Case Information
*1 I LLINOIS O FFICIAL R EPORTS Appellate Court
Hastings Mutual Insurance Co. v. Ultimate Backyard, LLC
,
COMPENSATION INSURANCE, INC., and JAVIER VASQUEZ, Defendants-Appellees.
District & No. First District, Fourth Division
Docket Nos. 1-10-1751, 1-10-3001 cons.
Filed February 9, 2012
Held In an action arising from a workers’ compensation claim where the workers’ compensation insurer filed a declaratory judgment action ( Note: This syllabus seeking an order that it was not responsible for coverage because the constitutes no part of the opinion of the court policy had been cancelled, the trial court abused its discretion in but has been prepared dismissing the insurer’s action and denying its motion to stay the by the Reporter of workers’ compensation proceedings, since the interpretation of section Decisions for the 4(b) of the Workers’ Compensation Act, which dictates the proper convenience of the procedure for cancelling an insurance policy, does not require the reader. ) specialized expertise of the Illinois Workers’ Compensation Commission
and it is a question of law best answered by the trial court. Decision Under Appeal from the Circuit Court of Cook County, No. 09-CH-07232; the Hon. Richard J. Billik, Jr., Judge, presiding. Review Judgment Reversed and remanded.
Counsel on Rusin Maciorowski & Friedman, Ltd., of Chicago (Gregory G. Vacala, Theodore J. Powers, and Yvonnw M. O’Connor, of counsel), for Appeal
appellant.
Dykema Gossett PLLC (Harry N. Arger, Rosa M. Tumialán, and Sarah A. Smith, of counsel), and Brian J. McManus & Associates, Ltd. (Matthew J. Murphy, of counsel), both of Chicago, for appellee.
Panel PRESIDING JUSTICE LAVIN delivered the judgment of the court, with
opinion.
Justices Fitzgerald Smith and Pucinski concurred in the judgment and opinion.
OPINION
This appeal stems from the denial of a motion to stay proceedings and the granting of motions to dismiss. Hastings Mutual Insurance Company (Hastings Mutual) filed a complaint for declaratory judgment seeking an order that it was not responsible for an underlying workers’ compensation claim between Javier Vasquez (Vasquez) and his employer, the Ultimate Backyard, LLC (Ultimate Backyard). The case ultimately turns on the issue of whether a notice of cancellation that was sent from Hastings Mutual to the National Council on Compensation Insurance conformed with the statutory requirements. Hastings Mutual appeals the denial of its motion to stay as well as the order granting appellees Vasquez’s and Ultimate Backyard’s motions to dismiss. We reverse and remand with directions for the lower court to stay the underlying workers’ compensation claim until a decision is made by the court regarding the issue of insurance coverage. BACKGROUND Appellee Vasquez sustained a knee injury during the course of his employment with
Ultimate Backyard. Soon after the incident, Vasquez filed a claim with the Illinois Workers’ Compensation Commission (referred to hereinafter as IWCC or Commission) naming Ultimate Backyard and Hastings Mutual, as insurer of Ultimate Backyard, as respondents. Ultimate Backyard tendered its defense and indemnity to Hastings Mutual based on an insurance policy which was effective from April 18, 2007, to April 18, 2008. Under a reservation of rights, Hastings Mutual began providing temporary total disability (TDD) and medical benefits to Vasquez. Five months later, Hastings Mutual informed Ultimate Backyard that it was withdrawing its tentative acceptance and would deny coverage of the Vasquez claim. Hastings Mutual sought a declaratory judgment that it had no duty to defend or indemnify and also filed a motion to stay the underlying proceedings before the IWCC. *3 Appellees Vasquez and Ultimate Backyard each filed a motion to dismiss Hastings Mutual’s complaint along with a response to the motion to stay. Hastings Mutual’s complaint asserted that it did not owe coverage to Ultimate Backyard,
because the workers’ compensation insurance policy had been cancelled and any duty to indemnify or defend was vitiated. Hastings Mutual argues that it complied with section 4(b) of the Workers’ Compensation Act (820 ILCS 305/4(b) (West 2010)), the statute which controls the cancellation of workers’ compensation policies, when it sent a notice of cancellation January 14, 2008, to Ultimate Backyard and the National Council on Compensation Insurance (NCCI). The notice informed the parties that the workers’ compensation insurance policy would be cancelled effective 12:01 a.m. on April 18, 2008. Hastings Mutual maintains that the sole question before the court involves the statutory interpretation of whether it complied with section 4(b) of the Workers’ Compensation Act when it sent the notice of cancellation to the NCCI. The NCCI is an organization which the IWCC contracted with to delegate some of its duties, including receiving and maintaining certificates of insurance and notices of termination of insurance coverage under section 4 of the Workers’ Compensation Act. Hastings Mutual and the NCCI entered into an affiliation agreement in which the NCCI agreed to services that included transmitting Hastings Mutual insurance policy information to the IWCC. The next month, Vasquez and the Attorney General’s office, on behalf of the Injured
Workers’ Benefit Fund, proceeded with the workers’ compensation claim by initiating a hearing before an IWCC arbitrator. Hastings Mutual claims that despite the fact that it never received proper notice or service and that neither it nor Ultimate Backyard participated in the arbitration, the arbitrator still ruled against Hastings Mutual on the issue of insurance coverage. Shortly thereafter, the trial court ruled that Hastings Mutual’s motion lacked convincing
authority to enjoin the proceedings and that the motion to stay was moot in light of the decision already handed down by the IWCC arbitrator. In granting appellees’ motions to dismiss without prejudice, the court held that the IWCC had valid authority to decide the coverage issue. Hastings Mutual then filed its second amended complaint that named the NCCI as a defendant for the first time. All three appellees, Vasquez, Ultimate Backyard and the NCCI, filed motions to dismiss. Appellees’ motions to dismiss argued that the issue before the court involved factual determinations and that the IWCC had both the authority and expertise to best handle such determinations. Furthermore, the appellees maintained that the arbitrator’s decision already adjudicated the issue of insurance coverage. Soon thereafter, Hastings Mutual filed a third amended complaint in order to add facts specific to its claims against the NCCI; this complaint was again followed by the NCCI filing a motion to dismiss. Before a ruling was made on Hastings Mutual’s complaint and appellees’ motions to dismiss, the IWCC entered a decision vacating Vasquez’s previous ex parte workers’ compensation arbitration award. Following this dismissal, Vasquez again filed a claim with the IWCC, asking an arbitrator to adjudicate his workers’ compensation claim as well as the coverage issue between Hastings Mutual and Ultimate Backyard. Hastings Mutual once more filed a motion in the circuit court to stay or sever the IWCC proceedings as they related to the insurance coverage issue. On June 30, 2010, the lower court denied Hastings Mutual’s *4 motion to stay. Hastings Mutual filed a timely interlocutory appeal on this issue. Undeterred and with the reversal of the initial IWCC arbitrator’s decision in hand, Hastings Mutual filed a motion in the circuit court to strike appellees’ motions to dismiss, arguing that their motions were supported by the IWCC arbitrator’s decision. On August 18, 2008, the circuit court conducted a hearing on appellees’ three motions to dismiss, Hastings Mutual’s complaint for declaratory action and all of the replies. The court granted the motions of appellees Vasquez and Ultimate Backyard based on the doctrine of primary jurisdiction, holding that there are several factual questions that needed to be determined and that the matter was already being properly resolved in another forum, the IWCC. Ultimately, the court held that the issue as to whether Hastings Mutual properly cancelled the workers’ compensation liability policy, which could have an impact on Vasquez’s ability to recover if he prevails on his workers’ compensation claim, is a matter that is uniquely suited to the specialized and/or technical expertise of the IWCC. Last, the court dismissed Hastings Mutual’s claims against the NCCI, finding the claims to be premature. The court held that Hastings Mutual may attempt to replead a legally sufficient claim that is ripe for adjudication against the NCCI within 30 days of an award by the arbitrator in the underlying workers’ compensation action or the decision of the Commission, if an appeal is taken by any party. Hastings Mutual filed a timely appeal of the order granting Ultimate Backyard’s and Vasquez’s motions to dismiss. Finally, we note that appellee Ultimate Backyard did not file an appearance or a brief on
any of the issues before this court. ANALYSIS This is a consolidated appeal which consists of: (1) an appeal of the June 23, 2010, denial
of Hastings Mutual’s motion to stay IWCC proceedings (all three appellees, Ultimate
Backyard, the NCCI and Vasquez, are a party to this motion); and (2) Hastings Mutual’s
appeal of the August 18, 2010, order granting Ultimate Backyard’s and Vasquez’s motions
to dismiss with prejudice. There was no final dismissal order entered on August 18, 2010,
with regard to the NCCI’s motion to dismiss. It is worth noting that the arguments and issues
raised throughout Hastings Mutual’s complaint for declaratory judgment and its subsequent
motions to stay as well as appellees’ motions to dismiss are essentially the same: is the
question being asked in the lower court one of fact or law? It is undisputed that the circuit
court and the IWCC have concurrent jurisdiction over workers’ compensation matters.
Hastings Mutual argues that there are only two ways in which the IWCC can have primary
jurisdiction over this matter. Either the legislature must have divested the circuit court of its
jurisdiction or the IWCC must be able to provide a specialized or technical expertise that
would help resolve the controversy. Hastings Mutual cites case law which states that the
legislature did not divest the court of jurisdiction over the interpretation of an insurance
contract nor does such an interpretation require the expertise of an administrative agency.
Appellees maintain that the issue presented is factual and cite a line of authority that confers
factual decisions to the Commission. Thus, our review of the motion to stay and motions to
dismiss will involve the same question: is the issue presented a question of fact that should
*5
be decided by the Commission or one of law that should be decided by the trial court?
Motions to Dismiss
As a primary matter, we note that neither Ultimate Backyard nor Vasquez specifies which
section of the Illinois Code of Civil Procedure that their motions to dismiss were filed under.
It appears through a reading of the order that the lower court interpreted appellees’ motions
to dismiss as a combination of a section 2-615 (735 ILCS 5/2-615 (West 2010)) and section
2-619 (735 ILCS 5/2-619 (West 2010)). The lower court also never specifically stated on
which grounds that it granted appellees’ motions. The Illinois Code of Civil Procedure
specifically deals with this issue in section 2-619.1 (735 ILCS 5/2-619.1 (West 2010)), which
states that motions with respect to pleadings under section 2-615 and motions for involuntary
dismissal under section 2-619 may be filed together as a single motion in any combination.
735 ILCS 5/2-619.1 (West 2010). A combined motion, however, shall be in parts. 735 ILCS
5/2-619.1 (West 2010). Each part shall be limited to and shall specify that it is made under
section 2-615 or 2-619. 735 ILCS 5/2-619.1 (West 2010). Each part shall also clearly show
the points or grounds relied upon under the section on which it is based. 735 ILCS 5/2-619.1
(West 2010). To that extent, we also note that the supreme court has regularly admonished
parties that fail to distinguish whether their motions to dismiss were made pursuant to section
2-615 or 2-619, “[m]eticulous practice dictates that a lawyer specifically designate whether
her motion to dismiss is pursuant to section 2-615 or section 2-619. [Citations.] The failure
to do so may not always be fatal, but reversal is required if prejudice results to the
nonmovant.”
Illinois Graphics Co. v. Nickum
, 159 Ill. 2d 469, 484 (1994). We will
reluctantly review appellees’ motions to dismiss through the lens used by the lower court,
which recognized and conducted both a section 2-615 and section 2-619 analysis.
A section 2-615 motion to dismiss challenges the legal sufficiency of a complaint by
alleging defects on the face of the complaint. . at 493. A section 2-615 motion provides that
a pleading or portion thereof may be stricken because it is substantially insufficient in law.
Keating v. 68th & Paxton, L.L.C.
,
statute and insurance contract. This is the type of issue that the circuit court is well versed in and not the type of question that requires the expertise of the IWCC. Hastings Mutual *6 contends that this case should merely involve comparing the cancellation notice which was sent to the NCCI with the statute which dictates the proper procedure that an insurance company takes when cancelling an insurance policy. Section 4(b) of the Workers’ Compensation Act states in pertinent part:
“The insurance so certified shall not be cancelled or in the event that such insurance is not renewed, extended or otherwise continued, such insurance shall not be terminated until at least 10 days after the receipt by the Illinois Workers’ Compensation Commission of notice of cancellation or termination of said insurance[.]” 820 ILCS 305/4(b) (West 2010).
Hastings Mutual argues that it complied perfectly with the statute when it sent the notice of cancellation to the IWCC. It further contends that there is no question of fact regarding receipt of the notice because the IWCC logged the notice in its system and put its unique coding on the cancellation form indicating the date the form was received. Hastings Mutual argues that this case should merely involve having the lower court determine an issue of law . It asks for the lower court to make a determination, based on a reading of the relevant statute, what constitutes receipt of notice. Hastings Mutual argues for the lower court to make a determination if the NCCI is even allowed to reject a notice of cancellation. Hastings Mutual further contends that this case is analogous to Employers Mutual Cos.
v. Skilling
,
decided in Casualty Insurance Co. v. Kendall Enterprises, Inc. , 295 Ill App. 3d 582 (1992). In Kendall , the insurance company filed a declaratory judgment seeking an order that it was not obligated to defend employer or pay benefits to employee in a pending workers’ compensation dispute. Id . at 583. Kendall hinged on whether the insurance company had properly cancelled the insurance policy. At an IWCC hearing, an employee of the insurance company provided testimony that she did not see nor did she have personal knowledge that the notice of cancellation had been mailed to or received by the NCCI. Id . at 583-84. An employee of the NCCI testified that after an exhaustive search of its entire database, it did not find either an original filing of the policy or a notice of any filing of cancellation. Id . at 584. The arbitrator found in favor of employee and employer, concluding that the insurance company could not “provide conclusive proof of receipt of a notice of cancellation by the NCCI as required by the statute.” Id . After the IWCC arbitrator rendered its decision, the insurance company filed a declaratory judgment action in the circuit court. Id . at 585. Employer and employee filed motions to dismiss, which the lower court granted. . at 585- 86. On appeal this court affirmed the decision, holding that despite the insurance company’s attempt to frame the issue as a question of law, the insurance company’s declaratory action was merely contesting the administrative findings of fact by the IWCC. . at 586. Kendall went on to distinguish itself procedurally from Skilling in two ways. First, in Skilling the IWCC had not made any factual findings, and second, the insurance company in Skilling contested the authority or jurisdiction of the IWCC to hear the case. Id . at 587. This court is unpersuaded by Vasquez’s argument and finds that the present case is easily distinguishable from the facts of Kendall . First, Hastings Mutual affirmatively states on the record that it sent notice of cancellation to the NCCI. Furthermore, Hastings Mutual asserts, and appellees do not rebut, that the notice of cancellation was not only received by the NCCI but was also logged into its system and stamped by the NCCI’s unique date coding system. Second, the relevant facts in Kendall that distinguish its holding from Skilling are present in the case sub judice , namely, Hastings Mutual’s contesting the authority and/or the *8 jurisdiction of the IWCC to hear the underlying workers’ compensation claim as well as the IWCC not yet making any factual findings. The lower court also conducted a section 2-619 analysis in its order granting Vasquez’s
and Ultimate Backyard’s motions to dismiss. An appeal from a section 2-619 dismissal is the
same in nature as one following a grant of summary judgment.
Carroll v. Paddock
, 199 Ill.
2d 16, 22 (2002). In both instances, the reviewing court must ascertain whether the existence
of a genuine issue of material fact should have precluded the dismissal, or absent such an
issue of fact, whether dismissal is proper as a matter of law.
Ultsch v. Illinois Municipal
Retirement Fund
,
pending between the same parties for the same cause. Under section 2-619(a)(3), it is the
movant’s burden to demonstrate by clear and convincing evidence that the two actions
involve the same cause and the same parties.
Hapag-Lloyd (America), Inc. v. Home
Insurance Co.
,
not require the lower court to determine credibility or weigh the facts present in the case.
Hapag-Lloyd (America), Inc
.,
¶ 25 The last issue on appeal in this case is whether the lower court properly denied Hastings
Mutual’s motion to stay, which asked the lower court to halt proceedings before the IWCC until the circuit court made a decision regarding insurance coverage. As a threshold matter, appellees contend that this court does not have jurisdiction over Hastings Mutual’s appeal regarding the denial of its motion to stay. Appellees argue that the stay order does not qualify as an injunction and does not qualify as an appealable interlocutory order under Illinois Supreme Court Rule 307(a). Ill. S. Ct. R. 307(a) (eff. Feb. 26, 2010). Appellees contend that there is no constitutional right to appeal from interlocutory orders and, therefore, this court lacks appellate jurisdiction over the stay order. They argue that a stay order does not qualify as an injunction under Rule 307(a), maintaining that the stay order merely related to the circuit court’s inherent right to control its own docket, which are the types of orders that are not subject to interlocutory appeal. Furthermore, appellees contend that nowhere in Hastings Mutual’s complaint did it plead the elements necessary to obtain an injunction such as hardship or irreparable harm. Appellees rely on Short Brothers Construction, Inc. v. Korte & Luitjohan Contractors ,
Inc ., 356 Ill. App. 3d 958 (2005), which dealt with whether an order by the trial court referring a case to mediation was subject to appeal under Rule 307(a). Short Brothers held that the substance of the mediation order was to streamline the judicial process, which is clearly related to the circuit court’s authority to control its own docket, and thus, was not appealable as an injunction under Rule 307(a). Id. at 960. Short Brothers further held that whether an order constitutes an appealable injunction is determined by the substance rather than the form of the order. . Appellees contend that this point further strengthens their contention that the stay order was administrative, not injunctive, regardless of how it was labeled. Hastings Mutual argues that the denial of the stay order was implicitly a denial of
injunctive relief. Hastings Mutual also relies on Short Brothers for the propositions that the term “injunction” is to be construed broadly and actions of the circuit court which have the effect and force of injunctions are appealable, regardless of what the motion or order is called. . Despite the numerous cases cited by Hastings Mutual and appellees, this court finds
numerous decisions that are dispositive on the issue. “Courts have treated the denial of a
motion to stay as a denial of a request for a preliminary injunction.”
Lundy v. Farmers
Group, Inc
.,
Insurance Co. v. Raymark Industries, Inc
.,
the record, the motion itself is not included in the appellate record and, therefore, cannot be
considered. Any doubts that may arise from incompleteness of record will be resolved
against appellant.
Foutch v. O’Bryant
,
therefore, finds its reasoning to be instructive. The question that is posed by Hastings Mutual asks the lower court to interpret section 4(b) of the Workers’ Compensation Act. Interpretation of a statute is a question of law, which is best answered by the circuit court and one that does not require the specialized expertise of the IWCC. Therefore, the IWCC does not have primary jurisdiction, and as stated in Kendall, when there is a ruling on a question of law that could foreclose needless litigation, it is best addressed by the circuit court. Kendall , 295 Ill App. 3d at 586. We find that this is the exact situation present before us. For the above-mentioned reasons, we find that the lower court abused its discretion in granting appellees’ motions to dismiss and denying Hastings Mutual’s motion to stay. We, therefore, reverse and remand. We direct the lower court to stay the proceedings before the *11 IWCC on the underlying workers’ compensation claim until it determines if the notice of cancellation that Hastings Mutual submitted to the NCCI met the statutory requirements of section 4(b) of the Workers’ Compensation Act, relying on the undisputed fact that the NCCI logged and date stamped the notice of cancellation prior to its rejection. Reversed and remanded.
