Elizabeth ZDEB, Plaintiff-Appellant,
v.
ALLSTATE INSURANCE COMPANY, аn Illinois Corporation, Defendant-Appellee.
Appellate Court of Illinois, First District, Sixth Division.
*707 James E. Ocasek, Cooney and Conway, Chicago, IL, for Appellant.
Peter C. Morse, Daniel J. James, Morse Bolduc & Dinos, Chicago, IL, for Appellee.
Justice ROBERT E. GORDON delivered the opinion of the court:
Plaintiff Elizabeth Zdeb, a policyholder, filed a declaratory judgment action in the circuit court of Cook County seeking a determination that defendant, Allstate Insurance Company (Allstate), was not entitled to a setoff on underinsured motorist coverage with monies paid to her for automobile medical payments coverage. Allstate moved for summary judgment pursuant to section 2-1005 of the Illinois Code of Civil Procedure (735 ILCS 5/2-1005 (West 2008)), claiming that the provisions of her automobile insurance policy permitted the setoff. Plaintiff filed a response to Allstate's motion, and a cross-motion for summary judgment, claiming that a setoff is allowed only when a policyholder obtains double recovery. The trial court found the policy unambiguously permitted the setoff, granted Allstаte's motion for summary judgment, and denied plaintiff's cross-motion for summary judgment Plaintiff appeals and we affirm.
BACKGROUND
The underlying facts are not in dispute. On October 19, 2006, plaintiff was a pedestrian on a public sidewalk in Chicago when she was struck by an automobile driven by Kamil A. Scislowicz (Scislowicz). As a result, plaintiff sustained serious injuries, claiming damages in excess of $200,000.
Scislowicz's vehicle was insured by State Farm Insurance Company (State Farm) under an automobile insurance policy that provided liability coverage limits of $50,000 per person for bodily injury. Plaintiff settled with State Farm for the full policy limit of $50,000.
Plaintiff's policy with Allstate provided underinsured motorist (UIM) coverage with a limit of $100,000 for bodily injury and automobile medical payments (MP) coverage with a limit of $50,000. Plaintiff paid separate premium amounts for the UIM and MP coverages, as is normally done in an automobile insurance policy. Part 2 of the policy declaration explains "automobile medical payments coverage" as follows:
"Allstаte will pay to * * * an insured person all reasonable expenses actually incurred for necessary medical treatment, medical services or medical products actually provided to the insured person. Hospital, medical, surgical, x-ray, dental, orthopedic and prosthetic devices, pharmaceuticals, eyeglasses, hearing aids, and professional nursing services * * * are covered.
Payments will be made only when bodily injury is caused by an accident involving an auto or when [the insured] *708 * * * is struck as a pedestrian by a motor vehicle * * *."
Part 6 of the policy declaration contains provisions concerning UIM coverage. That part contained a "Limits of Liability" section that included the following applicable setoff provision:
"Damages payable will be reduced by:
1. all amounts paid by or on behalf of the owner or operator of the uninsured auto or anyone else responsible. This includes all sums paid under the bodily injury or property damage liability coverage of this or any other auto insurance poliсy.
2. all amounts payable under any workers' compensation law, disability benefits law, or any similar automobile medical payments coverage. (Emphasis added.)
Plaintiff submitted a UIM claim for her injuries to Allstate in the amount of $50,000, which equaled her UIM coverage limit minus the settlement amount she received from State Farm. Allstate had paid plaintiff $38,952.53 in MP coverage.
Allstate calculated plaintiff's UIM claim as follows: $100,000 would be setoff by the $50,000 settlement she received from State Farm and the $38,952.53 that Allstate had paid her in MP coverage, for a total setoff amount of $88,952.53. Allstate tendered the balance of $11,047.47 to plaintiff.
On April 23, 2009, plaintiff filed a declaratory judgment action against Allstate seeking a declaration that she was entitled to $50,000, which represents the full UIM limit for bodily injury less the settlement amount she received from State Farm. On July 1, 2009, Allstate filed a motion for summary judgment claiming that it was entitled to setoff the MP paid to plaintiff in the amount of $38,952.53.
On August 14, plaintiff filed a response to Allstate's motion for summary judgment and a cross-motion for summary judgment. Plaintiff responded that summary judgmеnt in favor of Allstate was improper because the MP coverage is a separate and distinct portion of plaintiff's insurance policy and claimed that a setoff is only allowed to prevent a double recovery.
After hearing arguments from both parties, the trial court issued a written memorandum and order finding that the policy provisions unambiguously allowed Allstate to setoff the UIM coverage by any settlement amount and payments made under the MP coverage.
Furthermоre, the trial court found that the purpose of UIM coverage is to place a policyholder in the same position had the underinsured motorist carried liability insurance in the same amount as the policyholder. The trial court concluded that in allowing Allstate to set off the UIM coverage by Scislowicz's settlement amount and the amount paid to plaintiff under her MP coverage placed plaintiff in the same position had she recovered $100,000 liability coverage from Scislowicz. As a result, the trial court entered an order granting summary judgment in favor of Allstate and denied plaintiff's cross-motion for summary judgment.
This appeal followed.
ANALYSIS
On appeal, plaintiff claims that the trial court erred in granting summary judgment in favor of Allstate and denying her cross-motion for summary judgment. Plaintiff argues that Allstate violated public policy when it reduced its underinsured motorist coverage by amounts paid for medical payments although the insurance policy unambiguously allowed for such a reduction.
A trial court is permitted to grant summary judgment only "if the pleadings, *709 depositions, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law." 735 ILCS 5/2-1005(c) (West 2006). Construction of the terms of an insurance policy and whether the policy comports with statutory requirements are questions of law properly decided on a motion for summary judgment. See Librizzi v. State Farm Fire & Casualty Co.,
When the language of an insurance policy is clear and unambiguous, a reviewing court will give effect to those terms. Grevas v. United States Fidelity & Guaranty Co.,
Underinsured motorist coverage is a statutory creation. Section 143a-2(4) of the Illinois Insurance Code (Code) requires automobile insurers to include underinsured-motorist coverage in policies that they issue. 215 ILCS 5/143a-2(4) (West 2004). Section 143a-2(4) of the Code defines an "underinsured motor vehicle" as one which has rеsulted in bodily injury or death to the insured, and "for which the sum of the limits of liability under all bodily injury liability insurance policies or under bonds or other security" be maintained by the person responsible for the vehicle is less than the limits of underinsured coverage provided the insured under his policy at the time of the accident. 215 ILCS 5/143a-2(4) (West 2004). Section 143a-2(4) further provides for the insurer's limits of liability as follows:
"The limits of liability for an insurer providing underinsured motorist coverage shall be the limits of such coverage, less those amоunts actually recovered under the applicable bodily injury insurance policies, bonds or other security maintained on the underinsured motor vehicle." 215 ILCS 5/143a-2(4) (West 2004).
In Sulser v. Country Mutual Insurance Co.,
In Adolphson v. Country Mutual Insurance Co.,
The plaintiff's policy contained a $100,000 UIM coverage limit and an unspecified limit in MP coverage. Adolphson,
In interpreting the underinsured motorist statute, the Adolphson court found that the statute does not enumerate all deductions which may be claimed by an insurer, but rather sets a "maximum, or ceiling" the insurer must pay. Adolphson,
Similarly, in the case at bar, plaintiff purchased an automobile insurance policy through Allstate which contained a $100,000 UIM coverage limit and $50,000 in MP coverage. The insurance policy also contained a provision under UIM coverage that allowed Allstate a setoff of any MP payments paid to plaintiff. Plaintiff was injured in an automobile accident, and *711 sustained damages in excess of her UIM coverаge limit. The driver's insurance company settled with the plaintiff for the driver's liability coverage limit of $50,000. Plaintiff recovered the remaining $50,000 difference when Allstate paid plaintiff $38,952.53 in MP coverage and the $11,047.47 balance.
As with the Adolphson court, we find nothing in the statute that prevents Allstate from reducing its liability by amounts paid under other coverages in the same policy since the policy authorizes the credits. In addition, under Sulser, Allstate's setoff provision is not contrary to any known public policy. The reduction did not prevent plaintiff from receiving the difference between the underinsured driver's insurance and the amount of UIM coverage provided in her policy. See Sulser,
Plaintiff relies on Hoglund v. State Farm Mutual Automobile Insurance Co.,
Hoglund was consolidated with Greenawalt v. State Farm Insurance Co.,
The supreme court in Hoglund first considered that the public policy behind the uninsured motorist provision was to place the insured in "substantially the same position as if the wrongful uninsured driver had been minimally insured." Hoglund,
In viewing the setoff provisions in that way, the court found that each plaintiff reasonably expected to receive coverage for damages caused by an uninsured motorist, but the policies allowed the insurance company a setoff of monies paid by the insured motorist for that driver's fault in the accident, which was unrelated to the fault of the uninsured motorist. Hoglund,
Based on the decision in Hoglund, plaintiff in the case at bar claims that Allstate is not entitled to a setoff because there is no danger of double recovery even if she received the limits of both her UIM coverage and MP coverage.
We agree with plaintiff that Hoglund is not limited to uninsured motorist cases. See Banes v. Western States Insurance Co.,
In Hoglund, the сoncern for double recovery arose because there was more than one tortfeasor in each accident, as the monies paid by one tortfeasor acted to reduce the recoverable damages from the remaining tortfeasor. See Banes,
Plaintiff has not provided us any case authority where Hoglund has been applied to situations involving only one tortfeasor. Yet, several Illinois Apрellate Court cases have found that Hoglund does not apply in situations involving a single tortfeasor. See, e.g., State Farm Mutual Automobile Insurance Co. v. Coe,
Plaintiff also has not provided us any case authority that would show a violation of public policy to allow a setoff where there is no double recovery by the plaintiff.[1] Points raised but not argued or supported with authority in a party's brief are deemed waived. Rosier v. Cascade Mountain, Inc.,
Plaintiff's argument that allowing setoffs where there is no double recovery violates public policy is not persuasive. The public policy considerations the supreme court made in Hoglund do not deviate from its determination of the public policy behind the underinsured motorist statute in Sulser. The supreme court in Sulser construed the public policy embodied in the underinsured motorist statute was to not only to offer insurance between an insured's claim and the tortfeasor's insurance, but also to prevent the insured from recovering "amounts from the insurer over and above the coverage provided by the underinsured motorist policy." Sulser,
Here, double recovery from two or more tortfeasors was not at issue. Moreover, the setoff provision in the Allstate policy is in accordance with the well-established public poliсy behind the underinsured motorist statute, which is to "fill the gap" between the amount recovered from the underinsured driver's insurance and the amount of coverage provided in the insured's *714 policy. Sulser v. Country Mutual Insurance Co.,
Plaintiff also claims that she had a reasonable expectation of coverage under both UIM and MP coverages because she paid premiums on both. Again, plaintiff relies on Hoglund, where the supreme court considered in its analysis that each plaintiff paid a premium for the uninsured motorist coverage and found that a policyholder would be denied substantial economic value in return for the premiums that he or she paid if a setoff provision eliminated that coverage. Hoglund,
We find that argument not persuasive. In Hoglund, the supreme court found that the policyholders "believed that he was purchasing uninsured motorist protection," but the setoff provision, as applied, nullified that coverage. Hoglund,
Plaintiff further argues that she should be entitled to recover separately under UIM and MP coverages because she paid separate premiums for those coverages. Plaintiff relies on Glidden v. Farmers Automobile Insurance Ass'n,
In Glidden, the plаintiff was able to recover under the uninsured motorist provision of his three separate automobile insurance policies purchased from the same insurance company. Glidden,
The defendant insurance company argued that its obligation to the рlaintiff under each of the three policies would be prorated to take into account monies paid to plaintiff under the other two policies. Glidden,
In the case at bar, plaintiff observes in her appellate brief that the Adolphson court considered the same argument. In Adolphson, the court distinguished Glidden for the following reasons: (1) Glidden *715 involved the stacking of multiple policies with the same coverage; (2) there existed an ambiguity in the extent of coverage and exclusions in the policy; and (3) the plaintiff paid separate premiums in each of his three policies as opposed to one policy.
Those same distinguishing factors in Adolphson court are present in the case at a bar. This case does not involve the stacking of multiple policies; the policy is clear and unambiguous; and plaintiff paid for one policy. Plaintiff further argues that Adolphson is not applicable because it was decided before Hoglund. However, plaintiff does not explain how Hoglund prevents us from considering the same distinguishing factors that the third district considered in Adolphson.
Moreover, separate premium payments for separate coverages in the same policy do not per se entitle an insured to recover under both coverages. Costello v. Illinois Farmers Insurance Co.,
In the case at bar, plaintiff contracted for $100,000 in UIM coverage, with a setoff provision that allowed Allstate to reduce that coverage by any amount received by the underinsured driver and any MP monies that Allstate paid to plaintiff. Plaintiff was injured by an underinsured driver and settled with the driver's insurance company for $50,000. The Illinois underinsured motorist statute required Allstate to "fill the gap" between the amount the plaintiff recovered from the underinsured driver and the amount of coverage provided in her insurance policy, i.e., $50,000. See 215 ILCS 5/143a-2(4) (West 2004); Sulser,
CONCLUSION
For the foregoing reasons, we affirm the circuit court of Cook County in granting Allstate's motion for summary judgment and denying plaintiff's cross-motion for summary judgment.
Affirmed.
J. GORDON and McBRIDE, JJ., concur.
NOTES
Notes
[1] Plaintiff claims that the appellate court in Banes v. Western States Insurance Co.,
