Travis v. American Manufacturers Mutual Insurance

782 N.E.2d 322, 335 Ill. App. 3d 1171, 270 Ill. Dec. 128, 2002 Ill. App. LEXIS 1263
CourtAppellate Court of Illinois
DecidedDecember 24, 2002
Docket5 — 02 — 0059
StatusPublished
Cited by63 cases

This text of 782 N.E.2d 322 (Travis v. American Manufacturers Mutual 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
Travis v. American Manufacturers Mutual Insurance, 782 N.E.2d 322, 335 Ill. App. 3d 1171, 270 Ill. Dec. 128, 2002 Ill. App. LEXIS 1263 (Ill. Ct. App. 2002).

Opinion

JUSTICE WELCH

delivered the opinion of the court:

Jessie Travis (plaintiff), a citizen of Madison County, purchased a policy of automobile insurance from American Manufacturers Mutual Insurance Company (defendant). The policy covered her 1992 Dodge Caravan. In November 1999, plaintiff was involved in an automobile accident in Madison County in which her vehicle sustained significant damage. She submitted a claim for her property damage to defendant,. which declared the vehicle a total loss. Defendant offered plaintiff $4,379 as the actual cash value of the vehicle, and plaintiff accepted that amount.

On August 24, 2001, plaintiff filed, in the circuit court of Madison County, an amended class action lawsuit against defendant and CCC Information Services, Inc. (CCC). 1 Plaintiff alleges claims of a breach of the insurance contract, statutory fraud, and common law fraud. Plaintiff accuses defendant of engaging in a fraudulent scheme. Plaintiff claims that defendant contracted with CCC to provide defendant with biased, below-market estimates of total-loss-vehicle values. Plaintiff claims that defendant uses these estimates, which are arrived at by using valuation reports generated by a computer software program that systematically undervalues the actual cash value of total-loss vehicles, to defraud its insureds in connection with the insureds’ claims for the total loss of their vehicles. Plaintiff charges defendant with intentionally reducing its overall total-loss claims payout at the expense of its insureds by using these biased reports, which at first blush appear independent and unbiased. According to plaintiff, defendant relies on these reports to demonstrate the purported “reasonableness” of what it determines to be the actual cash value of the totaled vehicle so that the insureds either will not challenge the valuation amount or, although challenging the valuation, will settle for an amount greater than the valuation but still less than the actual cash value of the vehicle.

Plaintiff further alleges that an integral part of the fraudulent scheme is a provision of the insurance policy which requires the parties to submit to an appraisal of the loss if requested by either the insured or the insurer. The appraisal provision requires the insured and the insurer to each hire, at their own expense, an appraiser and to bear equally the expenses of an umpire selected by the two appraisers, as well as any other expenses of the appraisal. Since the amount by which the insureds’ total-loss claims are underpaid is less than the cost of the appraisal, defendant knows that the insureds will forego the appraisal process and accept less than the actual cash value of the vehicle for their total-loss claims. This is precisely what plaintiff alleges she did.

Upon the filing of plaintiffs class action lawsuit, defendant filed a motion to compel an appraisal and to dismiss the lawsuit or to stay the lawsuit pending the appraisal. Both parties briefed the motion, and oral argument was heard. On January 7, 2002, the circuit court of Madison County entered an order denying defendant’s motion to compel an appraisal and dismiss or stay the proceedings. The order incorporates by reference the court’s oral ruling made at the hearing on the motion and cites Lundy v. Farmers Group, Inc., 322 Ill. App. 3d 214 (2001). In its oral ruling, the trial court essentially found that plaintiffs claims of breach of contract and fraud do not fall within the scope of the appraisal clause and that therefore plaintiff cannot be compelled to submit them to appraisal.

Defendant filed a notice of interlocutory appeal on January 9, 2002. We have jurisdiction over this appeal pursuant to Supreme Court Rule 307(a)(1) (188 Ill. 2d R. 307(a)(1)).

We begin by pointing out that an appraisal clause is analogous to an arbitration clause and is enforceable in a court of law in the same manner as an arbitration clause. Beard v. Mount Carroll Mutual Fire Insurance Co., 203 Ill. App. 3d 724, 727 (1990). Accordingly, we will use the two terms interchangeably.

We turn first to a determination of the proper standard of review. Both parties agree that in an appeal from an interlocutory order granting or denying a motion to compel arbitration, the only issue before the reviewing court is whether there was a showing sufficient to sustain the order of the trial court granting or denying the motion (J&K Cement Construction, Inc. v. Montalbano Builders, Inc., 119 Ill. App. 3d 663, 667 (1983)). Plaintiff argues that this is an abuse-of-discretion standard, while defendant counters that where the trial court renders its decision without an evidentiary hearing and without findings on any factual issues, de novo review is appropriate. We agree with defendant. See Amalgamated Transit Union, Local 900 v. Suburban Bus Division of Regional Transportation Authority, 262 Ill. App. 3d 334, 337 (1994) (where the trial court determines whether or not to compel arbitration without evidentiary hearings and without making any factual findings on any factual .issues, the finding is made as a matter of law and is reviewable de novo). In the instant case, the trial court made no findings of fact but took the well-pleaded allegations of the complaint as true. The only question before the trial court was whether the insurance contract contained a mandatory appraisal clause that applied to the controversy at issue between the parties. This was a determination made as a matter of law.

A motion to compel arbitration and dismiss the lawsuit is similar to a motion to dismiss pursuant to section 2 — 619(a)(9) of the Illinois Code of Civil Procedure, which allows a dismissal where the claim asserted is barred by affirmative matter avoiding the legal effect of or defeating the claim. 735 ILCS 5/2 — 619(a)(9) (West 2000). The phrase “affirmative matter” encompasses any defense other than a negation of the essential allegations of the plaintiffs cause of action. Kedzie & 103rd Currency Exchange, Inc. v. Hodge, 156 Ill. 2d 112, 115 (1993). A motion to compel arbitration and dismiss the lawsuit is essentially a motion pursuant to section 2 — 619(a)(9) to dismiss based on the exclusive remedy of arbitration. Such a motion admits the legal sufficiency of the plaintiffs complaint but interposes some affirmative matter that prevents the lawsuit from going forward. Kedzie & 103rd Currency Exchange, Inc., 156 Ill. 2d at 115. On appeal from a ruling on a section 2 — 619(a)(9) motion, the standard of review is de novo. Kedzie & 103rd Currency Exchange, Inc., 156 Ill. 2d at 116-17.

Furthermore, the decision whether to compel arbitration is not discretionary. Where there is a valid arbitration agreement and the parties’ dispute falls within the scope of that agreement, arbitration is mandatory and the trial court must compel it. TDE Ltd. v. Israel, 185 Ill. App. 3d 1059, 1063 (1989) (parties to an arbitration agreement are irrevocably committed to arbitrate all disputes clearly arising under the agreement). On the other hand, where there is no valid arbitration agreement or where the parties’ dispute does not fall within the scope of that agreement, the trial court may not compel it. Roubik v. Merrill Lynch, Pierce, Fenner & Smith, Inc., 181 Ill.

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Cite This Page — Counsel Stack

Bluebook (online)
782 N.E.2d 322, 335 Ill. App. 3d 1171, 270 Ill. Dec. 128, 2002 Ill. App. LEXIS 1263, Counsel Stack Legal Research, https://law.counselstack.com/opinion/travis-v-american-manufacturers-mutual-insurance-illappct-2002.