Stefanski v. The City of Chicago

2015 IL App (1st) 132844
Appellate Court of Illinois·Decided April 23, 2015·No. 1-13-2844·Published·Cited by 6 cases

Opinion

Illinois Official Reports

Appellate Court

Stefanski v. City of Chicago, 2015 IL App (1st) 132844

Appellate Court NELLI STEFANSKI, Individually and on Behalf of All Others Caption Similarly Situated, Plaintiff and Counterdefendant-Appellee, v. THE CITY OF CHICAGO, a Municipal Corporation, Defendant and Counterplaintiff-Appellant.

District & No. First District, Sixth Division Docket No. 1-13-2844

Filed February 27, 2015 Rehearing denied March 27, 2015

Held In a class action against defendant city seeking declaratory relief and (Note: This syllabus damages for unjust enrichment for plaintiff and the beneficiaries of the constitutes no part of the city’s medical insurance plan who had received medical services paid opinion of the court but by the city’s self-funded insurance plan for personal injuries caused by has been prepared by the third-party tortfeasors, employed the services of an attorney to collect Reporter of Decisions damages from such tortfeasors and received recoveries from such for the convenience of tortfeasors that were reduced due to the city’s refusal to reduce its the reader.) subrogation claim to account for its share of the attorney fees incurred in violation of the common fund doctrine, the named plaintiff had no right to rely on the common fund doctrine to support her claims for relief against the defendant, since she had not stated an actionable claim, class certification was improper, and the trial court’s order certifying the class had to be vacated.

Decision Under Appeal from the Circuit Court of Cook County, No. 09-CH-29238; the Review Hon. LeRoy K. Martin, Jr., Judge, presiding.

Judgment Reversed and vacated. Counsel on Stephen R. Patton, Corporation Counsel, of Chicago (Benna Ruth Appeal Solomon, Myriam Zreczny Kasper, and Suzanne M. Loose, Assistant Corporation Counsel, of counsel), for appellant.

Krislov & Associates, of Chicago (Clinton A. Krislov and Michael R. Karnuth, of counsel), for appellee.

Panel JUSTICE ROCHFORD delivered the judgment of the court, with opinion. Justice Lampkin concurred in the judgment and opinion. Justice Hall dissented, with opinion.

OPINION

¶1 Plaintiff and counterdefendant-appellee, Nellie Stefanski, individually and on behalf of all others similarly situated, brought the instant class action lawsuit against defendant and counterplaintiff-appellant, the City of Chicago (the City), a municipal corporation. Plaintiff sought declaratory relief and damages for unjust enrichment on behalf of herself and a putative class of current and former beneficiaries of the City’s medical insurance plan who had: (1) received medical services paid by the City’s self-funded insurance plan for personal injuries caused by third-party tortfeasors; (2) employed the services of an attorney to collect damages from such tortfeasors; and (3) received recoveries from such tortfeasors that were reduced due to the City’s improper refusal to reduce its subrogation claim to account for its share of the attorney fees incurred by plaintiff, in violation of the so-called “common fund doctrine.” ¶2 The circuit court ultimately concluded that the common fund doctrine applied to the claims raised in this suit, certified a class of such plaintiffs, granted summary judgment in favor of that class, and denied the City’s cross-motion for summary judgment. We thereafter granted the City’s petition for leave to appeal from the circuit court’s order granting certification of this class action lawsuit, pursuant to Illinois Supreme Court Rule 306(a)(8) (eff. Feb. 16, 2011). Because the named plaintiff cannot maintain a cause of action under the common fund doctrine, we reverse.

¶3 I. BACKGROUND ¶4 Because we reverse the circuit court’s ruling that the common fund doctrine applies to the claims of the named plaintiff, and because our conclusion on that issue is dispositive, only those facts necessary to resolve this issue will be recited. ¶5 On August 19, 2009, plaintiff filed the instant lawsuit against the City. Therein, plaintiff generally alleged that: (1) on or about May 17, 2007, she was employed by the City and covered by the City of Chicago Medical Care Plan (Plan) when she was injured in an automobile collision caused by a third-party tortfeasor; (2) she received medical services in

-2- connection with this collision, which were paid for in full or in part by the Plan; (3) plaintiff retained an attorney, who obtained an $18,000 settlement from the third-party tortfeasor as compensation for plaintiff’s personal injuries; (4) pursuant to her contingent-fee agreement with her attorney, plaintiff was obligated to pay her attorney one-third of that total amount for legal services; (5) the City’s attorneys, without participating in the recovery of the settlement, nevertheless asserted a claim against plaintiff’s recovery pursuant to subrogation and reimbursement language contained in the Plan’s documentation; (6) the City ultimately claimed a $3,824 lien on plaintiff’s recovery, representing the full amount the City had paid for plaintiff’s medical services; (7) the City’s attorney initially refused a request by plaintiff’s attorney to reduce its claim by one-third–pursuant to the common fund doctrine–in order to account for the City’s proportionate share of the legal fees incurred by plaintiff in obtaining the $18,000 settlement; (8) the City ultimately agreed to partially reduce its claim to $2,900, in order to settle the dispute over the common fund issue; and (9) “under protest,” plaintiff’s attorney arranged for $2,900 to be paid to the City by the third-party tortfeasor in May of 2009. ¶6 The complaint further alleged that the City’s refusal to reduce its subrogation and reimbursement claim to account for its share of the plaintiff’s attorney fees violated the common fund doctrine and caused plaintiff damages. Plaintiff’s complaint, therefore, sought both a declaration that the City’s actions had violated the common fund doctrine (count I) and recovery for the City’s resulting unjust enrichment (count II). In addition, plaintiff sought to pursue this lawsuit as a class action and to serve as the class representative on behalf of a class comprised of all others similarly situated. Specifically, she sought to represent a class of: “All current or former participants in the City of Chicago Medical Care Plan against whom a purported subrogation or reimbursement lien has been asserted without a pro rata reduction pursuant to Illinois’ common fund doctrine, during the period from May 1998 to the present.” A motion for class certification was filed along with plaintiff’s complaint. ¶7 On November 6, 2009, the City filed a combined motion to dismiss plaintiff’s complaint pursuant to sections 2-615, 2-619, and 2-619.1 of the Code of Civil Procedure (Code) (735 ILCS 5/2-615, 2-619, 2-619.1 (West 2008)). Therein, the City contended that the complaint should be dismissed because: (1) as a plan participant and not the attorney of such a plan participant, plaintiff was not the proper party to bring a claim under the common fund doctrine; (2) plaintiff’s claims were barred by language in the Plan’s documentation providing that “[t]he Plan shall not be responsible for any litigation related expenses or attorney fees incurred by or on behalf of a Covered Person in connection with an Injury Claim unless the Plan shall have specifically agreed in writing to pay such expenses or fees”; and (3) plaintiff paid the City $2,900 in response to the City’s settlement offer, thus barring her claims under the voluntary payment doctrine and the doctrine of accord and satisfaction. The circuit court denied the City’s motion on February 8, 2010.

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