Piser v. State Farm Mutual Automobile Insurance

938 N.E.2d 640, 405 Ill. App. 3d 341, 345 Ill. Dec. 201, 2010 Ill. App. LEXIS 1225
CourtAppellate Court of Illinois
DecidedNovember 12, 2010
Docket1-09-3379
StatusPublished
Cited by64 cases

This text of 938 N.E.2d 640 (Piser v. State Farm Mutual Automobile Insurance) 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, 938 N.E.2d 640, 405 Ill. App. 3d 341, 345 Ill. Dec. 201, 2010 Ill. App. LEXIS 1225 (Ill. Ct. App. 2010).

Opinion

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 plaintiffs 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.

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 plaintiffs 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 plaintiffs financial status, including his income tax returns for the previous three years, a list of all credit and charge accounts, 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 plaintiffs claim.

Plaintiff filed the instant cause of action for breach of contract on September 3, 2008. In 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 plaintiffs 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 plaintiffs 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 plaintiffs 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 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 plaintiffs complaint but asserts affirmative defenses or other matter that avoids or defeats the plaintiffs 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 plaintiffs 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 nova. DeLuna, 223 Ill. 2d at 59, 857 N.E.2d at 236. 1

In addressing plaintiff’s first argument, we abide by longstanding Illinois precedent that an insured’s failure to cooperate is indeed a valid defense and thus can be set forth as other affirmative matter barring a claim. “With regard to cooperation clauses, the Illinois Supreme Court has noted that ‘[a]ny condition in the policy requiring cooperation on the part of the insured is one of great importance [citation], and its purpose should be observed [citation].’ ” Employers Reinsurance Corp. v. E. Miller Insurance Agency, Inc., 332 Ill. App. 3d 326, 337-38, 773 N.E.2d 707, 715-16 (2002), quoting Waste Management, Inc. v.

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Cite This Page — Counsel Stack

Bluebook (online)
938 N.E.2d 640, 405 Ill. App. 3d 341, 345 Ill. Dec. 201, 2010 Ill. App. LEXIS 1225, Counsel Stack Legal Research, https://law.counselstack.com/opinion/piser-v-state-farm-mutual-automobile-insurance-illappct-2010.