Xiang Zhao v. State Farm Fire & Casualty Co.

2025 IL App (2d) 240723
Appellate Court of Illinois·Decided May 12, 2025·No. 2-24-0723·Published·Cited by 1 cases

Opinion

No. 2-24-0723

Opinion filed May 12, 2025

IN THE

APPELLATE COURT OF ILLINOIS

SECOND DISTRICT

XIANG ZHAO, ) Appeal from the Circuit Court ) of Lake County.

Plaintiff-Appellee, )

)

v. ) No. 24-MR-104 )

STATE FARM FIRE & CASUALTY, ) COMPANY, ) Honorable ) Jorge L. Ortiz,

Defendant-Appellant. ) Judge, Presiding.

JUSTICE McLAREN delivered the judgment of the court, with opinion.

Justices Birkett and Mullen concurred in the judgment and opinion.

OPINION

¶1 Defendant, State Farm Fire & Casualty Co. (State Farm), appeals the decision of the trial court granting plaintiff’s motion for judgment on the pleadings and ordering the parties to participate in contractually based appraisal. At issue here is (1) whether the trial court erred in granting the motion for judgment on the pleadings and (2) whether State Farm’s late notice defense precludes the parties from the appraisal process. We affirm.

¶2 I. BACKGROUND

¶3 Plaintiff, Xiang Zhao, owns the single-family residence at 993 Creek Bend Drive in Vernon Hills. State Farm issued to plaintiff a homeowners insurance policy on the property. Policy 13-

GD-V496-0 was effective during the relevant period and included coverage for accidental direct physical loss to the dwelling caused by hail.

¶4 A hailstorm occurred in the area on April 20, 2023. Plaintiff submitted a claim on August 3, 2023, asserting that her home had been damaged by the storm. Defendant investigated and assigned plaintiff claim number 1353W646D.

¶5 On September 12, 2023, defendant sent an estimate for items covered in the claim and issued to plaintiff an actual value payment of $12,677.94. The estimate included replacement of gutters, downspouts, and aluminum wraps on certain window frames and trim.

¶6 Plaintiff disagreed with the assessment and received a second estimate from Encompass Builders on September 26, 2023. Encompass Builders determined that the hail damage was extensive enough to require the replacement of all of the windows in the dwelling, at an estimated cost of $133,817.82. The second estimate also claimed that the scope of the work was extensive enough to require a general contractor and to trigger the inclusion of both overhead and profit in the estimate.

¶7 In a letter to defendant dated December 22, 2023, plaintiff invoked her right to the appraisal process pursuant to the insurance contract. Plaintiff identified the dispute as “the scope of the damages and the damage repairs” needed to restore the windows of the dwelling. She listed her appraiser and asked defendant to have its appraiser contact him within 20 days to select an umpire and schedule the appraisal.

¶8 Defendant replied to the appraisal demand in a letter dated January 2, 2024. Citing the contract, defendant wrote that it had “completed the inspection of the property and we have provided our recent estimate which confirms the covered items for this claim.” Defendant refused

plaintiff’s demand for an appraisal under the terms of the policy, stating that it viewed the differences in estimates to be based on a dispute over policy coverage, not the amount of loss.

¶9 The appraisal provision of the insurance policy states, in relevant parts:

“If you and we fail to agree on the amount of loss, either party can demand that the amount of the loss be set by appraisal. Only you or we may demand appraisal. A demand for appraisal must be in writing. You must comply with SECTION I – CONDITIONS, Your Duties After Loss before making a demand for appraisal. At least 10 days before demanding appraisal, the party seeking appraisal must provide the other party with written, itemized documentation of a specific dispute as to the amount of the loss, identifying separately each item being disputed.

a. Each party will select a competent, disinterested appraiser and notify the other party of the appraiser’s identity within 20 days of receipt of the written demand for appraisal.

b. The appraisers will then attempt to set the amount of the loss of each item in dispute as specified by each party, and jointly submit to each party a written report of agreement signed by them. In all instances the written report of agreement will be itemized and state separately the actual cash value, replacement cost, and if applicable, the market value of each item in dispute. The written report of agreement will set the amount of the loss of each item in dispute and will be binding upon you and us.

c. If the two appraisers fail to agree upon the amount of the loss within 30 days, unless the period of time is extended by mutual agreement, they will select a competent, disinterested umpire and will submit their

differences to the umpire. If the appraisers are unable to agree upon an umpire within 15 days:

(1) you or we may make a written application for a judge of a court of record in the same state and county (or city if the city is not within a county) where the residence premises is located to select an umpire;

(2) the party requesting the selection described in item c (1)

must provide the other part:

(a) written notice of the intent to file, identifying the specific location and identity of the court at least 10 days prior to submission of the written application; and (b) a copy of the written application; and (3) a written report of agreement, as required in item b.

signed by any two (appraisers or appraiser and umpire) will set the amount of the loss of each item in dispute and will be binding upon you and us. In all instances the written report of agreement will be itemized and state separately the actual cash value, replacement cost, and if applicable, the market value of each item in dispute.

***

g. You and we do not waive any rights by demanding or submitting to an appraisal, and retain all contractual rights to determine if coverage applies to each item in dispute.

h. Appraisal is only available to determine the amount of the loss of

each item in dispute. The appraisers and the umpire have no authority to decide:

(1) any other questions of fact;

(2) questions of law;

(3) questions of coverage;

(4) other contractual issues; or (5) to conduct appraisal on a class-wide basis.

i. Appraisal is a non-judicial proceeding and does not provide for or require arbitration. Neither party will be awarded attorney fees. The appraisal award may not be entered as a judgement in a court.

j. A party may not demand appraisal after that party brings suit or action against the other party relating to the amount of loss.” (Emphasis in original).

¶ 10 Defendant posited that the appraisal provision was “to resolve differences in the price of repairs that State Farm determined were covered” and that plaintiff’s estimate equated to a dispute in coverage under the policy. Defendant declined to participate in the appraisal process because it “cannot be used to resolve disputes regarding coverage provided by the contract.” The letter closed by citing language in the policy regarding bringing a lawsuit against defendant and referring plaintiff to the Illinois Department of Insurance.

¶ 11 Plaintiff filed a two-count complaint against defendant on March 22, 2024. In count I of the complaint, plaintiff sought a declaratory judgment that would compel the parties to proceed with appraisal under the terms of the policy. In count II, plaintiff sought monetary damages for the alleged breach of the policy by defendant.

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Xiang Zhao v. State Farm Fire & Casualty Co., 2025 IL App (2d) 240723 (Ill. Ct. App. 2025).

2025 IL App (2d) 240723 (Xiang Zhao v. State Farm Fire & Casualty Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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