Scheff v. Fort Dearborn Life Insurance

499 N.E.2d 78, 148 Ill. App. 3d 77, 101 Ill. Dec. 711, 1986 Ill. App. LEXIS 2889
CourtAppellate Court of Illinois
DecidedOctober 6, 1986
DocketNo. 4—85—0838
StatusPublished
Cited by1 cases

This text of 499 N.E.2d 78 (Scheff v. Fort Dearborn Life 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
Scheff v. Fort Dearborn Life Insurance, 499 N.E.2d 78, 148 Ill. App. 3d 77, 101 Ill. Dec. 711, 1986 Ill. App. LEXIS 2889 (Ill. Ct. App. 1986).

Opinions

JUSTICE GREEN

delivered the opinion of the court:

On October 28, 1983, plaintiff, William W. Scheff, filed suit in the circuit court of Sangamon County against defendant, Fort Dearborn Life Insurance Company, seeking to recover a $15,000 death benefit under a group policy of life insurance issued by defendant covering employees of a business called “Bill’s Auction Service” and operated by plaintiff. He had been designated by his deceased wife, Marcella M. Scheff, as the beneficiary of any rights she had under the policy. Plaintiff contended in the complaint that he was entitled to the death benefit and that defendant had refused to pay it. Eventually, plaintiff filed a two-count second amended complaint. On April 3, 1985, the circuit court allowed defendant’s motion to dismiss count II in bar of action. On November 5, 1985, the court entered summary judgment in favor of defendant as to count I of the complaint. Plaintiff appeals. We affirm.

Count I of the second amended complaint merely set forth that: (1) Marcella Scheff’s life was covered by defendant’s policy; (2) plaintiff was her beneficiary; and (3) defendant had refused to pay plaintiff the benefit. Defendant had filed an affirmative defense to count I which alleged that from the time of the issuance of the policy on February 1, 1983, to the date of the death of Marcella Scheff of cancer on May 3, 1983, Marcella M. Scheff was never eligible for coverage under the life insurance because she did not meet the policy’s requirements of being an employee. We agree with defendant that the depositions and other matters before the court at the time it granted the summary judgment showed conclusively that Marcella Scheff did not meet the employment requirements of the insurance agreement.

At the hearing on the motion for summary judgment as to count I, the material before the court showed that the only three people involved with “Bill’s Auction Service” were plaintiff, Marcella Scheff, and their son. The “Participation Agreement” between “Bill’s Auction Service” and defendant was signed on behalf of the former by plaintiff as “Owner.” The agreement provided that for an employee to be eligible for benefits, the employee must (1) be under 70 years of age; (2) have employment with the insured as the employee’s “principal occupation”; (3) be “regularly scheduled to work for a minimum of 30 hours per week”; and (4) be listed on the employer’s “records for Social Security and withholding tax purposes.”

The record showed that Marcella M. Scheff’s function in the business was to remain at her home answering business phone calls while she also kept house for her family. She spent about one-half hour to one hour per week checking inventory and, about once a month, traveled with plaintiff for a day while he purchased merchandise. During these trips, she gave him some advice as to the quality of the goods. Her name was not listed on any social security or withholding records of the business. According to plaintiff, the business was not doing well enough to pay her for her work and, therefore, no such record keeping was necessary.

Plaintiff emphasizes the deposition testimony of Charles Lane, an agent of defendant's, who called on the Scheffs to procure plaintiff’s business as a customer and discussed the policy with the Scheffs. Lane’s deposition indicates that Lane discussed the various other requirements for employees to be eligible to obtain benefits under the policy but made no mention of the necessity for the employee’s name to be listed on the employer’s social security or tax withholding records. Plaintiff also points out that under the terms of defendant’s requirements for issuance of a group life insurance policy, the business group must have at least three employees and Lane accepted “Bill’s Auction Service” as an employing unit knowing that the three Scheffs were the only claimed employees.

Summary judgment is proper when the matters properly before the court show that if the case goes to trial there would be no question the trier of fact would be required to decide and the movant would be entitled to judgment as a matter of law. (Barnes v. Washington (1973), 56 Ill. 2d 22, 305 N.E.2d 535; Fooden v. Board of Governors (1971), 48 Ill. 2d 580, 272 N.E.2d 497; Ill. Rev. Stat. 1983, ch. 110, par. 2—1005.) Such is the case here.

The “Participation Agreement” between the parties clearly stated that listing of the employee’s employment in the social security and withholding records of the employer was a condition of the employee’s eligibility under the life policy. That did not exist here. Neither the failure of Lane to discuss this issue with the Scheffs nor his acceptance of the business unit as an appropriate employer waives the requirement. The fact that the business was not successful enough to pay wages to the decedent does not eliminate the requirement. An insurer may reasonably have concluded that the risk of loss is greater when the relationship of an employee to an employer is so informal that no remuneration is paid. For this reason alone, the court properly concluded that Marcella M. Scheff was not an employee within the meaning of the “Participation Agreement.”

The circuit court properly granted summary judgment as to count I of the second amended complaint.

Count II contained many of the allegations of count I and proceeded on a theory of “equitable estoppel.” The parties agree that the elements of equitable estoppel are the following: (1) words or conduct by the party against whom the estoppel is alleged constituting either a misrepresentation or concealment of material facts; (2) knowledge on the part of the party against whom the estoppel is alleged that representations made were untrue; (3) the party claiming the benefit of an estoppel must have not known the representations to be false either at the time they were made or at the time they were acted upon; (4) the party estopped must either intend or expect his conduct or representations will be acted upon by the party asserting the estoppel; (5) the party seeking the benefit of the estoppel must have relied or acted upon the representations; and (6) the party claiming the benefit of the estoppel must be in a position of prejudice if the party against whom the estoppel is alleged is permitted to deny the truth of the representations made. Gary-Wheaton Bank v. Burt (1982), 104 Ill. App. 3d 767, 433 N.E.2d 315; Stewart v. O’Bryan (1977), 50 Ill. App. 3d 108, 365 N.E.2d 1019.

Plaintiff seeks to support the sufficiency of count II by reciting testimony contained in depositions which bore on the propriety of the ruling on the motion for summary judgment. This cannot be done. Count II must be judged upon the basis of its allegations.

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Bluebook (online)
499 N.E.2d 78, 148 Ill. App. 3d 77, 101 Ill. Dec. 711, 1986 Ill. App. LEXIS 2889, Counsel Stack Legal Research, https://law.counselstack.com/opinion/scheff-v-fort-dearborn-life-insurance-illappct-1986.