach of an insurance cooperation clause is a valid

defense constituting “other affirmative matter” barring a claim pursuant to section 2-619(a)(9) of

the Illinois Code of Civil Procedure (735 ILCS 5/2-619(a)(9) (West 2008)). We also consider

whether defendant complied with foundational and evidentiary requirements for supporting

affidavits, and whether plaintiff’s failure to respond with a counteraffidavit entitles defendant to

dismissal as a matter of law.

Plaintiff, Jonathan H. Piser, brought claims against his insurer, State Farm Mutual

Automobile Insurance Company (State Farm), for breach of contract and vexatious and

unreasonable delay pursuant to section 155 of the Insurance Code (215 ILCS 5/155 (West

2006)). State Farm moved to dismiss pursuant to section 2-619(a)(9) based on its policy’s

cooperation clause, relying on its adjustor’s affidavit and materials attached thereto requesting

production of documentation to which plaintiff never responded. The circuit court granted the

motion. For the following reasons, we affirm. 1-09-3379

BACKGROUND

Plaintiff insured his 2003 Harley Davidson with defendant, State Farm. Piser had

purchased his motorcycle in 2003 and had it customized at a cost of more than $60,000. Plaintiff

claimed his vehicle was stolen on September 23, 2006. He filed a police report and notified State

Farm of the loss. State Farm’s claim representative, Ronald Gottardo, investigated the claim,

which included an unsworn interview of plaintiff that encompassed approximately three hours.

Gottardo also requested plaintiff to execute a financial authorization to enable State Farm to

obtain a copy of plaintiff’s credit report, a routine procedure employed to determine whether the

insured has a financial motive to file a false claim. Gottardo followed up with a second request in

writing on October 26, 2006. Plaintiff did not comply, and State Farm was unable to obtain the

credit report. Pursuant to its policy provisions, State Farm also requested that plaintiff appear for

an examination under oath by a State Farm attorney. Although several notices were directed to

plaintiff, he failed to respond to the request.

State Farm further requested documentation regarding plaintiff’s financial status, including

his income tax returns for the previous three years, a list of all credit and charge account, loans,

and personal and business bank account statements for the year leading up to the date of the loss

(September 2005 through September 2006). Three letters were sent by State Farm requesting

these materials, and Gottardo also requested that plaintiff provide the documentation before and

after his interview with him. Despite these requests, the materials were never received. In turn,

State Farm denied plaintiff’s claim.

Plaintiff filed the instant cause of action for breach of contract on September 3, 2008. In

2 1-09-3379

response, State Farm moved to dismiss pursuant to sections 2-615 and 2-619 of the Illinois Code

of Civil Procedure (735 ILCS 5/2-615, 2-619 (West 2008)). The section 2-615 motion was based

on “commingled relief,” whereas the section 2-619 motion was based on plaintiff’s failure to

cooperate. The court denied State Farm’s section 2-619 motion and granted the section 2-615

motion without prejudice.

Plaintiff amended his complaint to add a count for vexatious and unreasonable delay in

refusing to pay the claim, pursuant to section 155 of the Insurance Code (215 ILCS 5/155 (West

2006)), in addition to a count for breach of contract. State Farm again filed a motion to dismiss

pursuant to section 2-619, alleging plaintiff’s failure to cooperate barred his claim. State Farm

asserted that under its policy, plaintiff was required to cooperate and provide requested

documentation. The circuit court granted the motion and dismissed the amended complaint with

prejudice. Plaintiff timely appealed.

ANALYSIS

Plaintiff contends that the circuit court erred in granting State Farm’s motion to dismiss

because breach of its policy’s cooperation clause is not a defense constituting “other affirmative

matter” necessary to defeat plaintiff’s claim pursuant to section 2-619(a)(9) (735 ILCS 5/2-

619(a)(9) (West 2008)). According to plaintiff, the section 2-619 motion merely constituted an

attempt to negate the allegations in plaintiff’s complaint with arguments and evidence presenting

State Farm’s version of the facts. Plaintiff maintains that the court made a premature factual

determination and improperly weighed State Farm’s materials in dismissing his complaint pursuant

to section 2-619(a)(9) of the Illinois Code of Civil Procedure. 735 ILCS 5/2-619(a)(9) (West

3 1-09-3379

2008).

“A section 2-619 motion admits as true all well-pleaded facts, along with reasonable

inferences that can be gleaned from those facts.” Porter v. Decatur Memorial Hospital, 227 Ill.

2d 343, 352, 882 N.E.2d 583, 588 (2008). The motion admits the legal sufficiency of the

plaintiff’s complaint but asserts affirmative defenses or other matter that avoids or defeats the

plaintiff’s claim. DeLuna v. Burciaga, 223 Ill. 2d 49, 59, 857 N.E.2d 229, 236 (2006). “The

phrase ‘affirmative matter’ encompasses any defense other than a negation of the essential

allegations of the plaintiff's cause of action.” Kedzie & 103rd Currency Exchange, Inc. v. Hodge,

156 Ill. 2d 112, 115, 619 N.E.2d 732, 735 (1993). An “ ‘[a]ffirmative matter’ is something in the

nature of a defense that completely negates the cause of action or refutes crucial conclusions of

law or conclusions of material fact contained in or inferred from the complaint.” Golden v.

Mullen, 295 Ill. App. 3d 865, 869, 693 N.E.2d 385, 389 (1997), citing Fancher v. Central

Illinois Public Service Co., 279 Ill. App. 3d 530, 534, 664 N.E.2d 692, 695 (1996). “The trial

court must construe the motion and supporting documents in the light most favorable to the

nonmovant.” Tolan & Son, Inc. v. KLLM Architects, Inc., 308 Ill. App. 3d 18, 24, 719 N.E.2d

288, 293 (1999). We review the trial court’s rulings on section 2-619 motions de novo. DeLuna,

223 Ill. 2d at 59, 857 N.E.2d at 236. 1

1 We previously filed a Rule 23 order (166 Ill. 2d R. 23) but, subsequent to State Farm’s

motion to publish, withdrew our order and filed this opinion to clarify Illinois law regarding the

scope of an insured’s duty to cooperate in the context of insurance coverage. Additionally, we

endeavor to provide guidance on foundational and evidentiary requirements for supporting

4 1-09-3379

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