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Allstate Property & Casualty Insurance Company v. Trujillo
2014 IL App (1st) 123419
Ill. App. Ct.
2014
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Background

  • On August 10, 2009, Dolores Trujillo was a passenger in a vehicle insured by Allstate (driver Delgado) and was injured in a collision with an underinsured driver (American Access insured) whose insurer paid $20,000.
  • Trujillo settled Delgado’s liability policy (Allstate) for its $100,000 BI limit and sought $80,000 in underinsured motorist (UDIM) benefits from Allstate (policy UDIM limit $100,000).
  • Allstate refused UDIM payment, asserting the policy endorsement reduced UDIM limits by amounts Allstate paid under the policy’s bodily injury (BI) liability coverage (i.e., the $100,000 already paid to Trujillo).
  • Allstate sued for declaratory relief; the circuit court granted judgment on the pleadings for Allstate, concluding the endorsement and setoff were enforceable and not against public policy.
  • On appeal the court considered whether Allstate may offset UDIM by amounts paid under its own BI liability coverage in a multi-tortfeasor case, and whether doing so would violate the public policy underlying UDIM statutes.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether Allstate may reduce UDIM limits by amounts it paid under its own BI liability coverage Allstate: endorsement unambiguously allows setoff by any payments under the same policy, so UDIM reduced to zero Trujillo: setoff here violates public policy when multiple tortfeasors exist because it can nullify UDIM protection and produce no coverage for harms caused by the underinsured driver Court: Reversed — Allstate may only set off amounts recovered from the underinsured tortfeasor; Allstate cannot offset its own BI payments beyond preventing double recovery; remanded to determine damages to avoid windfall

Key Cases Cited

  • Hoglund v. State Farm Mut. Auto. Ins. Co., 148 Ill. 2d 272 (1992) (policy setoffs that nullify UM protection are latently ambiguous; setoffs limited to prevent double recovery)
  • Gibbs v. Madison Mut. Ins. Co., 242 Ill. App. 3d 147 (1993) (applies Hoglund to UDIM where multiple tortfeasors exist; insurer entitled to setoff only for amounts paid by underinsured driver)
  • King v. Allstate Ins. Co., 269 Ill. App. 3d 190 (1994) (in multi-tortfeasor context UDIM setoff limited to amounts from other tortfeasors; remand may be required to avoid double recovery)
  • Zdeb v. Allstate Ins. Co., 404 Ill. App. 3d 113 (2010) (distinguishes single-tortfeasor cases: insurer may reduce UDIM by amounts paid under medical payments in same policy)
  • Mercury Indem. Co. of Ill. v. Kim, 358 Ill. App. 3d 1 (2005) (upholds insured-vehicle exclusion in a single-insurer, single-tortfeasor-collision context)
  • Pahn v. State Farm Mut. Auto. Ins. Co., 291 Ill. App. 3d 343 (1997) (upholds unambiguous anti-stacking between UM and UDIM where statutory allowance exists)
Read the full case

Case Details

Case Name: Allstate Property & Casualty Insurance Company v. Trujillo
Court Name: Appellate Court of Illinois
Date Published: May 1, 2014
Citation: 2014 IL App (1st) 123419
Docket Number: 1-13-0161
Court Abbreviation: Ill. App. Ct.