delivered the opinion of the court:
This is an insurance coverage dispute involving a lawyer’s professional liability policy and allegations that counsel retained an excessive amount of attorney fees from the settlement proceeds of a medical malpractice action. The lawyer has been sued in state court and named in attorney disciplinary proceedings. On cross-motions for summary judgment, the circuit court of Cook County found the insurer owed no duty to defend or cover the lawsuit, but owed coverage in the disciplinary action. Both sides appeal.
The construction of an insurance contract and a determination of the rights and obligations of the contracting parties are questions of law and suitable for resolution by summary judgment. Zurich Insurance Co. v. Raymark Industries, Inc.,
In order to determine whether the insurer has a duty to defend the insured, we consider the allegations of the underlying pleadings and compare those allegations to the relevant provisions of the insurance contract. Pekin Insurance Co.,
On May 11, 2007, Continental Casualty Company (Continental Casualty), the plaintiff in this insurance coverage dispute, issued a $2 million lawyers professional liability policy to Chicago attorney Donald T. Bertucci and his solo law practice on a claims-made-and-reported basis. The written contract tendered for our consideration specifies that all words and phrases appearing in bold font are defined in the contract. The “INSURING AGREEMENT” of the policy indicates there is “Coverage” for “all sums in excess of the [$5,000] deductible that the Insured shall become legally obligated to pay as damages and claim expenses because of a claim that is both first made against the Insured and reported in writing to the Company during the policy period by reason of any act or omission in the performance of legal services by the Insured.”
The policy defines “Claim” as “a demand received by the Insured for money or services arising out of an act or omission, including personal injury, in the rendering of or failure to render legal services.” “Legal services” are “those services performed by an Insured for others as a lawyer, arbitrator, mediator, title agent or as a notary public.” “Damages” are limited to “judgments, awards and settlements” and do not include “legal fees, costs and expenses *** charged by the Insured *** and injuries that are a consequence of any of the foregoing.”
The section of the contract concerning the policy’s limits of liability and deductible, indicates “[ajlthough not [considered] Damages,” the company will make “Supplementary payments” “up to $10,000.00 for any Insured and in the aggregate for attorney fees and other reasonable costs, expenses, or fees *** resulting from a Disciplinary Proceeding *** arising out of an act or omission in the rendering of legal services by such Insured.” Again, “legal services” consist of “those services performed by an Insured for others as a lawyer, arbitrator, mediator, title agent or as a notary public.” Further, “In the event of a determination of No Liability of the Insured against whom the Disciplinary Proceeding has been brought, the Company shall reimburse such Insured for Disciplinary Fees, including those in excess of the $10,000 cap set forth above, up to $100,000.”
A few weeks after purchasing the policy, Bertucci requested defense and coverage of a lawsuit filed against him by a woman he represented in a medical malpractice case that settled in 2002 for $2.25 million, Rodriguez v. Illinois Masonic Medical Center, No. 97— L — 16741. Bertucci characterized the suit against him, Rodriguez v. Bertucci, No. 07 — L—06247, as a claim for damages as defined by the insuring agreement. He subsequently requested defense and coverage of related proceedings being conducted by the Attorney Registration and Disciplinary Commission (ARDC), Donald Thomas Bertucci, in relation to Lourdes Rodriguez, No. 07 — Cl—2293.
According to the verified pleading filed in state court and correspondence sent to the disciplinary agency, Bertucci’s former client, Lourdes Rodriguez, is a native Spanish speaker with little formal education, who returned to Mexico while her medical malpractice suit was pending. She did not take issue with Bertucci’s handling of her claim or with the settlement figure he secured. But based on Bertucci’s retention of $750,000 of the proceeds and subsequent representation about his right to retain them, Rodriguez brought claims of breach of contract, unjust enrichment, conversion, breach of fiduciary duty, fraud, and violation of the Illinois statute which limits contingent legal fees in medical malpractice actions, section 2 — 1114 of the Code of Civil Procedure. 735 ILCS 5/2 — 1114 (West 1996). The statute, which took effect in 1985, limits the total contingent fee for a plaintiff’s attorney or attorneys in a medical malpractice action to 33.33% of the first $150,000 of the sum recovered, 25% of the next $850,000, and 20% of any amount over $1 million. 735 ILCS 5/2— 1114(a) (West 1996). The statute also provides that, “[i]n special circumstances, where an attorney performs extraordinary services involving more than usual participation in time and effort the attorney may apply to the court for approval of additional compensation.” 735 ILCS 5/2 — 1114(c) (West 1996). Rodriguez alleged that the fee statute and her written agreement with Bertucci executed on December 23, 1996, limited his compensation to no more than $512,500, and that he had taken an additional $237,500 without getting her consent and the court’s approval. Furthermore, he had given her an amended settlement statement in which he “represented and implied” that he had obtained judicial approval for the enhanced
Continental Casualty denied coverage for the two proceedings. It then filed this action to obtain a judicial declaration of the parties’ rights and obligations under the policy, Bertucci counterclaimed, and as summarized above, on cross-motions for summary judgment, the circuit court ruled in part for Continental Casualty and in part for Bertucci. The court ruled there was no coverage for the civil action because it did not seek “damages” as that term was defined in the policy; however, the ARDC investigation was a “Disciplinary Proceeding *** arising out of an act or omission in the rendering of legal services” which triggered the policy’s “Supplementary payments” obligation of up to $10,000 for attorney fees and other expenses, and additional reimbursement up to $100,000 upon Bertucci’s vindication.
•1 In pursuit of coverage for the civil action, appellant Bertucci raises two contentions. He first argues that Continental Casualty prevailed in the trial court by mischaracterizing the former client’s lawsuit as a fee dispute, which is outside the scope of coverage. He contends his professional liability coverage was triggered because Rodriguez alleged he committed an error or omission while representing her, when despite having her authorization to retain $750,000 of her settlement proceeds, he failed to comply with the statutory requirement that he also obtain court approval for retaining enhanced fees for providing extraordinary services in a medical malpractice action. See 735 ILCS 5/2 — 1114(c) (West 1996). He also contends that settling a malpractice matter, paying outstanding liens, and distributing the remaining settlement funds to the client is a traditional, customary, and ordinary function “performed by an Insured for others as a lawyer,” and, therefore, was the rendering of “Legal services” within the meaning of the policy. He further contends that Continental Casualty Co. v. Law Offices of Melvin James Kaplan,
Continental Casualty responds that the court ruled correctly that there is no coverage for the Rodriguez civil action because the insuring agreement covers “damages” but the suit concerns “legal fees” and “injuries that are a consequence [thereof],” which are outside the scope of the policy. The insurer also emphasizes that coverage is limited to “an act or omission in the performance of legal services by the Insured,” which are defined as “those services performed by an Insured for others as a lawyer,” and that Bertucci’s retention of excessive fees was in no one’s interest but his own and had nothing to do with the practice of law.
Insurance contracts are subject to the same rules of construction as are applicable to other types of contracts. Cincinnati Insurance Co. v. Gateway Construction Co.,
The complaint and plain, unambiguous language of the policy lead us to find that the insurer’s interpretation of the coverage is the only reasonable one. The first numbered paragraph in Bertucci’s professional liability contract contains the “INSURING AGREEMENT.” An insuring agreement is “[a] provision of an insurance policy *** reciting the risk assumed by the insurer and establishing the scope of the coverage.” Black’s Law Dictionary 811 (7th ed. 1999). This particular insuring agreement expressly limits the scope of coverage to legal proceedings which allege both covered “damages” and “an act or omission in the performance of legal services.” The state court action does not meet either requirement for coverage.
“Damages” are defined in the policy as “judgments, awards and settlements” and they “do not include” “legal fees *** charged by the Insured, no matter whether claimed as restitution of specific funds, forfeiture, financial loss, set-off or otherwise, and injuries that are a consequence of any of the foregoing.” Rodriguez’s legal action indisputably seeks (1) restitution for legal fees which Bertucci improperly charged against her settlement proceeds from the medical malpractice case and (2) consequential expenses for his impropriety, including statutory interest and her new attorney fees, as well as punitive damages. Therefore, the Rodriguez action alleges only non-covered, direct and consequential injuries from the excessive legal fees Bertucci charged against her assets;
Our opinion is influenced by California, Idaho, and Massachusetts cases which analyze similar attorney-client disputes and conclude the injuries are not the type covered by the attorney’s professional liability insurance.
The client in Tana filed a complaint alleging his San Francisco attorney misrepresented or failed to explain a fee-splitting agreement in litigation with an entity known as Kikkoman and expected unconscionably high bonuses from his $7.6 million settlement proceeds. Tana, 4H Cal. App. 4th at 1617-18,
“A commonsense reading of the complaint reveals that it was entirely a fee dispute, not a malpractice claim. [The client] did not complain of anything [the attorney] did or failed to do in representing him in the Kikkoman litigation. *** [The client alleged acts or omissions with respect to attorney fees only. All of the damages the client sought were either the return of or reduction of attorney fees, or were in some way a consequence of those fees.]
Even if [the client] might have been seeking [compensatory damages and attorney fees, which are] more than just a reduction in his attorney’s fee liability, [the attorney arguing for coverage] cannot avoid the inevitable conclusion that such damages are ‘injuries’ caused by (i.e., ‘a consequence of) a dispute over legal fees. Fee disputes do not become covered damages merely because the damages are called ‘compensatory’ or are sought under a claim of ‘negligence’ or ‘breach of fiduciary duty.’ [Citation.] Reading the complaint as a whole, it is clear the relief [the client] seeks is limited to a judicial resolution of the fee dispute, indemnity from payment of fees, and damages and costs associated with the controversy.” Tana,47 Cal. App. 4th at 1617-18 ,55 Cal. Rptr. 2d at 163 .
Accordingly, the California court found there was no possibility of coverage and therefore no duty to defend. Tana,
Bertucci attempts to distinguish Tana by arguing Rodriguez is essentially alleging she was injured by his failure to comply with the Illinois statute regarding enhanced fees. He contends that in contrast to Tana, his client complains that he “failed in the litigation to obtain a court order at the termination of litigation approving his enhanced fee.” In reality, however, Tana’s client complained that counsel “failed” at the same point in the litigation, following the successful negotiation and funding of the settlement, by claiming entitlement to an excessive portion of the settlement dollars. Bertucci also contends that because Rodriguez refers to the statute, her suit is really about an error or omission in his representation of her as a client, rather than a disagreement about his compensation. Continental Casualty correctly points out, however, that the cited statute concerns legal fees
“Contingent fees for attorneys in medical malpractice actions, (a) In all medical malpractice actions the total contingent fee for plaintiffs attorney or attorneys shall not exceed the following amounts:
33Vs% of the first $150,000 of the sum recovered;
25% of the next $850,000 of the sum recovered; and
20% of any amount recovered over $1,000,000 of the sum recovered.
(b) For purposes of determining any lump sum contingent fee, any future damages recoverable by the plaintiff in periodic installments shall be reduced to a lump sum value.
(c) The court may review contingent fee agreements for fairness. In special circumstances, where an attorney performs extraordinary services involving more than usual participation in time and effort the attorney may apply to the court for approval of additional compensation.
(d) As used in this Section, ‘contingent fee basis’ includes any fee arrangement under which the compensation is to be determined in whole or in part on the result obtained.” 735 ILCS 5/2 — 1114 (West 1996).
Allegations of Bertucci’s violation of a statute dealing exclusively with legal fees are allegations about “legal fees *** paid or incurred or charged by the Insured” or “injuries that are a ‘consequence of’ [legal fees paid or incurred or charged by the Insured].” Under a reasonable construction of the policy and complaint, the injuries alleged are not “damages” within the scope of the insuring agreement.
Like Bertucci, the personal injury attorney named in the Idaho case Continental Casualty Co v. Brady,
“If the party is requesting a ‘return of fees,’ it is immaterial what the actualtheory of recovery is since the [lawyer’s professional liability] policy flatly excludes ‘all claims’ for the return of fees. [Citation.] Furthermore, whether the [clients] are actually entitled to recover $122,000 is not the issue. The issue is simply whether this amount represents fees paid to [the attorney].
[Ultimately], all of the factual allegations in the complaint center on a dispute over attorney fees, and the $122,000 sum requested as damages is tied directly to that fee dispute. ***
In short, with the exception of the claim for punitive damages [which is excluded from coverage under the policy], the Duvalls’ complaint simply does not support a claim for any damages unrelated to the return of fees.” (Emphasis omitted.) Brady,127 Idaho at 833-34 ,907 P.2d at 810-11 .
The language excluding the “ ‘return of fees’ ” in Brady appeared in the policy’s exclusions section, instead of in the insuring agreement. Brady,
Like the courts in Tana and Brady, we compare the language of the policy with the facts alleged in the complaint, rather than examine whether the client has pled any particular theory of relief such as the attorney’s breach of a legal duty, violation of a statute, or disregard for an equitable duty. Pekin Insurance Co.,
The Rodriguez lawsuit not only fails to allege covered “damages,” it also fails to allege “an act or omission in the performance of legal services by the Insured” within the meaning of the insuring agreement. According to the policy’s definitions section, legal services are “those services performed by an Insured for others as a lawyer, arbitrator, title agent or as a notary public.” Bertucci’s retention of money cannot be construed as the provision of any type of service for another person and is a business practice independent of the lawyer-client relationship.
In Gregg & Valby, a Texas court rejected the contention that a law firm’s misconduct with respect to its fees was client
After boiling the allegations down to the facts and determining they concerned the law firm’s fee-setting and billing practices only, the court considered whether the actions were “professional services” triggering coverage under the policy. Gregg & Valby,
“When determining whether a particular act is a ‘professional service,’ the court ‘must look not to the title or character of the party performing the act, but the act itself.’ [Citation.] Thus, even tasks performed by lawyers are not considered ‘professional services’ if they are ordinary activities that can be completed by those lacking legal knowledge and skill.” Gregg & Valby,316 F. Supp. 2d at 513 , citing Atlantic Lloyd’s,982 S.W2d at 476-77 .
The billing/professional services dichotomy also appears in Reliance National Insurance Co. v. Sears, Roebuck & Co., 58 Mass. App. 645,
“[Professional acts or services require] specialized knowledge and skill that is acquired through rigorous intellectual training. [Citation.] The setting for the intellectual training is often an academic one, as in architectural school, engineering school, law school, or medical school.
Against those criteria we decide that the billing function of a lawyer is not a professional service. Billing for legal services does not draw on special learning acquired through rigorous intellectual training. We are not aware that courses in billing clients appear in law school curricula. The billing function is largely ministerial. There are elements of experience and judgment in billing for legal services, but the same goes for pricing shoes. As billing is not a professional service, it does not come with the coverage of a professional liability insurance policy ***.” Reliance National, 58 Mass. App. at 648,792 N.E.2d at 148 .
It has also been observed:
“The professional aspect of a law practice obviously involves the rendering of legal advice to and advocacy on behalf of clients for which the attorney is held to certain minimum professional and ethical standards. [This is distinct from the] *** commercial aspect [of a law practice, which] involves the setting up and running of a business, i.e., securing office space, hiring staff, paying bills and collecting on accounts receivable ***.” Harad v. Aetna Casualty & Surety Co.,839 F.2d 979 , 985 (3d Cir. 1988).
See also Sullivan v. Bickel & Brewer,
Turning again to the allegations agáinst Bertucci, it is apparent that Rodriguez’s claims concern ordinary, nonlegal services rather than “an act or omission in the performance of legal services by the Insured” within the meaning of the insuring agreement. Moreover, as we suggested above, we do not find that Bertucci’s actions were “performed by an Insured for others as a lawyer.” In our assessment, to construe the policy to cover Bertucci’s retention of an excessive amount of attorney fees would expand the insurance coverage beyond what was reasonably contemplated by the parties at the time of contracting. In bargaining for professional liability insurance coverage, Bertucci could legitimately expect that he would be covered for acts or omissions in the course of representing his clients but would not be covered with respect to fee arrangements and
Moreover, we find the case Bertucci relies upon readily distinguishable in that the alleged negligence in Kaplan arose during the core representation of the client, when a bankruptcy lawyer failed to obtain judicial discharge of his client’s prepetition debts, namely, the attorney fees the client owed for legal services rendered prior to the filing of the bankruptcy petition. Kaplan,
Bertucci’s second main argument regarding the Rodriguez action is that the policy’s dishonesty exclusion contains an exception that is a stand-alone grant of coverage to attorneys like himself who are defending accusations of a “dishonest, fraudulent, criminal, or malicious act or omission.” He pled this theory in count II of his counterclaim and unsuccessfully argued for summary judgment. He cites the following policy language:
“IV EXCLUSIONS This policy does not apply:
A. to any claim based on or arising out of any dishonest, fraudulent, criminal or malicious act or omission by an Insured except that this exclusion shall not apply to personal injury. The Company shall provide the Insured with a defense of such claim unless or until the dishonest, fraudulent, criminal or malicious act or omission has been determined by any trial verdict, court ruling, regulatory ruling or legal admission, whether appealed or not. Such defense will not waive any of the Company’s rights under this policy. Criminal proceedings are not covered under this Policy regardless of the allegations made against the Insured!.]”
He contends that at least three of the five counts in Rodriguez’s pleading include allegations that are potentially within this coverage and trigger the insurer’s duty to defend. More specifically, the conversion count includes the allegation, “32. Bertucci’s actions were outrageous and constitute malice and oppression against Rodriguez.” The breach of fiduciary duty count alleges, “27. Bertucci breached *** [the attorney-client
Bertucci’s argument fails because an exception to an exclusion does not create coverage or provide an additional basis for coverage, it only preserves coverage granted in the insuring agreement. Stoneridge Development Co. v. Essex Insurance Co.,
For these reasons, we find that there was no possibility of coverage for the Rodriguez
On cross-appeal, Continental Casualty Company challenges the circuit court’s determination that the ARDC proceeding triggered the policy’s supplementary payments provision. Bertucci pled this theory in count III of his counterclaim. The supplementary payments provision expressly limits coverage to a “Disciplinary Proceeding *** arising out of an act or omission in the rendering of legal services by such Insured.” The insurer argues that, like the civil case, the ARDC proceeding is not based on any wrongful acts committed in the performance of “legal services.” Bertucci responds that the complaint before the ARDC, the sole body charged with the investigating and prosecuting claims against Illinois attorneys arising out of the representation of a client in a legal matter, is a “Disciplinary Proceeding” that arises from his practice of law, and is within the scope of the supplementary payments provision.
We again find the insurer’s construction of the policy to be the only reasonable construction. As discussed above, this insuring agreement, which is the portion of the policy “reciting the risk assumed by the insurer or establishing the scope of the coverage” (Black’s Law Dictionary 811 (7th ed. 1999)) precludes coverage for Bertucci’s retention of excessive attorney fees from Rodriguez’s settlement proceeds. The supplementary payments provision must be read within the context of this insuring agreement. In fact, the supplementary payments provision reiterates that coverage is limited to “legal services,” which we know must be services that draw upon Bertucci’s specialized knowledge and skill as a lawyer and are provided for others. Accordingly, we conclude the ARDC proceeding does not come within the terms of the policy and that Continental Casualty Company was entitled to judgment as a matter of law on count III of Bertucci’s counterclaim. The circuit court’s ruling with respect to the supplementary payments provision is reversed.
Affirmed in part and reversed in part.
CAHILL, EJ., and J. GORDON, J., concur.
