Sweis v. Founders Insurance Co.

2017 IL App (1st) 163157
CourtAppellate Court of Illinois
DecidedJune 12, 2018
Docket1-16-3157
StatusPublished
Cited by3 cases

This text of 2017 IL App (1st) 163157 (Sweis v. Founders 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
Sweis v. Founders Insurance Co., 2017 IL App (1st) 163157 (Ill. Ct. App. 2018).

Opinion

Digitally signed by Reporter of Decisions Reason: I attest to Illinois Official Reports the accuracy and integrity of this document Appellate Court Date: 2018.05.02 10:50:50 -05'00'

Sweis v. Founders Insurance Co., 2017 IL App (1st) 163157

Appellate Court SANA SWEIS, Plaintiff-Appellant, v. FOUNDERS INSURANCE Caption COMPANY, Defendant-Appellee.

District & No. First District, Fourth Division Docket No. 1-16-3157

Filed December 28, 2017

Decision Under Appeal from the Circuit Court of Cook County, No. 14-L-006110; the Review Hon. Thomas P. Mulroy, Judge, presiding.

Judgment Affirmed.

Counsel on John D. Chambers, of Vrdolyak Law Group, LLC, of Chicago, for Appeal appellant.

Stephanie Erickson, of Law Office of Shari Shelmadine, of Chicago, for appellee.

Panel JUSTICE GORDON delivered the judgment of the court, with opinion. Presiding Justice Burke and Justice Ellis concurred in the judgment and opinion. OPINION

¶1 The instant appeal arises from a lawsuit filed by plaintiff Sana Sweis against defendant Founders Insurance Company concerning underinsured motorist coverage 1 on plaintiff’s automobile. The trial court granted summary judgment in favor of defendant, finding that plaintiff’s suit was time-barred because the insurance policy required plaintiff to file her lawsuit within one year from receiving payment from the at-fault motorist. For the reasons that follow, we affirm the judgment of the trial court.

¶2 BACKGROUND ¶3 I. Complaint ¶4 On June 9, 2014, plaintiff filed suit against defendant; the complaint was amended three times, and it is the third amended complaint that is at issue on appeal. The complaint alleged that plaintiff was an insured under an automobile policy issued by defendant, which contained underinsured motorist coverage with limits of $100,000 for each person and required defendant “to pay all sums which the insured or her legal representative shall be legally entitled to recover as damages from the owner or operator of an underinsured motor vehicle, because of bodily injury sustained by the insured.” The policy required defendant to pay the difference between the insured’s compensatory damages received and the applicable policy limits. ¶5 The complaint alleged that on June 9, 2011, plaintiff was involved in a motor vehicle collision in which she sustained severe personal injuries. The at-fault motorist was covered for liability by an automobile insurance policy with a limit of $25,000, which was tendered on December 21, 2012. Beginning in January 2013, plaintiff’s attorney and defendant’s adjustor entered into negotiations. According to the complaint, “the adjustor *** represented to [the] attorney for Plaintiff *** that he had actual authority to negotiate all aspects of the claim including but not limited to extending the time to file suit as required under the policy as well as the dollar amount of the policy.” The complaint alleged that plaintiff’s attorney relied on the adjustor’s authority based upon those representations. ¶6 The complaint alleged that “prior to December of 2013, [the] adjuster *** and Plaintiff’s attorney agreed to extend the time to file any lawsuits as required under the policy until such time as Plaintiff and [defendant], by and through their actual and/or ostensible agent [the adjustor], no longer could finalize a settlement amount based upon Plaintiff’s alleged injuries.” The complaint further alleged that “after September 19, 2013, [the] Adjuster *** did in fact tell Plaintiff’s attorney that a suit against [defendant] would not need to be filed before December 21, 2013 in order to continue efforts to resolve the claim.” According to the complaint, “it was agreed between Plaintiff/Plaintiff’s attorney and [the] Adjuster *** that once an impasse on settlement negotiations occurred, Plaintiff would then have one year to file suit.” ¶7 The complaint alleged that, on February 10, 2014, the adjustor made an offer “with no indication that it was a final offer or that an impasse had been reached.” According to the complaint, “Plaintiff did not file suit based on the representations of [the] Adjuster *** based

1 Underinsured motorist coverage is insurance coverage on an insured’s vehicle that provides coverage when the tortfeasor’s insurance coverage is not sufficient to pay for the injuries sustained by the insured or passengers in the insured’s vehicle.

-2- upon the agreement that the parties had not reached an impasse in negotiations as agreed.” The adjustor e-mailed plaintiff’s counsel on April 25, 2014, “and inquired through email whether the case could be settled without Plaintiff filing the underlying complaint.” According to the complaint, “[a]gain, Plaintiff relied on [the adjustor’s] authority to enter into and continue negotiations on behalf of [defendant] with out [sic] having to file a lawsuit.” Settlement negotiations continued until May 28, 2014, when the adjustor made a final offer, which plaintiff rejected. Plaintiff then filed her complaint on June 9, 2014. ¶8 The complaint alleged that plaintiff was entitled to her legally compensable damages between the $25,000 paid by the at-fault motorist and the underinsured motorist policy limits and that she timely filed suit due to the “tolling/waiver of the one year provision to file suit from the time of disbursement of the underlying tortfeasor settlement.” ¶9 Attached to the complaint was a copy of the insurance policy. Part V of the policy concerned underinsured motorist coverage and contained a section entitled “Action Against Company,” which provided, in full: “If any person making claim hereunder and the Company do not agree that such person is legally entitled to recover damages from the owner or operator of the underinsured motor vehicle because of bodily injury to the Insured, or do not agree as to the amount of payment which may be owing under this Part, then the matter or matters upon which such person and the Company do not agree shall be determined by legal action in a court of competent jurisdiction located in the county and state in which the Insured resides. Any action brought against the Company must be filed within one year from the date that the person claiming under this Part receives the last payment from an underinsured motorist or person at-fault in this occurrence.” ¶ 10 The policy also contained a provision titled “Changes,” which provided: “Notice to any agent or knowledge possessed by any agent or by any person shall not effect a waiver or a change in any part of this policy or stop the Company from asserting any right under the terms of this policy, nor shall the terms of this policy be waived or changed, except by endorsement issued to form a part of this policy, signed by a duly authorized representative of the Company.” ¶ 11 Also attached to the complaint was a copy of an e-mail sent from the adjustor to plaintiff’s attorney. The e-mail was dated April 25, 2014, and provided: “Hi Pete, Just wanted to check on the status of this case. Do you think we can get it settled w/o you having to file suit?”

¶ 12 II. Motion for Summary Judgment ¶ 13 On May 26, 2016, defendant filed a motion for summary judgment, arguing that plaintiff’s claim was time-barred by the one-year time limit set forth in part V of the insurance policy. Defendant argued that plaintiff’s arguments concerning estoppel and tolling were unpersuasive because the evidence demonstrated that defendant had made no offer to toll the one-year limitations period set forth in the policy. Defendant claimed that defendant had made an offer to settle the matter in March 2013 to which plaintiff responded by filing a demand for arbitration. Defendant further noted that on September 19, 2013, the adjustor sent plaintiff’s attorney a letter quoting the applicable provision of the insurance policy in response to

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2017 IL App (1st) 163157, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sweis-v-founders-insurance-co-illappct-2018.