delivered the opinion of the court:
Plaintiffs appeal the trial court’s grant of summary judgment for their insurance company and insurance agent. We affirm in part, reverse in part, and dismiss in part.
Howard Hall (decedent) died in a car accident in August 1988. He was hit by a car driven by Lisa Burger, belonging to Robert Hedrick. Mary Hall (claimant), decedent’s widow and administrator of his estate, settled with both defendants for maximum limits on their policies, $50,000 and $25,000, respectively. The Halls had four separate insurance policies with Country Mutual Insurance Company (insurer), each of which contained underinsured motorist (UDIM) coverage. Two of the policies about which there is no dispute had such coverage with a $100,Q00-per-person limit of liability, and one (the one for the vehicle decedent was driving at the time of the accident) had a limit of $50,000 per person. The disputed policy had a $100,000-per-person limit.
Each policy contained the following identical provision, a section titled "AGREEMENT” on the first page of the "UNDERINSURED MOTORISTS INSURANCE ENDORSEMENT”:
"If you have paid for this coverage (see the declarations page), we will pay damages which an insured is legally entitled to recover from the owner or operator of an underinsured motor vehicle because of bodily injury sustained by an insured and caused by an accident. The owner’s or operator’s liability for these damages must arise from the ownership, maintenance, or use of the under-insured motor vehicle.
The limits of liability for this coverage will be reduced by those amounts actually recovered under the applicable bodily injury insurance policies, bonds, or other security maintained on the underinsured motor vehicle.”
Each also contained the following "antistacking” clause:
"7. Other Vehicle Insurance in the Company. If this policy and any other vehicle insurance policy issued to you by this Company apply to the same accident, the maximum limit of our liability under all the policies will not exceed the highest applicable limit of liability under any one policy.”
And the per-person limits of liability section in each policy stated:
"2. Limits of Liability. The Underinsured Motorists limits of liability shown on the declarations page for Uninsured Motorists, Coverage U apply as follows:
a. The limit of liability for 'each person’ is the maximum amount we will pay for bodily injury sustained by one person in any one accident. That maximum amount includes any claims of other persons for damages arising out of that bodily injury. The figure listed is the most we will pay for any one person in any one accident regardless of the number of insureds, claims made, insured vehicles, premiums shown on the declarations page, or underinsured motor vehicles.”
Cross-motions for summary judgment came before the court in February 1995. The insurer had already paid claimant $25,000, which it claimed was all it owed. This amount was arrived at by subtracting $75,000, the amount recovered from both defendants’ settlements, from $100,000, the highest limit of liability on any one of claimant’s insurance policies. The trial court granted the insurer’s motion, holding it owed no more than this amount and it was not liable for bad-faith attempt to settle. The trial court had earlier held that the insurer should be allowed to offset the full $75,000 recovered from tortfeasors. The parties stipulated that plaintiffs’ damages exceed $200,000.
Plaintiffs claim that each of the above policy provisions is ambiguous. They claim error in the summary judgment because ambiguity is to be construed in favor of the insured. They claim further that important public policy mandates an outcome in their favor, both in terms of the maximum, amount recoverable and in terms of what the insurer should be allowed to set off. As a further count with respect to the insurer, they claim it was error for the trial court not to award them damages for the insurer’s "bad-faith attempt to settle.”
Plaintiffs also sued Larry Medaris, the insurance agent who sold the Halls the policies in question. The first claim, unrelated to the above allegations with respect to the policies, is that Medaris breached a duty to the plaintiffs by failing to obtain death benefits coverage they had requested on the truck being driven when the accident occurred. Medaris obtained summary judgment on this claim in February 1995, at the same time as the insurer. The second claim against him alleged a violation of section 2 of the Consumer Fraud and Deceptive Business Practices Act (Act) (815 ILCS 505/2 (West 1992)), by his having broken a promise to provide "full” UDIM coverage. This claim was dismissed in October 1991 for failure to state a claim upon which relief could be granted. On appeal claimant also contends Medaris "made a false representation as to the value of the coverage since it possessed no value” if some of the UDIM coverage is of no value (i.e., cannot be stacked).
I. ANALYSIS
A court properly grants summary judgment when the pleadings, depositions, and affidavits show no genuine issue of material fact exists and the moving party is entitled to judgment as a matter of law. (735 ILCS 5/2 — 1005(c) (West 1992); Wright v. St. John’s Hospital of the Hospital Sisters of the Third Order of St. Francis (1992),
In construing a summary judgment motion, the trial court must view all evidence in a light most favorable to the nonmovant. (Gilbert v. Sycamore Municipal Hospital (1993),
A. Insurance Company
When a provision in an insurance policy is ambiguous or is susceptible of at least two reasonable interpretations, it should be construed in favor of the insured. (Squire v. Economy Fire & Casualty Co. (1977),
1. Limit of Liability
Decedent had four insurance policies with insurer, each of which contained UDIM coverage. Plaintiffs argue first that the antistacking clause (identical in each policy) is ambiguous, and therefore all of the policies should be stacked, with a resulting limit of liability of $350,000. In the alternative, they argue the limit should at least be $200,000, because there are two distinct tortfeasors, which creates a latent ambiguity since the "agreement” section refers to the "owner’s or operator’s liability.” (Emphasis added.) Finally, plaintiffs argue that even if we find the provisions unambiguous one of the above conclusions should be reached because of public policy.
The antistacking clause in question states: "If this policy and any other vehicle insurance policy issued to you by this Company apply to the same accident, the maximum limit of our liability under all the policies will not exceed the highest applicable limit of liability under any one policy.” (Emphasis added.)'This exact phrase has been found unambiguous by the Supreme Court of Illinois. (Bruder v. Country Mutual Insurance Co. (1993),
Nor does public policy prevent application of the clause to UDIM coverage. (Grzeszczak v. Illinois Farmers Insurance Co. (1995),
"(5) Scope. Nothing herein shall prohibit an insurer from setting forth policy terms and conditions which provide that if the insured has coverage available under this Section under more than one policy or provision of coverage, any recovery or benefits may be equal to, but may not exceed, the higher of the applicable limits of the respective coverage, and the limits of liability under this Section shall not be increased because of multiple motor vehicles covered under the same policy of insurance.” 215 ILCS 5/143a — 2(5) (West 1992).
Nor will we override the clear result because separate premiums have been paid for the separate policies. The "premium rule” is the name given to a rule of construction that separate premiums indicate separate coverage. It does not apply unless the contract provision is ambiguous. (Grzeszczak,
Finally, any potential ambiguity in the "agreement” section’s reference to the "owner’s or operator’s liability” (emphasis added) is irrelevant because the antistacking provision states that the limit of liability will be no more than the highest applicable limit if more than one policy applies to the same accident. Even if one policy applied to the owner and another to the operator, they would both apply to the same accident and thus the antistacking provision would still limit the insurer’s maximum liability to $100,000.
2. Offset
The limits of liability section of the insurance policy says the limit of liability for each person is the maximum amount the insurer will pay "for any one person in any one accident regardless of the number of insureds, claims made, insured vehicles, premiums shown on the declarations page, or underinsured motor vehicles.” Burger, the driver, had $50,000 worth of insurance, and Hedrick, the owner, had $25,000 worth of insurance. The question here is whether the insurer should be allowed to deduct the amounts paid by both under-insured tortfeasors, as the trial court held. We conclude the insurer should not be allowed such a deduction, based on both the language of the insurance policy and public policy, and therefore reverse the double offset.
The relevant policy language reads: "The limits of liability for this coverage will be reduced by those amounts actually recovered under the applicable bodily injury insurance policies, bonds, or other security maintained on the underinsured motor vehicle.” Burger’s policy covered her personally and applied to the vehicle she drove. However, the phrase "maintained on the underinsured motor vehicle” can reasonably be construed to modify not only "other security” but also "applicable bodily injury insurance policies” and "bonds.” As noted above, when a policy is susceptible of multiple interpretations it is to be construed in favor of the insured. (Squire,
Further, and more importantly, even if the language of this insurance policy clearly and unambiguously allowed offset of all amounts recovered under all tortfeasors’ insurance policies, we hold such a result would be against public policy, and the clause could not be given effect as written.
In Hoglund v. State Farm Mutual Automobile Insurance Co. (1992),
The court in King v. Allstate Insurance Co. (1994),
Insurer attempts to distinguish the case at bar from King and Hoglund because those cases involved two tortfeasors in separate vehicles, whereas here both of the tortfeasors’ liability arises from a single vehicle. We find this distinction irrelevant to the issues before us, especially in light of the limits of liability section in the policy at bar, which states that it applies "regardless of the number of *** underinsured motor vehicles.” The policy issues articulated in Hoglund and King do not vanish when the second tortfeasor is a negligent owner, rather than a negligent driver. The insurer notes correctly that the King court specifically distinguished cases involving one at-fault driver (King,
Nor does public policy change when both tortfeasors are underinsured (instead of one tortfeasor being fully insured and one not, as in Hoglund and King). Indeed, the policy issues favor the plaintiff all the more in this situation.
The purpose of UDIM coverage is to put the insured in the same position as if injured by a motorist with insurance in the same amount as the UDIM policy. (King,
It would create a terrible inconsistency to allow a double offset here. If the driver were fully insured, plaintiffs would get $100,000 from her, $25,000 from the owner, and, under King, would then get $75,000 from the insurer ($100,000 policy minus $25,000 from owner) because it would violate public policy to allow offset of the $100,000. Plaintiffs’ net recovery would thus be $200,000. If we allowed the double offset here, plaintiffs would not only receive $50,000 less than in the above hypothetical from the driver’s policy, they would also receive $50,000 less from their UDIM policy because their insurer would be allowed to offset the $50,000 they were able to recoup from the driver. This would not make sense.
We note, as an aside, that this result puts the UDIM insurer in no worse a position than if its insured had been injured by a single underinsured tortfeasor. We see no reason to allow the insurer a "windfall” when its insured is hurt by more than one underinsured tortfeasor — so long as, of course, the amount the insured recovers does not exceed his or her damages. See Glidden,
The insurer asserts that Tabor supports its construction of the offset provision. Tabor held that a vehicle was not "underinsured” under the Code when claimant had $250,000 of UDIM coverage and the vehicle had a total of $400,000 in liability insurance, despite the fact that claimant only recovered $200,000 because there were two victims. (Tabor,
Tabor differs from this case in important respects. First, it involved one tortfeasor and multiple claimants (Tabor,
Sulser also contains some language which supports the insurer’s position. Sulser first stated that the statutory provisions for UDIM and UIM coverage should be construed in pari materia, and concluded the purpose of UDIM coverage was the same as that for UIM coverage, "i.e., to place the insured in the same position he would have occupied if the tortfeasor had carried adequate insurance.” (Sulser,
Clearly there is a tension between the two concepts of UDIM coverage — coverage intended to put the person in the same position as if the tortfeasor carried adequate insurance versus a "gap-filler” which guarantees plaintiffs the amount of their UDIM coverage but no more. This tension becomes most apparent in multiple-tortfeasor actions. We adopt the first construction, that UDIM coverage is intended to put the insured in the same position as if the tortfeasor carried adequate insurance. Sulser, which mentions both concepts, never mentioned the possibility of a conflict between them. This is unsurprising, as Sulser dealt not with setoff of proceeds from tortfeasors’ insurance but rather with setoff of workers’ compensation benefits. (Sulser,
We reverse the trial court’s determination that the double setoff is appropriate, based on both the language of the insurance policy and public policy.
3. Unreasonable and Vexatious Refusal to Settle the Claim
The material in this section is not to be published pursuant to Supreme Court Rule 23. Official Reports Advance Sheet No. 15 (July 20, 1994), R. 23, eff. July 1, 1994.
B. Insurance Agent
As noted above, on defendant’s motion for summary judgment, a plaintiff must present some factual basis which would arguably entitle him to judgment. (West,
L Breach of Fiduciary Duty
On this count the court granted summary judgment because no witness had actual knowledge of whether the decedent had requested the inclusion of death benefits in the insurance on the truck decedent was driving at the time of the accident. Medaris was precluded from testifying with respect thereto because of the Dead-Man’s Act (735 ILCS 5/8 — 201 (West 1992))! Plaintiffs’ response to the motion for summary judgment did not allege any facts which would have given rise to a cause of action; rather, it alleged "That the Plaintiff intends to prove at trial by exigent [szc] evidence the existence of the Agreement by and between the deceased and Mr. Medaris,” and averred that there was a factual basis to be found in documents under Medaris’ control.
From examination of the record, including plaintiffs’ briefs on appeal, it appears the only facts plaintiffs could set forth in opposition to summary judgment are as follows: (1) there was death benefit coverage on the three other automobiles for which Medaris had sold plaintiff insurance; and (2) death benefit coverage was inexpensive ($1 for $5,000 of coverage). Claimant did not request the coverage nor did she hear decedent do so; in addition, she signed the application, in which the "death benefits” block was blank and no premium was listed for it. In granting summary judgment on this issue, the trial court said a finding that there was a contract for death benefit insurance on the vehicle in question on the basis of these facts "would only amount to pure conjecture and speculation and not, at least in the Court’s opinion, a reasonable inference that the jury could logically draw.” We agree.
An issue should be decided by the trier of fact and summary judgment denied where reasonable persons could draw divergent inferences from the undisputed facts. (Pyne v. Witmer (1989),
2. Claim Under the Act
The material in this section is not to be published pursuant to Supreme Court Rule 23.
II. CONCLUSION
We affirm the trial court’s conclusion that the antistacking clauses limit the insurer’s liability to $100,000. We also agree that the insurer did not act in bad faith. We reverse, however, the conclusion that the insurer is entitled to offset the amounts received from both underinsured motorists, because of the language of the policy in question and because to allow the double offset would contravene the purpose behind UDIM coverage, which is to put the insured in as good a position as if tortfeasors were adequately insured.
We further affirm the grant of summary judgment to Medaris on count IX, and dismiss Hall’s appeal from the dismissal of count X for want of jurisdiction.
Affirmed in part; reversed in part and remanded; and dismissed in part.
STEIGMANN and KNECHT, JJ., concur.
