The Surgery Center at 900 North Michigan Avenue, LLC v. American Physicians Assurance Corporation, Inc.

District Court, N.D. Illinois·Decided June 26, 2018·No. 1:15-cv-04336·Unknown

Opinion

UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION

THE SURGERY CENTER at 900 NORTH ) MICHIGAN AVENUE, LLC, ) ) Plaintiff, ) Civil Action No: 1:15-cv-4336 v. ) ) Hon. Sharon Johnson Coleman AMERICAN PHYSICIANS ASSURANCE ) CORPORATION, INC., and AMERICAN ) PHYSICIANS CAPITAL, INC., ) ) Defendants. ) )

DEFENDANTS’ MOTION FOR JUDGMENT AS A MATTER OF LAW Pursuant to Federal Rule of Civil Procedure 50, APAC moves for judgment as a matter of law because no reasonable jury could find that TSC has met its burdens of proof on any claim. APAC therefore requests judgment on the entirety of Plaintiff’s Second Amended Complaint or, alternatively, on Counts II and III, which, respectively, allege “Institutional Liability Punitive Damages” and “Concert of Action.” The Illinois Supreme Court has narrowly defined the common-law cause of action for “bad faith.” As this Court has recognized, “to sustain a successful claim for bad faith, TSC must prove that: (1) a duty to settle existed; (2) the insurer breached that duty; and (3) the breach caused injury to the insured.” (Doc. 304 at 5.) “The duty [to settle] does not arise at the time the parties enter into the insurance contract, nor does it depend on whether or not a lawsuit has been filed.” Haddick ex rel. Griffith v. Valor Ins., 763 N.E.2d 299, 304 (Ill. 2001). The duty also does not arise until a third party demands settlement within limits. Id. at 305. Even when a demand is made, the duty arises only if there is “a reasonable probability of a finding of liability against the insured.” Id. at 304 (emphasis added). Consistent with its plain meaning, a “reasonable probability” means “at least more likely than not.” Powell v. Am. Serv. Ins. Co., 2014 IL App (1st) 123643, ¶ 36, 7 N.E.3d 11 (emphasis added); Hana v. Illinois State Med. Inter-insurance Exch. Mut. Ins. Co., 2018 IL App (1st) 162166, ¶ 35, – N.E.3d – (affirming these standards for a failure-to-settle claim).1 This is an objective assessment of the probability of an adverse verdict. See, e.g., Ill.

Pattern Jury Instr. – Civil § 710.00 (“The conduct of the insurer is tested against an objective – not a subjective – standard”). Again, this inquiry “applies at the time of the settlement demand,” and after-the-fact evidence cannot be used retrospectively to decide whether there was a “reasonable probability” of a finding of liability against the insured. Powell, ¶ 42. Before trial, this Court denied APAC’s Motion for Summary Judgment based on a finding of disputed facts as to the likelihood that TSC would be found liable and the amount of potential damages to which TSC would be exposed. (Doc. 304 at 6.) To the extent any such fact issue previously precluded judgment as a matter of law, it has now been resolved. There is no dispute that the Tate case presented – and that TSC knew – from the outset that the likely

damages would exceed TSC’s policy limit if the jury were to find liability. And TSC has offered no evidence whatsoever that, at the time of Ms. Tate’s settlement demands, it was objectively more likely than not that TSC would lose at trial on liability. Instead, TSC has endeavored to confuse the jury with unfounded assertions about collateral issues, such as APAC’s reserving and reinsurance information, a New Mexico meeting with no nexus to the Tate claim, and non- existent conflicts of interests. Even if the jury were to believe those assertions, they are irrelevant to TSC’s failure-to-settle claim. What Plaintiff’s case-in-chief at this trial has demonstrated, however, is that everyone – Ms. Griffiths, TSC’s clinical staff, all of the lawyers, and APAC –

1 The Court in Haddick also set forth as a separate and distinct prerequisite to the duty to settle that there is “a reasonable probability of recovery in excess of policy limits.” Haddick, 763 N.E.2d at 304. That element is not in dispute. thought the Tate case was highly defensible as to both standard of care and causation. As such, the Tate case simply never triggered a duty for APAC to settle within TSC’s policy limit. Second, punitive damages are only a derivative penalty, and TSC’s prayer for such an award falls with its untenable bad-faith claim. However, even if TSC’s bad faith claim is permitted to continue to the jury, judgment should be granted on its punitive damages claim

because it has failed to show that APAC engaged in the kind of outrageous conduct and reckless disregard that is required for the jury to consider the imposition of punitive damages, which is the only relief requested under TSC’s Count II. Third, TSC’s concert-of-action claim in Count III cannot survive independently of its bad-faith claim unless APAC knowingly and substantially assisted defense counsel in breaching their professional obligations to TSC. Again, however, even if TSC’s bad faith claim is permitted to continue, judgment should be entered on TSC’s concert-of-action claim because TSC has failed to show that the lawyers at Lowis & Gellen breached any duty in defending TSC, much less that APAC knowingly and substantially assisted in such a breach. Indeed, defense counsel

are presumptively independent contractors, and TSC faces a high bar in imposing liability on APAC for the conduct of these third parties. One of the core purposes of judgment as a matter of law is to speed up litigation and avoid unnecessary trials. Weisgram v. Marley Co., 528 U.S. 440, 451 (2000). Given TSC’s failure to carry its burdens in its case-in-chief, and the likely jury confusion caused by TSC’s introduction of collateral issues into this case, this Court should grant judgment as a matter of law to save the parties, the jury, and itself the time and expense of trying this unsupported case to a verdict. APAC requests that the Court enter judgment as a matter of law in its favor. ARGUMENT Judgement as a matter of law is appropriate because TSC has been fully heard and the jury lacks “a legally sufficient evidentiary basis to find for [TSC].” Fed. R. Civ. P. 50(a). The standard for judgment as a matter of law “mirrors” summary judgment under Rule 56. Reeves v. Sanderson Plumbing Prod., Inc., 530 U.S. 133, 150 (2000). As such, a “mere scintilla” of

evidence does not suffice; rather, TSC must come forward with enough evidence for a reasonable jury to derive a verdict in TSC’s favor. Massey v. Blue Cross-Blue Shield of Illinois, 226 F.3d 922, 924 (7th Cir. 2000). TSC has failed to do so. I. The case never triggered the duty to settle within TSC’s policy limit. A. At the time of Ms. Tate’s pretrial settlement demands, it was objectively more likely than not that TSC would prevail. As the Illinois Supreme Court established in 2001 through Haddick, TSC may not recover against APAC for failing to settle the Tate case unless it proves that: “(i) the duty to settle arose; (ii) the insurer breached the duty; and (iii) the breach caused injury to the insured.” Powell, 2014 IL App (1st) 123643, ¶ 18, 7 N.E.3d 11. TSC cannot satisfy these elements because it has not even attempted to show that there was ever “a reasonable probability of a finding of liability against the insured.” Haddick, 763 N.E.2d at 304 (emphasis added). Again, a “reasonable probability” means “at least more likely than not.” Powell, ¶ 36; Hana, ¶ 35.

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The Surgery Center at 900 North Michigan Avenue, LLC v. American Physicians Assurance Corporation, Inc., (N.D. Ill. 2018).

The Surgery Center at 900 North Michigan Avenue, LLC v. American Physicians Assurance Corporation, Inc. (The Surgery Center at 900 North Michigan Avenue, LLC v. American Physicians Assurance Corporation, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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