Sims v. Allstate Insurance Co.

CourtAppellate Court of Illinois
DecidedMay 31, 2006
Docket5-04-0525 Rel
StatusPublished

This text of Sims v. Allstate Insurance Co. (Sims v. Allstate Insurance Co.) 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
Sims v. Allstate Insurance Co., (Ill. Ct. App. 2006).

Opinion

NOTICE NO. 5-04-0525 Decision filed 05/31/06. The text of this decision may be changed or IN THE corrected prior to the filing of a Petition for Rehearing or the APPELLATE COURT OF ILLINOIS disposition of the same. FIFTH DISTRICT ________________________________________________________________________ MICHAEL SIMS and TIFFANY SIMS, ) Appeal from the on Behalf of Themselves and All Others ) Circuit Court of Similarly Situated, ) St. Clair County. ) Plaintiffs-Appellants, ) ) v. ) No. 99-L-393A ) ALLSTATE INSURANCE COMPANY, ) Honorable ) Lloyd A. Cueto, Defendant-Appellee. ) Judge, presiding. ________________________________________________________________________

JUSTICE HOPKINS delivered the opinion of the court: The plaintiffs, Michael and Tiffany Sims, on behalf of themselves and all others

similarly situated, filed a class action for a breach of contract against the defendant, Allstate

Insurance Company (Allstate). The circuit court certified the class, determined that Allstate's

insurance policy was ambiguous, and submitted the case to a jury. The jury returned a

verdict in favor of Allstate.

On appeal, the plaintiffs argue that the circuit court erred in allowing the jury to construe the insurance policy; that the circuit court abused its discretion in allowing Allstate

to present evidence regarding its unilateral subjective intent; that the circuit court erred in instructing the jury regarding ambiguity, the burden of proof, and the principle of contra proferentem; that, as a matter of law, the insurance policy's limit-of-liability provision was

ambiguous and therefore covered the plaintiffs' claims for a loss of value; and that Allstate improperly attacked the ethics and integrity of the plaintiffs' counsel. We affirm on other

grounds.

1 FACTS The plaintiffs' automobiles were damaged while insured by Allstate. Allstate paid the

cost to repair each vehicle but did not compensate the plaintiffs for its diminished value (a repaired vehicle's loss in market value resulting from the fact that it suffered property damage). The plaintiffs initiated this class action, alleging that by failing to compensate

them for their damaged but repaired vehicle's diminished value, Allstate breached its contract. Allstate's collision and comprehensive coverages for an insured's automobile are

governed by section six of its insurance policy. Section six is entitled "Protection Against

Loss To The Auto," is substantially the same in each class state, and states as follows: "COVERAGE DD

Auto Collision Insurance

ALLSTATE will pay for direct and accidental loss to YOUR insured AUTO

*** (including insured loss to an attached trailer) from a collision with another object or by upset of that AUTO or trailer. ***

***

COVERAGE HH Auto Comprehensive Insurance

ALLSTATE will pay for direct and accidental loss to YOUR insured AUTO *** not caused by collision. *** ***

Payment Of Loss By Allstate ALLSTATE may pay for the loss in money, or may repair or replace the damaged or stolen property. ***

2 Limits of Liability ALLSTATE'S limit of liability is the actual cash value of the property or

damaged part of the property at the time of loss. The actual cash value will be reduced by the deductible for each coverage as shown on the declarations page. However, OUR liability will not exceed what it would cost to repair or replace the

property or part with other of like kind and quality." Prior to the trial, Allstate moved to dismiss the plaintiffs' action on the basis that the "Payment of Loss" and "Limits of Liability" provisions of the policy did not require Allstate

to pay for diminished value. The circuit court determined that the insurance policy was

ambiguous, and the court denied Allstate's motion to dismiss. The case was tried before a jury, and the jury rendered a general verdict in favor of Allstate. The circuit court denied the

plaintiffs' posttrial motion, and the plaintiffs filed a timely appeal.

ANALYSIS

The plaintiffs argue that the diminished value of an adequately repaired vehicle is a "direct and accidental loss" that Allstate is required to compensate under the policy's insuring

provision. Allstate does not dispute that the term "loss" could encompass a vehicle's

diminished value, but it contends that the insuring language must be construed in light of the "Limits of Liability" and "Payment of Loss" sections. Allstate argues that these provisions

are clear and unambiguous and preclude an insured's recovery for a vehicle's diminished value. The plaintiffs counter that the phrase "repair or replace *** with other of like kind and

quality" in the "Limits of Liability" section encompasses an inherent concept of value, is at the least ambiguous, and therefore requires Allstate to compensate the plaintiffs for their vehicles' diminution in value. The plaintiffs argue that because the policy requires that a

repair or replacement be of "like kind and quality," the vehicle must be repaired so that there

3 is no remaining physical damage and no loss in value and that, otherwise, Allstate must pay to compensate its insured for the vehicle's diminished value.

While a vehicle's diminished value may be a "loss" under the policy's insuring provision, we agree with Allstate that its obligation to compensate the insured for that loss is circumscribed by the plain language of the policy's "Limits of Liability" and "Payment of

Loss" sections. "The construction of an insurance policy is a question of law." Pekin Insurance Co. v. Estate of Goben, 303 Ill. App. 3d 639, 642 (1999). "When construing the language of an

insurance policy, the court's primary objective is to ascertain and give effect to the intentions

of the parties as expressed in their agreement." Pekin Insurance Co., 303 Ill. App. 3d at 642. When determining the parties' intentions as expressed in the contract, the court must

construe the policy as a whole, giving effect to every part. Hartford Accident & Indemnity

Co. v. Case Foundation Co., 10 Ill. App. 3d 115, 121 (1973); Miller v. Madison County

Mutual Automobile Insurance Co., 46 Ill. App. 2d 413, 417 (1964). An insurance policy must be construed according to the sense and the meaning of the terms, and if the language is

clear and unambiguous, it must be given its plain, ordinary, and popular sense. Pekin

Insurance Co., 303 Ill. App. 3d at 642. "Although it is true that limitations on an insurer's liability must be construed liberally

in favor of the policyholder [citation], the rule comes into play only where there is an ambiguity." Menke v. Country Mutual Insurance Co., 78 Ill. 2d 420, 424 (1980). "A provision in an insurance policy is deemed ambiguous if it is subject to more than one

reasonable interpretation." Economy Fire & Casualty Co. v. Bassett, 170 Ill. App. 3d 765, 769 (1988). A contract provision is not rendered ambiguous simply because the parties do not agree on its meaning. Johnstowne Centre Partnership v. Chin, 99 Ill. 2d 284, 288 (1983).

"While it is highly important that ambiguous clauses should not be permitted to serve as

4 traps for policy[]holders, it is equally important to the policy[]holders, as well as to the insurer, that definite and clear provisions, upon which the calculations of the company are

based, should be maintained unimpaired by loose or ill-considered interpretation." Coons v. Home Life Insurance Co. of New York, 368 Ill. 231, 238 (1938). The touchstone in determining whether an ambiguity exists is whether the relevant portion of the policy is

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