History
  • No items yet
midpage
Insurance Benefit Group, Inc. v. Guarantee Trust Life Insurance Company
2017 IL App (1st) 162808
| Ill. App. Ct. | 2017
Read the full case

Background

  • Insurance Benefit Group (plaintiff) and Guarantee Trust Life Insurance Co. (defendant) entered a December 1, 2007 marketing agreement appointing plaintiff as exclusive marketer for certain health insurance programs; Exhibit A provided a 3% "marketer’s fee" and separate tiered "producer commissions."
  • Producer commissions were expressly stated to be "vested" unless terminated for cause; the marketer’s fee contained no vesting language and was payable on premiums "collected by [defendant’s] third party administrator."
  • Defendant terminated the marketing agreement effective January 1, 2010, later ceased use of the third‑party administrator (Gilsbar) after May 31, 2011, and began self‑administering certain policies.
  • Plaintiff sued for breach of the marketing agreement (Count III) and for breach of an oral agreement to pay for compliance work by plaintiff’s employee Marcozzi (Count V); trial focused on two fees: the marketer’s fee and producer commissions, and on Marcozzi’s billed hours.
  • The trial court found plaintiff not entitled to the marketer’s fee (because no premiums were collected by a third‑party administrator after May 31, 2011), but awarded $134,460 in producer commissions (8% on $1,680,779 of premiums); it found for defendant on Count V, rejecting Marcozzi’s post‑hoc time memorandum and concluding compliance work was covered by the written marketing agreement.
  • Both parties appealed (defendant arguing no producer commission was owed; plaintiff arguing it also was owed the marketer’s fee and challenging denial of leave to amend to add unjust enrichment/quantum meruit claims). The appellate court affirmed.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether plaintiff was entitled to the 3% marketer’s fee after defendant ceased using a third‑party administrator The marketer’s fee is a continuing payment tied to policies and should survive self‑administration Fee payable only on premiums "collected by [defendant’s] third party administrator," so no fee due once defendant self‑administered No marketer’s fee owed: plain contract language requires premium collection by third‑party administrator
Whether plaintiff was entitled to vested producer commissions after defendant stopped using the third‑party administrator Vesting language applies to "commissions," so producer commissions survive the change in administration and remain payable on renewals Same literal phrase refers to premiums collected by third‑party administrator, so no commissions due after self‑administration Producer commissions are vested and payable on renewal policies; court awarded $134,460
Whether an enforceable separate oral contract existed to pay Marcozzi $50/hr for compliance work Plaintiff: Edson agreed to reimburse Marcozzi at $50/hr for non‑agreement compliance work; plaintiff relied on Marcozzi’s time memorandum and certification Defendant: compliance work fell within duties under the written marketing agreement; integration clause bars oral modification; time memorandum unreliable No separate oral contract: trial court’s finding not against manifest weight; damages not proven because hours memo was created after the fact
Whether the trial court abused discretion by denying leave to file a second amended complaint adding unjust enrichment/quantum meruit Plaintiff: should be allowed to amend to assert equitable claims for Marcozzi’s unpaid work Defendant: amendment untimely, would prejudice, and facts were known long before trial Denial affirmed: proposed amendment was untimely, added new claims shortly before trial, and plaintiff offered no explanation

Key Cases Cited

  • Reliable Fire Equip. Co. v. Arredondo, 2011 IL 111871 (standard of review in bench trial)
  • Eychaner v. Gross, 202 Ill. 2d 228 (deference to trial court on witness credibility)
  • Thompson v. Gordon, 241 Ill. 2d 428 (contract interpretation; give effect to parties’ intent and avoid rendering provisions meaningless)
  • Carr v. Gateway, Inc., 241 Ill. 2d 15 (interpretation of contract is a question of law reviewed de novo)
  • Foutch v. O’Bryant, 99 Ill. 2d 389 (appellant’s duty to provide complete record; missing record presumed to support trial court)
Read the full case

Case Details

Case Name: Insurance Benefit Group, Inc. v. Guarantee Trust Life Insurance Company
Court Name: Appellate Court of Illinois
Date Published: Dec 7, 2017
Citation: 2017 IL App (1st) 162808
Docket Number: 1-16-2808
Court Abbreviation: Ill. App. Ct.