No. 3-07-0104
_____________________________________________________________________________
Filed February 27, 2009
IN THE
APPELLATE COURT OF ILLINOIS
THIRD DISTRICT
A.D., 2009
______________________________________________________________________________
WEST AMERICAN INSURANCE CO., ) Appeal from the Circuit Court of the
) Thirteenth Judicial Circuit,
Plaintiff-Appellant, ) LaSalle County, Illinois,
Cross-Appelllee, )
)
v. )
) No. 04-MR-57
YORKVILLE NATIONAL BANK, )
BERNARD J. WIEGMANN, and )
SHERYL H. KUZMA, ) The Honorable
) James A. Lanuti,
Defendants-Appellees, ) Judge Presiding.
Cross-Appellants. )
______________________________________________________________________________
JUSTICE McDADE delivered the opinion of the court:
______________________________________________________________________________
This appeal arises from a declaratory judgment action filed in the circuit court of LaSalle
County to resolve insurance coverage issues. Plaintiff, West American Insurance Company,
appeals arguing that the court erred in determining that it owed a duty to provide coverage to the
defendant, Yorkville National Bank. Defendant cross-appeals arguing that the court erred in
determining defendant is not entitled to sanctions under section 155 of the Insurance Code (215
ILCS 5/155 (West 2004)). For the reasons that follow, we reverse the finding that West
American had a duty to provide coverage, affirm the determination that Yorkville National Bank
was not entitled to sanctions for alleged vexatious and unreasonable delay, and remand for further
proceedings.
FACTS
The insurance coverage case has its roots in an underlying defamation suit brought by
Sheryl Kuzma (Kuzma) against defendant and its vice president, Bernard Wiegmann. Kuzma filed
her complaint on September 24, 2001. Specifically, she alleged that her professional reputation
had been irreparably damaged following utterances by Wiegmann in his official capacity. In
March 2004, a jury returned a $2.2 million verdict in favor of Kuzma and against defendant and
Wiegmann. The parties subsequently negotiated a settlement for the reduced amount of $1.75
million. At the time of the defamation, defendant was insured under a policy issued by plaintiff,
West American Insurance Company.
The defendant was a client of Zeiter-Dickson Insurance Agency (Zeiter-Dickson).
Richard Dickson, one of the founding partners of Zeiter-Dickson, originally placed defendant with
the West American Commercial General Liability policy (the policy). The policy cites defendant
as the named insured and provides that plaintiff will pay certain damages that the insured becomes
legally obligated to pay. As a condition of coverage, the policy requires defendant to notify
plaintiff of any lawsuit. Specifically, the policy’s notice provision states:
"If a claim is made or ‘suit’ is brought against any insured, you
must:
(1) Immediately record the specifics of the claim or ‘suit’ and the
date received; and
(2) Notify us as soon as practicable.
You must see to it that we receive written notice of the claim or
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‘suit’ as soon as practicable."
Although Kuzma filed her complaint on September 24, 2001, defendant did not forward
plaintiff written notice of the suit until January 19, 2004. At this time discovery was already
closed and the matter had been set for a jury trial to begin on March 15, 2004.
On March 9, 2004, plaintiff filed a complaint for declaratory judgment in the circuit court
of LaSalle County. The complaint asserted that defendant breached the notice provision of the
policy by failing to provide written notice of the suit for more than 27 months after the suit was
filed and a mere eight weeks before the matter was scheduled for trial. Thus, plaintiff sought a
judgment that it had no obligation to provide coverage to defendant in connection with the
Kuzma suit. Defendant responded arguing that plaintiff received oral notice of the suit on six
separate occasions prior to being tendered written notice on January 19, 2004. Defendant
asserted that these six instances of oral notice constituted "actual notice" thereby triggering
plaintiff’s duty to provide coverage.
Defendant’s first allegation of "actual notice" involves a conversation in late 2001 or early
2002 between Richard Dickson, who at the time was an agent of Zeiter-Dickson, and James
Liggett, who was serving as defendant’s president. Liggett states that he told Dickson that
defendant was involved in a defamation suit and that the current D&O carrier would not cover the
suit. He then asked Dickson whether defendant would have coverage under the Zeiter-Dickson
policy. Dickson allegedly responded probably not. The second allegation of "actual notice"
involves a conversation in late 2002 between Liggett and Joel Ottosen, another agent of Zeiter-
Dickson. Liggett stated that this conversation was very similar to the one he had with Dickson in
that he inquired as to whether the policy would provide coverage. Ottosen denies that this
3
conversation ever occurred. The third and fourth allegations of "actual notice" involve two
conference calls in 2001 and 2002 between Liggett, Ottosen and Daniel Kramer, who at the time
was serving as defendant’s in-house counsel. During the alleged calls Liggett again inquired as to
whether defendant would have any coverage under the policy. No notes or confirming
correspondence exist memorializing these conversations. Ottosen also denies that either of these
conversations ever took place. The fifth and sixth instances of claimed "actual notice" occurred
during defendant’s Board of Directors meetings on September 16, 2002, and November 18, 2002.
Dickson was present at both of these meetings. According to the minutes of the meetings, Liggett
disclosed to the board that defendant had been sued for defamatory comments made by
Wiegmann. He also disclosed the parties to the litigation and that there were some additional
legal expenses involved with the lawsuit.
Following a bench trial, the circuit court granted a declaratory judgment in favor of
defendant, ruling that plaintiff owed defendant a duty to provide coverage in connection with the
Kuzma suit. As to defendant’s failure to comply with the policy’s notice provision the court
stated:
"[E]ven though the policy says they have to submit and tender the
complaint in writing to be covered, that [is] not the law. The law is
once the insurance company receives actual notice of the lawsuit,
they have a duty to defend it. The only way they get out of that is
by, according to the Supreme Court, contact[ing] the insured to
ascertain whether the insurer’s assistance is desired. So it would
seem under Cincinnati [Cincinnati v. West American Insurance
4
Co., 183 Ill. 2d 317, 701 N.E.2d 499 (1998)] that once an
insurance company receives actual notice that a lawsuit has been
filed they have an obligation to proceed. To either defend it or
contact the insured to find out if they want them to defend it."
The court concluded that at least two, and possibly four, of the six allegations of oral notice were
sufficient to give plaintiff "actual notice" of the Kuzma suit. Specifically, the court stated:
"Cincinnati, I think, and I don’t think you
need expert testimony for this, Cincinnati kind of
indicates to me that the burden is on Dickson. The
lawsuit has been filed. You’ve been told about the
lawsuit. You don’t have to have it officially
tendered to have a duty to defend. At that point you
have an obligation to follow-up, I think, and say
you’ve been sued, let me see the complaint, tell me
what it’s about. You just asked me if you were
covered in a lawsuit, I better get the information so I
can decide. And it’s stipulated in the record that he
was an agent of the agency at the time this
happened. He was the person they’d been doing
business with for years. This happened outside the
board of director’s meetings. He was specifically
questioned in the bank office about this lawsuit. He
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found out about the lawsuit two more times while he
was at the board of directors meetings and
apparently never made any inquiry to the bank to
follow-up. I think under Cincinnati, the knowledge
of Dickson is imputed to the company and under
Cincinnati, once the company knows there’s a
lawsuit, they’ve got an obligation to follow-up."
Upon finding plaintiff had a duty to provide coverage, the court directed plaintiff to pay
stipulated damages in the amount of $1,982,778.78. While this amount represented the total
amount of damages including any penalties under section 155, the court found that plaintiff’s
actions after receiving notice were not vexatious and unreasonable. Thus, the court denied
defendant’s motion for sanctions under section 155 of the Insurance Code (215 ILCS 5/155
(West 2004)). Both parties filed notices of appeal from the circuit court judgment.
STANDARD OF REVIEW
The parties disagree on the standard of review. Plaintiff asserts our review is de novo,
calling our attention to the fact that where, as here, the material facts of a case are undisputed,
the insured’s diligence in forwarding the requisite notice to the insurer becomes solely a question
of law. See Grasso v. Mid-Century Insurance Co., 181 Ill. App. 3d 286, 289, 536 N.E.2d 977,
979 (1989) Defendant counters by arguing that the question of whether the six alleged instances
of oral notice constitute "actual notice" is a factual determination and therefore will not be
reversed unless such determination is against the manifest weight of the evidence. While
defendant’s assertion is true, it ignores the fact that we first must determine whether defendant’s
6
written notice 27 months after the suit was filed violated the policy’s notice provision, and if so,
what effect that has on defendant’s right to coverage. Defendant does not dispute the fact that it
did not provide written notice until 27 months after suit was filed. Instead, defendant argues that
"actual notice trumps technical policy language." Because this argument presents a disputed
question of law, our review as to this issue is de novo. Gines v. Ivy, 358 Ill. App. 3d 607, 609-10,
832 N.E.2d 937, 938 (2005).
ANALYSIS
Appeal
We note at the outset that this appeal requires us to consider the appropriate application
of the supreme court’s decisions in Cincinnati Cos. v. West American Insurance Co., 183 Ill. 2d
317, 701 N.E. 2d 499 (1998), and the line of cases exemplified by Country Mutual Insurance Co.
v. Livorsi Marine, Inc., 222 Ill. 2d 303, 8586 N.E. 2d 338 (2006). Cincinnati addressed the
narrow question – on which the appellate districts were in conflict – of whether the actual
“tender” of a defense is necessary to trigger an insurer’s duty to defend. In resolving that
question the supreme court considered the development of an insurer’s duty to defend without
reference to policy terms and defenses. The court concluded that so long as the insurer has actual
notice of the claim, "tender" is not required. By contrast, Country Mutual involved the question
of whether an insurer could be held to a duty to defend when there had been a failure of
conditions precedent expressly declared in the policy. As in Cincinnati, the actual question before
the court was a narrow one – can an insurer’s right to rely on the written notice term of its
contract be defeated solely by its inability to show it was prejudiced by the delay. The supreme
court held that it could not, although prejudice was one factor to be considered. The division in
7
our panel reflects different interpretations of the impact of those two cases.
In the instant case, the parties and the trial court focused almost exclusively on whether or
not certain informal contacts between individuals connected with West American and Yorkville
Bank arose to "actual notice" triggering a duty to defend. A similar focus is seen in the briefs and
oral argument in this appeal. Under the specific circumstances of this case, however, we believe
that the two relevant questions here on appeal regarding the issue of whether the circuit court
erred in determining that plaintiff owed a duty to provide coverage to the defendant are: 1)
whether defendant’s written notice 27 months after the suit was filed violated the policy’s notice
provision; and if so, 2) what effect defendant’s breach has on defendant’s right to coverage. The
issue of actual notice has no bearing on these questions.
Plaintiff argues that defendant’s written notice 27 months after the suit was filed and a
mere eight weeks before the matter was scheduled for trial does not comply with the policy’s
notice provision that required defendant give "written notice of the claim or suit as soon as
practicable." Plaintiff takes the position that the six informal contacts between individuals
connected with West American and Yorkville Bank do not constitute “actual notice” and, thus, it
has no obligation to provide coverage to defendant in light of defendant’s alleged failure to
comply with the policy’s notice provision. Defendant responds arguing that plaintiff received oral
notice of the suit on six separate occasions prior to being tendered written notice on January 22,
2004. Defendant asserts that these six instances of oral notice constituted "actual notice" thereby
triggering plaintiff’s duty to provide coverage. Defendant, like the circuit court, relies upon
Cincinnati v. West American Insurance Co., 183 Ill. 2d 317, 701 N.E.2d 499 (1998) in support of
this proposition. Even though plaintiff has diligently pursued its claim that written notice was
8
required to trigger its obligation to provide coverage, it has also proceeded on appeal as though
Cincinnati stated the only law that was relevant in this case.
Our supreme court in Country Mutual Insurance Co. v. Livorsi Marine, Inc., 222 Ill. 2d
303, 856 N.E.2d 338 (2006) addressed the proper construction of insurance policy notice
provisions in the context of declaratory judgment actions asserting policy defenses. The insureds
in Country Mutual sued each other alleging trademark violations related to the use of a business
name. The insurer subsequently filed a complaint for declaratory judgment. The insurer sought a
judgment that it had no obligation to defend or indemnify either insured in connection with the
trademark lawsuit. The insurer argued that the insureds breached their policies’ notice provision
by failing to inform it in writing of the lawsuits for more than 20 months. The notice provision
stated:
"If a claim is made or ‘suit’ is brought against any insured, you
must:
(1) Immediately record the specifics of the claim or ‘suit’ and the
date received; and
(2) Notify us as soon as practicable.
You must see to it that we receive written notice of the claim or
‘suit’ as soon as practicable."
While the Country Mutual insureds conceded that their notice was late, they contended that the
delay did not prejudice the insurer, as the insurer would have had to pay for independent counsel
for both parties regardless of when it received notice. Thus, the insureds argued that the delay in
notice should not relieve the insurer of its duty to provide coverage. The trial court granted a
9
declaratory judgment to the insurer and the appellate court affirmed. The insureds subsequently
sought further review.
In affirming the judgment of the appellate court, our supreme court noted that the
presence or absence of prejudice to the insurer was only one factor to consider when determining
whether the insured fulfilled a policy condition requiring reasonable notice. Country Mutual, 222
Ill. 2d at 317, 856 N.E.2d at 346. However, the court held that once it was determined that the
insurer did not receive reasonable notice of an occurrence or a lawsuit, the insured could not
recover, regardless of whether the lack of reasonable notice prejudiced the insurer. Country
Mutual, 222 Ill. 2d at 312, 856 N.E.2d at 343. Specifically, the court stated:
“When construing the language of an insurance policy, a
court is to ascertain and give effect to the intentions of the parties
as expressed by the words of the policy. [Citation.] An insurance
policy must be construed as a whole, giving effect to every
provision. [Citation.] If the words used in the policy are
unambiguous, they are given their plain, ordinary, and popular
meaning. [Citation.] Although insurance policies are construed
liberally in favor of coverage, this rule of construction comes into
play only when the policy language is ambiguous. [Citation.]
*** [I]nsurance policy notice provisions *** impose valid
prerequisites to insurance coverage. [Citations.] A policy
condition requiring notice ‘as soon as practicable’ is interpreted to
mean ‘within a reasonable time.’ [Citation.] Whether notice has
10
been given within a reasonable time depends on the facts and
circumstances of each case. [Citation.] Breaching a policy’s
notice clause by failing to give reasonable notice will defeat the
right of the insured party to recover under the policy.” (Emphasis
added.) Country Mutual, 222 Ill. 2d at 311-12, 856 N.E.2d at 342-
43.
The notice provision at issue here is identical to the notice provision found in Country
Mutual. Both policies conditioned coverage upon receiving "written notice" of the lawsuits "as
soon as practicable." This condition ensures that the insurance carrier is allowed the opportunity
to adequately investigate the facts of the occurrence, take part in discovery and settlement
negotiations and also defend the suit if the matter proceeds to trial. Zurich Insurance Co. v.
Walsh Construction Co., 352 Ill. App. 3d 504, 509, 816 N.E.2d 801, 806 (2004). While the
court in Country Mutual did not reach the issue of whether the insureds’ written notice 20 months
after suit had been filed was in fact reasonable, Illinois courts have held that a delay of even a few
months in giving notice breaches the policy as a matter of law and defeats coverage. Montgomery
Ward Co. v. Home Insurance Co., 324 Ill. App. 3d 441, 449, 753 N.E.2d 999, 1005 (2001);
Equity General Insurance Co. v. Patis, 119 Ill. App. 3d 232, 237, 456 N.E.2d 348, 352 (1983);
Illinois Valley Minerals Corp. v. Royal-Globe Insurance Co., 70 Ill. App. 3d 296, 300, 388
N.E.2d 253, 256 (1979).
In the present case, it is undisputed that 27 months passed between the initiation of the
defamation suit by Kuzma and defendant’s written notice of the suit. We do not believe that a
delay of 27 months constitutes notice within a reasonable time in light of the fact that discovery
11
had already closed and the case was scheduled to proceed to trial in eight weeks. Upon careful
review, we find no authority that has interpreted a 27 month delay to satisfy the language "as soon
as practicable." Moreover, defendant has failed to provide us with any such authority. Giving the
language of the notice provision its plain and ordinary meaning, we conclude that defendant
breached the notice clause as a matter of law.
In coming to this conclusion, we reject defendant’s assertion that "actual notice trumps
technical policy language." This assertion offends the well-settled principle of contract
construction that each provision of a contract must be given its full effect. Country Mutual, 222
Ill. 2d at 311, 856 N.E.2d at 343. We accomplish this task by giving the terms used in each
provision their plain, ordinary and popular meaning. Country Mutual, 222 Ill. 2d at 311, 856
N.E.2d at 343. Here, the circuit court’s acceptance of what it deemed "actual notice" acted to
render the policy’s written notice provision meaningless. In essence, the court rewrote the notice
provision by substituting the term "actual notice" for the term "written notice." The parties here
bargained for a promise of coverage in exchange for "written notice *** as soon as practicable."
The circuit court here failed to give effect to these intentions as unambiguously expressed by the
words of the policy. See Country Mutual, 222 Ill. 2d at 311, 856 N.E.2d at 342-43.
Moreover, we disagree with both the parties’ and the circuit court’s interpretation of
Cincinnati v. West American Insurance Co., 183 Ill. 2d 317, 701 N.E.2d 499 (1998). Upon
review, we do not read Cincinnati to stand for the proposition that "actual notice" trumps
technical policy language. Instead, Cincinnati involved a conflict among the appellate court
districts concerning whether an insured had a duty to "tender" the defense of a lawsuit to the
insurer (Institute of London Underwriters v. Hartford Fire Insurance Co., 234 Ill. App. 3d 70,
12
599 N.E.2d 1311 (1992)) or whether "actual notice without tender" is sufficient to trigger the
duty to defend (Federated Mutual Insurance Co. v. State Farm Mutual Automobile Insurance
Co., 282 Ill. App. 3d 716, 668 N.E.2d 627 (1996)). While the court determined that an insurer’s
duty to defend is triggered solely by its having "actual notice" of a claim against its insured
(Cincinnati, 183 Ill. 2d at 325, 701 N.E.2d at 503), the court acknowledged that policy defenses
did not factor in its decision (Cincinnati, 183 Ill. 2d at 323, 701 N.E.2d at 502). Specifically, the
court observed in Footnote 1:
"We note that neither Cincinnati nor West America argues
governance of the terms of the policy with respect to when the duty
to defend arises. Consequently, policy defenses have not been a
factor [in] our decision." Cincinnati, 183 Ill. 2d at 323, 701
N.E.2d at 502.
The court went on to find that the question of whether an insurer has a duty to defend usually
depends on the allegations of the complaint and the scope of the policy. Cincinnati, 183 Ill. 2d at
323, 701 N.E.2d at 502. Specifically, the court stated:
"In order to determine whether [an] insurer’s duty to defend [an
insured] has arisen, the court must compare the allegations of the
underlying complaint to the policy language. [Citations.] *** If
the court determines that these allegations fall within or potentially
within the policy’s coverage, the insurer has a duty to defend [an]
insured against the underlying complaint. [Citations.]" (Emphasis
in original) Cincinnati, 183 Ill. 2d at 323, 701 N.E.2d at 502,
13
quoting Marine Corp. v. Liberty Mutual Insurance Co., 154 Ill. 2d
90, 125, 607 N.E.2d 1204, 1220.
While Cincinnati does in fact stand for the proposition that the duty to defend arises when
the insurer has "actual notice" of a suit pending against its insured, it appears clear that an insurer
can be absolved of this duty by obtaining a declaratory judgment that it has no obligation to
defend or indemnify under the actual terms of the policy. See Country Mutual, 222 Ill. 2d at 312,
856 N.E.2d at 343. In the present case, plaintiff exercised its preemptive right to seek a
determination of its responsibilities under the policy. Specifically, plaintiff’s complaint for
declaratory judgment asked whether defendant’s written notice 27 months after the suit was filed
violated the policy’s notice provision, and if so, what effect that has on defendant’s right to
coverage. Thus, it is the actual language of the notice provision that is at issue -- not "actual
notice" as discussed in Cincinnati. We therefore find that our case stands in posture with Country
Mutual and it is its analysis and that of other cases construing policy notice provisions, not the
reasoning of Cincinnati, that controls.
Illinois law is clear that insurance policy notice provisions impose valid prerequisites to
insurance coverage (Country Mutual, 222 Ill. 2d at 311, 856 N.E.2d at 343), and a delay of even
a few months in giving notice breaches the policy as a matter of law (Montgomery Ward, 324 Ill.
App. 3d at 449, 753 N.E.2d at 1005; Equity General Insurance, 119 Ill. App. 3d at 237, 456
N.E.2d at 352; Illinois Valley Minerals, 70 Ill. App. 3d at 300, 388 N.E.2d at 256). Our supreme
court specifically found that breaching a policy’s notice clause by failing to give reasonable notice
will defeat the right of the insured party to coverage under the policy. Country Mutual, 222 Ill.
2d at 312, 856 N.E.2d at 343. We find that Yorkville Bank’s written notice 27 months after filing
14
of the lawsuit does not satisfy its obligation to provide written notice of the claim or suit “as soon
as practicable.” Because defendant breached the policy’s notice provision to provide written
notice as soon as practicable, plaintiff is relieved of any duty it had to provide defendant coverage
under the policy.
We acknowledge the many cases cited by the dissent in support of its position that
Cincinnati requires us to affirm the trial court. While we believe most of them are distinguishable
because the contracts do not require written notice, two do support the argument of the dissent
even where written notice is demanded in the contract. See American Home Assurance Company
v. The City of Granite City, 59 Ill. App. 3d 656, 375 N.E. 2d 969 (1978) and McLaughlin v.
Attorneys’ Title Guaranty Fund, Inc., 61 Ill. App. 3d 911, 378 N.E. 2d 355 (1978). Because the
case law appears to be in conflict, we believe this is a matter that needs to be resolved, hopefully
sooner rather than later, by the supreme court.
Because we have determined that defendant breached the policy’s notice provision and is
therefore not entitled to coverage under the policy, we need not reach the question of whether
defendant’s six allegations of oral notice prior to forwarding written notice constituted "actual
notice." Thus, we express no opinion as to whether plaintiff had "actual notice" of Kuzma’s
lawsuit. Instead, we only find that plaintiff did not receive notice as required by the policy which
the parties bargained for and entered into voluntarily. Accordingly, we reverse the circuit court’s
finding that defendant is entitled to a declaratory judgment that plaintiff owes a duty to provide
coverage (defense and indemnifications) to defendant and remand to the LaSalle County Circuit
Court for further proceedings. We note that the circuit court’s order required West American to
also indemnify defendants, apparently on the basis that it had a duty to defend. We believe this
15
issue also needs to be re-examined on remand.
Cross Appeal
On cross appeal, defendant argues that the circuit court erred in determining defendant is
not entitled to sanctions under section 155 of the Insurance Code (215 ILCS 5/155 (West 2004)).
Section 155 of the Insurance Code provides, in pertinent part, as follows:
"(1) In any action by or against a company wherein there is in issue
the liability of a company on a policy or policies of insurance or the
amount of the loss payable thereunder, or for an unreasonable delay
in settling a claim, and it appears to the court that such action or
delay is vexatious and unreasonable, the court may allow as part of
the taxable costs in the action reasonable attorney fees, other costs,
plus an amount not to exceed any one of the following amounts:
(a) 60% of the amount which the court or jury finds such
party is entitled to recover against the company, exclusive of all
costs;
(b) $60,000;
(c) the excess of the amount which the court or jury finds
such party is entitled to recover, exclusive of costs, over the
amount, if any, which the company offered to pay in settlement of
the claim prior to the action. 215 ILCS 5/155 (West 2004)."
At the outset, we hold that the question concerning section 155 relief is moot. A moot
case is one which seeks to determine an abstract question – one which does not rest upon existing
16
facts or rights. Pasquinelli v. Village of Mundelein, 257 Ill. App. 3d 1057, 1067, 630 N.E.2d
1113, 120 (1994). Section 155 provides a remedy for an insured who encounters unnecessary
difficulties when an insurer withholds policy benefits. Bedoya v. Founders Insurance Company,
293 Ill. App. 3d 668, 679, 688 N.E.2d 757, 764 (1997). However, a defendant cannot be liable
for section 155 relief where no benefits are owed. Martin v. Country Mutual Insurance
Company, 318 Ill. App. 3d 751, 764, 742 N.E.2d 848, 857 (2000); O’Rourke v. Access Health,
Inc., 282 Ill. App. 3d 394, 406, 668 N.E.2d 214, 222 (1996). Thus, because we have already
determined that no benefits are owed under the policy, the question of section 155 sanctions is
moot. Even if we were to consider this question on its merits, however, we would find that the
trial court did not err in determining that plaintiff’s conduct was not vexatious or unreasonable.
The question of whether the insurer’s action and delay is vexatious and unreasonable is a
factual one committed to the discretion of the circuit court. Thus, the circuit court’s
determination will not be disturbed on review unless an abuse of discretion is demonstrated in the
record. Dark v. United States Fidelity & Guaranty Co., 175 Ill. App. 3d 26, 30-31, 529 N.E.2d
662, 666 (1988). The court must consider the insurer’s conduct in the totality of the
circumstances. Estate of Price v. Universal Casualty Co., 322 Ill. App. 3d 514, 518, 750 N.E.2d
739, 743 (2001). Specifically, a court should look to the insurer’s attitude, whether the insured
was forced to file suit to recover, and whether the insured was deprived of the use of its property.
Estate of Price, 322 Ill. App. 3d at 517, 750 N.E.2d at 742.
A bona fide dispute over coverage existed in this case. As already explained, defendant
breached the policy’s written notice provision, which left plaintiff in doubt about its duty to
provide coverage. As a result, plaintiff filed its declaratory judgment action. We have already
17
determined that defendant did not provide its insurer with written notice within a reasonable time
as required by the contract. Therefore, the earliest time West American was legally on notice and
required to consider its duties and obligations under the policy was January 19, 2004, (or January
22 when the notice was actually received). Accordingly we review the trial court’s decision in
light of West American’s conduct during the 59 days between January 19 and March 9, 2004,
when it filed its declaratory judgment action.
We find no more support in the record than did the trial court for concluding that plaintiff
acted vexatiously or unreasonably in determining its course of action. On January 22, 2004, three
days after receiving written notice, Carolyn Maher, a litigation specialist for plaintiff, contacted
defendant after a cursory review of defendant’s claim for coverage. Maher informed defendant
that the Kuzma suit would be covered under the policy. Maher, however, instructed defendant’s
counsel to continue representing defendant in the litigation. Fourteen days later Maher sent
defendant a letter on March 5, 2004, indicating to defendant that plaintiff was still in the process
of evaluating the claim. Plaintiff filed its complaint for declaratory judgment on March 9, 2004.
While defendant takes specific issue with Maher’s January 22nd telephone call and March 5th
letter, we do not view these actions as vexatious or unreasonable given the relatively short period
of time between defendant’s forwarding of written notice and the impending Kuzma lawsuit.
Moreover, Maher’s initial error in judgment as to whether plaintiff would provide coverage did
not in any way compromise or affect defendant’s defense in the Kuzma suit. Again, Maher
specifically instructed defendant’s counsel to continue representing defendant in the litigation.
Thus, when viewing the totality of the circumstances we cannot say that the circuit court abused
its discretion in determining defendant is not entitled to sanctions under section 155.
18
Accordingly, we affirm the circuit court’s finding that defendant is not entitled to sanctions under
section 155 of the Insurance Code (215 ILCS 5/155 (West 2004)).
For the above reasons, the circuit court’s order is reversed on the issue of coverage,
affirmed on the issue of sanctions, and the cause remanded for further proceedings consistent with
this order.
Reversed in part, affirmed in part, and remanded.
JUSTICE SCHMIDT, specially concurring:
I concur but write separately to point out what I think
should be obvious. Many of the insurance coverage notice cases
involve swearing contests between the insurance carrier and its
insured as to whether oral notice was given. This case was
decided below on just such a contest. The contract of insurance
contained a valid condition precedent which required written
notice of a claim. The obvious intent of this condition is to
avoid these "he said-she said" coverage disputes. There is
nothing either draconian or unfair about this condition. The
written notice provision is valid. The contract language has
obviously been approved by the Department of Insurance. There is
no reason not to enforce it.
The underlying lawsuit was filed September 24, 2001.
Written notice was not given to West American until January 19,
2004, 2½ years later and less than 2 months before a jury trial
was to begin. "Under Illinois law, a delay of even a few months
in giving notice breaches the policy as a matter of law, defeats
coverage, and justifies the entry of summary judgment for the
19
insurance company." Montgomery Ward & Co. v. Home Insurance Co.,
324 Ill. App. 3d 441, 449, 753 N.E.2d 999, 1005 (2001), citing
Equity General Insurance Co. v. Patis, 119 Ill. App. 3d 232, 237-
38, 456 N.E.2d. 348, 352 (1983). (involving less than a five-
month delay in fire loss notification); Illinois Valley Minerals
Corp. v. Royal-Globe Insurance Co., 70 Ill. App. 3d 296, 300, 388
N.E.2d 348, 256 (1979) (involving a six-month delay of notice
from the date of the river barge accident).
The bank had lawyers. It waited until less than two months
before a jury trial in the defamation case to give written
notice. Under these circumstances, I do not know how any
reasonable person could find that the written notice was given
"as soon as practicable" as required by the contract of
insurance. There is no justification in law or equity for not
enforcing the written notice provision of the contract.
The dissent in this case misconstrues the import of the
Cincinnati case. The Cincinnati case relied upon by the dissent
did not deal with a written notice provision. Furthermore, in
Cincinnati, there was absolutely no issue as to whether West
American actually had notice. In the case before us, all the
bank had to do was send a copy of the complaint to the insurer.
As contemplated by the contract between the parties, this would
have obviated any swearing contest as to whether the insurer had
notice and would have clearly given the insurer the kind of
notice necessary to locate and defend the claim.
JUSTICE LYTTON concurring in part, dissenting in part:
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I dissent from the majority’s conclusion that plaintiff did not have a duty to defend and
indemnify Yorkville National Bank. Thus, I also disagree with the majority’s holding that defendant’s
request for sanctions is moot. Nevertheless, I concur with the majority’s finding that the trial court
did not abuse its discretion by denying defendant sanctions.
I. DUTY TO DEFEND AND INDEMNIFY
I would affirm the trial court’s ruling that plaintiff had actual notice of the Kuzma lawsuit and,
thus, had a duty to defend and indemnify Yorkville National Bank. In reaching the opposite
conclusion, the majority has (a) disregarded the arguments of the parties and the applicable rule of
law, (b) misapplied the law that it claims to rely upon, and (c) ignored Illinois precedent. Applying
the appropriate law to the facts of this case, I find that plaintiff breached its duty to defend and
indemnify Yorkville National Bank.
A. Actual Notice Under Cincinnati
The majority points out that plaintiff never disputed the application of actual notice to this
case. Nevertheless, the majority, on its own, decided that actual notice was irrelevant. Such a ruling
is contrary to Illinois law. See Cincinnati Cos. v. West American Insurance Co., 183 Ill. 2d 317, 328,
701 N.E.2d 499, 504 (1998). In Cincinnati, the supreme court clearly stated that actual notice of a
claim triggers an insured’s duty to defend. Cincinnati, 183 Ill. 2d at 328, 701 N.E.2d at 504. The
court adopted this rule for a number of reasons: (1) the insurer is in a better position than the insured
to know the scope of the insurance contract and insurance law; (2) the insurer, having received
consideration for including the insured on its policy, should not be allowed to avoid its responsibilities
as a result of the insured’s ignorance; and (3) the state has an interest in having insured persons
adequately represented in litigation. Cincinnati. 183 Ill. 2d at 328-29, 701 N.E.2d at 504-05.
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The majority attempts to limit application of the supreme court’s rule in Cincinnati only to
cases involving written tender requirements contained in the policy. However, the court’s decision
in Cincinnati does not support such a limitation. The reasons set forth by the supreme court for
adopting the actual notice rule apply not only to cases where a written tender requirement is at issue,
but also to cases in which a policy has a written notice requirement. In both situations, the insurer
"requires an insured to jump through meaningless hoops toward an absurd end: telling the insurer
something it already knows." See Federated Mutual Insurance Co. v. State Farm Mutual Automobile
Insurance Co., 282 Ill. App. 3d 716, 725, 668 N.E.2d at 627, 632-33 (1996).
No other Illinois court has ruled, as the majority does here, that the Cincinnati court’s decision
should be limited to cases involving a written tender requirement, rather than a written notice
requirement. In fact, courts have applied the actual notice rule to cases involving written notice
requirements. See Illinois Founders Insurance Co. v. Barnett, 304 Ill. App. 3d 602, 609, 710 N.E.2d
28, 33 (1999); Employers Reinsurance Corp. v. E. Miller Insurance Agency, Inc., 332 Ill. App. 3d
326, 339, 773 N.E.2d 707, 717 (2002). Thus, the majority has carved out an exception to the actual
notice rule that is not recognized or supported by Illinois law.
B. Majority’s Reliance on Country Mutual
1. Inapplicability of Country Mutual
Despite the clear application of the actual notice rule to this case, the majority contends that
we should ignore Cincinnati and instead rely on Country Mutual Insurance Co. v. Livorsi Marine,
Inc., 222 Ill. 2d 303, 856 N.E.2d 338 (2006). According to the majority, this case "stands in posture
with Country Mutual * * *." We disagree.
In Country Mutual, the parties stipulated that the insurer did not receive actual notice of the
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lawsuit until the insureds provided written notice more than 20 months after the suit was filed.
Country Mutual, 222 Ill. 2d at 307, 856 N.E.2d at 340. Because there was no contention that the
insurer received actual notice of the lawsuit before the insureds provided their written notice, Country
Mutual has no relevance here.
The court in Country Mutual did not discuss actual notice because it was not an issue in that
case. On the other hand, Illinois cases have held that an insured may rely on actual notice in
determining the reasonableness of the notice given. See University of Illinois v. Continental Casualty
Co., 234 Ill. App. 3d 340, 365, 599 N.E.2d 1338, 1355 (1992); Illinois Valley Minerals Corp. v.
Royal-Globe Insurance Co., 70 Ill. App. 3d 296, 301, 388 N.E.2d 253, 257 (1979). Thus, by ignoring
the actual notice plaintiff received, and focusing exclusively on the written notice that defendant
provided, the majority has come to a conclusion unsupported by Illinois law. See University of
Illinois, 234 Ill. App. 3d at 365, 599 N.E.2d at 1355; Illinois Valley Minerals Corp., 70 Ill. App. 3d
at 301, 388 N.E.2d at 257.
2. Majority’s Misapplication of Country Mutual
Even if Country Mutual somehow applied to this case, the majority has misapplied it. In
Country Mutual, the court held that a policy condition, like the one in this case, requiring notice "[a]s
soon as practicable" means "within a reasonable time." 222 Ill. 2d at 311, 856 N.E.2d at 343.
Whether notice has been given within a reasonable time depends on the facts and circumstances of
each case. Country Mutual, 222 Ill. 2d at 311-12, 856 N.E.2d at 343. To determine whether notice
is reasonable, courts must analyze several factors, including (1) the specific language of the policy’s
notice provision, (2) the insured’s sophistication in commerce and insurance matters, (3) the insured’s
awareness of an event which may trigger insurance coverage, (4) the insured’s diligence in
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ascertaining whether policy coverage is available, and (5) the presence or absence of prejudice to the
insured. Country Mutual, 222 Ill. 2d at 312-13, 856 N.E.2d at 343-44.
The majority concludes that since plaintiff did not receive written notice of the lawsuit until
27 months after suit was filed, such notice was per se unreasonable. Such a conclusion is not
supported by Country Mutual, where the supreme court specifically refused to express an opinion
regarding whether a 20-month delay was unreasonable. See Country Mutual, 222 Ill. 2d at 321, 856
N.E.2d at 348. The length of time in giving notice is just one factor to consider in determining
whether notice is reasonable. See American Home Assurance Co. v. City of Granite City, 59 Ill. App.
3d 656, 659, 375 N.E.2d 969, 972 (1978). There is no rule that a lengthy delay in providing notice
absolutely bars recovery under a policy requiring notice. See American Country Insurance Co. v.
Bruhn, 289 Ill. App. 3d 241, 248, 682 N.E.2d 366, 371 (1997). In fact, courts have found that delays
of two years and longer are not per se unreasonable. See, e.g., Allstate Insurance Co. v. Cariaoto,
194 Ill. App.3d 767, 551 N.E.2d 382 (1990) (2 ½ year delay); Grasso v. Mid-Century Insurance Co.,
181 Ill. App. 3d 286, 536 N.E.2d 977 (1989) (two-year delay ); Brotherhood Mutual Insurance Co.
v. Roseth, 177 Ill. App. 3d 443, 532 N.E.2d 354 (1988) (two-year delay).
The majority fails to analyze the numerous factors outlined in Country Mutual to determine
the reasonableness of the notice in this case. Instead, it considers only the length of time it took
defendant to provide written notice. Again, the majority’s decision is not supported by Illinois law,
including the case it relies upon to reach its conclusion.
C. Illinois Precedent
Finally, I disagree with the majority’s suggestion that applying the actual notice rule to this
case would be a departure from well-established law. For decades, Illinois courts have held that
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notice that does not strictly comply with an insurance policy’s notice provision may still constitute
notice adequate to trigger an insurer’s duties. See Simmon v. Iowa Mutual Casualty Co., 3 Ill. 2d
318, 121 N.E.2d 509 (1954) (notice given by someone other than insured was effective even though
policy required notice to be given by insured); Barnett, 304 Ill. App. 3d at 612, 710 N.E.2d at 35
(insured’s failure to forward a copy of suit and summons to insurer as required by insured’s policy
did not absolve insurer of duties to defend and indemnify insured).
In Simmon, the insurance policy at issue required the insured to give written notice of an
accident to the insurer or any of it authorized agents as soon as practicable. Simmon, 3 Ill. 2d at 320-
21, 121 N.E.2d at 511. The policy also provided that no action would lie against the insurer unless
the insured complied with all of the policy’s terms. Simmon, 3 Ill. 2d at 321, 121 N.E.2d at 511. The
insured was involved in an automobile accident. Simmon, 3 Ill. 2d at 319, 121 N.E.2d at 510. The
insured never gave notice to his insurance company of the accident, but the insurance company
received a letter from the injured party’s attorney three months after the accident. Simmon, 3
Ill.2d at 319-20, 121 N.E.2d at 510. The appellate court held that
the insurer had no duty to defend the insured because he failed to
give reasonable notice to the insurer. 3 Ill. 2d at 321, 121
N.E.2d at 321. The supreme court reversed, holding that as long as
reasonable notice is given to the insurer it does not matter who
gives the notice. Simmon, 3 Ill.2d at 323, 121 N.E.2d at 512.
Since the supreme court’s ruling in Simmon, courts have held
that notice is effective even if it is not provided by the insured.
See Illinois Valley Minerals Corp. v. Royal-Globe Insurance Co., 70
Ill. App. 3d 296, 388 N.E.2d 253 (1979); McLaughlin v. Attorneys’
Title Guaranty Fund, Inc., 61 Ill. App. 3d 911, 378 N.E.2d 355
25
(1978); Rivota v. Kaplan, 49 Ill. App. 3d 910, 364 N.E.2d 337
(1977). Simmon and its progeny demonstrate that an insured’s
failure to strictly comply with a notice provision will not defeat
coverage when the insurance company receives actual notice of a
claim.
D. Trial Court Ruling Should be Affirmed
Here, the trial court found that plaintiff received actual
notice of the Kuzma suit, thereby triggering plaintiff’s duty to
defend and indemnify. I agree.
"Actual notice" is "notice sufficient to permit the insurer to
locate and defend the lawsuit." Cincinnati, 183 Ill. 2d at 329,
701 N.E.2d at 505. In order to have actual notice to locate and
defend, the insurer must know both that a cause of action has been
filed and that the complaint falls within or potentially within the
scope of coverage of one of its policies. Cincinnati, 183 Ill. 2d
at 329-30, 701 N.E.2d at 505.
In this case, the trial court made fact findings that Dickson,
an agent of plaintiff, received oral notice of the Kuzma lawsuit
from Liggett in late 2001 or early 2002, when he told Dickson about
Kuzma’s defamation lawsuit and asked Dickson if its insurance
policy would provide coverage for the suit. This notice was
sufficient to permit plaintiff to locate and defend the Kuzma
lawsuit. Because plaintiff failed to do so, it breached its duties
under its policy and should be liable to Yorkville National Bank.
Thus, I would affirm the trial court’s decision on this issue.
II. SANCTIONS
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The majority held that the issue of sanctions was moot because
plaintiff owed no benefits under the policy. Because I would find
that plaintiff owed Yorkville National Bank a duty to defend and
indemnify, I disagree that the issue of sanctions is moot.
Nevertheless, I concur with the majority’s decision to affirm the
trial court’s denial of sanctions because I believe that there was
a bona fide dispute over coverage in this case.
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