Golf v. Henderson ( 2007 )

THIRD DIVISION
August 29, 2007
No. 1-06-2304
SAMUEL GOLF, ) Appeal from the
) Circuit Court of
Plaintiff-Appellant, ) Cook County.
)
v. )
) No. 05L5753
CARL HENDERSON and STATE FARM )
MUTUAL AUTOMOBILE INSURANCE )
COMPANY, a Corporation, ) The Honorable
) Daniel M. Locallo,
Defendants-Appellees. ) Judge Presiding.
JUSTICE GREIMAN delivered the opinion of the court:
Plaintiff, Samuel Golf, filed an amended complaint against defendants, insurance agent
Carl Henderson and his employer State Farm Mutual Automobile Insurance Company (State
Farm), alleging that defendants breached their contract to obtain for plaintiff a disability insurance
policy that would pay him benefits in the event that he was injured in the course of his
employment and was consequently unable to work. Plaintiff further alleged that defendants
violated the Consumer Fraud and Deceptive Business Practices Act (the Consumer Fraud Act)
(815 ILCS 505/1 et seq. (West 2004)) by misrepresenting, with intent that plaintiff rely on the
misrepresentation, that the policy presented to plaintiff, and ultimately purchased by plaintiff,
provided the requested coverage. The trial court granted defendants’ motion to dismiss the
amended complaint, finding that plaintiff was charged with knowing the contents of his policy and
therefore could state neither a claim for breach of contract nor a claim for consumer fraud.
Plaintiff appealed.
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On appeal, plaintiff first contends that the consumer fraud count of his amended complaint
was erroneously dismissed when he sufficiently stated a cause of action pursuant to section 2 of
the Consumer Fraud Act. Plaintiff next contends that we should reverse the trial court’s judgment
and remand this case for further proceedings because Henderson breached his statutory duty
pursuant to section 2-2201(a) of the Code of Civil Procedure (735 ILCS 5/2-2201(a) (West
2004)) to exercise ordinary care in procuring plaintiff’s policy. Finally, plaintiff contends that his
duty to know the contents of the policy was “not absolute where [he] was misled by
[defendants],” and that, therefore, dismissal of his amended complaint was erroneous.
According to the pleadings filed by plaintiff, on February 28, 2004, plaintiff visited
Henderson’s State Farm office and asked that Henderson obtain for him a disability insurance
policy that would pay him benefits in the event that he was injured at his job as a concrete finisher.
Henderson presented plaintiff with a policy that he said would provide benefits under those
circumstances. However, the policy contained the following exclusion:
“This policy does not cover *** any other loss caused or contributed by:
***
(d) Injury or Sickness to the extent you are entitled to
benefits under, or obtain any settlement related to, any Workers’
Compensation or Occupational Diseases Law, or any other state
disability law or program.”
Henderson did not call plaintiff’s attention to the exclusion and plaintiff purchased the policy on
February 28, 2004.
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Plaintiff was subsequently injured on the job on November 5, 2004, and was thereafter
unable to work. Plaintiff received workers’ compensation benefits as a result of his injury. State
Farm denied plaintiff’s claim for additional benefits under the disability insurance policy.
Plaintiff’s initial complaint, in which he alleged that Henderson, as State Farm’s
employee,1 was negligent in selling plaintiff the policy, which did not provide the benefits plaintiff
had specifically requested, was filed on May 25, 2005.
Defendants moved to dismiss the complaint on November 23, 2005, alleging that the
cause of action was barred by the economic-loss doctrine, which provides that “recovery for
economic loss-the loss of the benefit of one’s bargain-ordinarily is available only in contract and
not in tort” (Bernot v. Primus Corp., 278 Ill. App. 3d 751, 754 (1996)).
The trial court permitted plaintiff to file an amended complaint on February 3, 2006, in
which plaintiff alleged that defendants had breached their contract with plaintiff to obtain a policy
that would entitle him to benefits if he were injured at work and that, pursuant to the Consumer
Fraud Act, defendants had misrepresented to plaintiff that under the policy they provided, he
would be entitled to benefits if he were injured at work.
Defendants moved to dismiss the amended complaint on March 17, 2006. They alleged
that the complaint should be dismissed pursuant to section 2-615 of the Code of Civil Procedure
(735 ILCS 5/2-615 (West 2004)) because plaintiff was charged as a matter of law with knowing
the contents of his policy and therefore could state neither a claim of breach of contract nor a
1
In their brief, defendants do not contest the propriety of imputing the actions of
Henderson to his employer, State Farm.
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claim of consumer fraud and that the complaint should be dismissed pursuant to section 2-619 of
the Code of Civil Procedure (735 ILCS 5/2-619 (West 2004)) because both claims were barred by
the economic-loss doctrine, which, again, generally precludes negligence claims in contract
actions.
On July 11, 2006, the trial court granted defendants’ motion pursuant to section 2-615 of
the Code of Civil Procedure, finding that plaintiff had a duty to know the contents of his policy,
and dismissed the amended complaint with prejudice. The court further denied defendants’
section 2-619 motion as moot. Plaintiff filed a timely notice of appeal.
At the outset, we note that we review an order dismissing a complaint pursuant to a
motion to dismiss de novo. Country Mutual Insurance Co. v Carr, 366 Ill. App. 3d 758, 763
(2006), appeal allowed, sub nom. Country Mutual Insurance Co. v. Vogelzang, 222 Ill. 2d 569
(2006). A motion to dismiss an action on the pleadings should not be granted unless it is clearly
apparent that no set of facts can be proven that would entitle the plaintiff to relief. Perelman v.
Fisher, 298 Ill. App. 3d 1007, 1011 (1998). A reviewing court must determine whether the
allegations set out in the complaint, taken in the light most favorable to the plaintiff, sufficiently
set forth a cause of action upon which relief may be granted. Perelman, 298 Ill. App. 3d at 1011.
We may affirm the dismissal of a complaint on any grounds on the record. Paul H. Schwendener,
Inc. v. Jupiter Electric Co., 358 Ill. App. 3d 65, 71 (2005).
We will address the arguments raised in this appeal in a slightly different order than they
were presented in the parties’ briefs. We first address the parties’ arguments regarding the
dismissal of the two counts of plaintiff’s amended complaint.
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The first count alleged that Henderson, as State Farm’s employee, breached his oral
contract with plaintiff to obtain a policy that would provide plaintiff benefits if he were injured on
the job and unable to work. Before the trial court and again on appeal, defendants argue that this
count should be dismissed because plaintiff had an absolute duty to know the contents of his
policy and because the claim was barred by the economic-loss doctrine. A close reading of
plaintiff’s brief, however, indicates that plaintiff does not specifically appeal the dismissal of his
breach of contract count. The only contention raised by plaintiff that would arguably relate to
that count is his third: that “the duty to read the policy is not absolute where the insured has been
misled by the insurer.” Nonetheless, under that heading, plaintiff does not develop an argument
for reversal of the breach of contract count’s dismissal. Moreover, in his conclusion, though
plaintiff asks that we “reinstate[ this case] on all counts,” he only specifically refers to the
consumer fraud count, arguing that “the Consumer Fraud Act was designed to cover
[defendants’] misrepresentations and omissions.” In his reply brief, plaintiff more specifically
alleges that he “has sufficiently [pled] a claim of breach of contract.” However, as in his opening
brief, plaintiff does not develop an argument or cite authority in support of reversal of the
dismissal of the breach of contract count. Accordingly, in our view, plaintiff has either chosen not
to appeal the court’s dismissal of the breach of contract count of his amended complaint or has
simply not sufficiently argued for the reversal of the dismissal of that count (see 210 Ill. 2d R.
341(h)(7) (points not argued in appellate brief or for which no supporting authority is cited are
waived)), and we will not review that dismissal.
Concerning the consumer fraud count, plaintiff first contends that he stated a proper cause
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of action under the Consumer Fraud Act.
Section 2 of the Consumer Fraud Act provides:
“[U]nfair or deceptive acts or practices, including but not limited to the use
or employment of any deception, fraud, false pretense, false promise,
misrepresentation or the concealment, suppression or omission of any material
fact, with intent that others rely upon the concealment, suppression or omission of
such material fact *** are hereby declared unlawful whether any person has in fact
been misled, deceived or damaged thereby.” 815 ILCS 505/2 (West 2004).
To establish a violation of the Consumer Fraud Act, a plaintiff must prove “(1) a deceptive act or
practice, (2) intent on the defendants’ part that plaintiff rely on the deception, and (3) that the
deception occurred in the course of conduct involving trade or commerce.” Siegel v. Levy
Organization Development Co., 153 Ill. 2d 534, 542 (1992).
Defendants do not contest that plaintiff has properly pled the latter two requirements.
However, defendants contend that plaintiff has not pled that they engaged in a deceptive act or
practice.
In this regard, this case is similar to LeDonne v. AXA Equitable Life Insurance Co., 411
F. Supp. 2d 957 (N.D. Ill. 2006),2 in which, as in the case before this court, the plaintiff insured
2
While we acknowledge that federal decisions are not binding on this court, they are
persuasive and we may “ ‘elect to give considerable weight to the decisions of federal courts.’ ”
Ramette v. AT&T Corp., 351 Ill. App. 3d 73, 83 (2004), quoting Sprietsma v. Mercury Marine,
197 Ill. 2d 112, 120 (2001).
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brought suit against the defendant insurance agent pursuant to section 2 of the Consumer Fraud
Act. The defendant moved to dismiss the Consumer Fraud Act claim, alleging that the plaintiff
had failed to allege that the defendant had engaged in a misrepresentation of fact or a deceptive
business practice. The court denied the motion with respect to that claim because the plaintiff had
sufficiently alleged a misrepresentation, specifically that, in presenting the plaintiff with a policy,
the defendant had assured the plaintiff that the policy would entitle him to benefits if he were
injured and unable to operate his hardware store, despite the fact that the policy did not provide
for such benefits.
Similarly, here, plaintiff has specifically alleged that Henderson, as an employee of State
Farm, “misrepresented to the plaintiff that the disability policy he procured would pay the plaintiff
$2,500.00 per month if he was injured at work and could not work.” Simply stated, plaintiff has
alleged a misrepresentation on the part of defendants. Accordingly, he has stated a cause of
action for violation of section 2 of the Consumer Fraud Act.
Plaintiff next contends that his failure to know the content of his policy was not an
absolute bar to his consumer fraud cause of action.
An insured has an affirmative duty to review the terms of a new policy issued to him and is
burdened with knowing the contents of that policy. Perry v. Economy Fire & Casualty Co., 311
Ill. App. 3d 69, 70 (1999); Furtak v. Moffett, 284 Ill. App. 3d 255, 257 (1996). However, the
appellate court has noted that this rule is not an absolute bar to causes of action brought by an
insured against an insurance agent or broker as opposed to causes of action brought by an insured
against an insurer.
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In Black v. Illinois Fair Plan Ass’n, 87 Ill. App. 3d 1106 (1980), the plaintiffs insureds
brought suit against the defendant insurance agent alleging that the defendant was negligent in
obtaining an insurance policy for the plaintiffs on the wrong property. The trial court dismissed
the suit, finding that, as a matter of law, the plaintiffs were contributorily negligent when they
failed to notice the mistake on the policy they were issued.
On appeal, the court recognized the general rule that an insured is bound to know the
contents of his policy, but reasoned that the rule must be tested in light of the relationship
between the insured and his agent. The court distinguished between cases addressing the liability
of an insurer to an insured when the insured failed to note a discrepancy between the policy he
received and the policy he requested and those between an insured and an agent. In the former
cases, the Black court reasoned, the focus is on the ability of the parties to enforce the policy as
written and the insured is attempting to deny the effectiveness of the policy’s language. In those
cases, the insured has a duty to read the policy and bring discrepancies to the insurer’s attention
upon receipt of the policy in order to prevent the insurer’s rights from being prejudiced.
However, a suit between an insured and an agent does not focus on the modification of the terms
of a contract or prejudice to the parties. Instead, it involves proof that the agent negligently
performed his duty to the insured or that he breached his contract with the insured. The court
reversed the trial court’s judgment, finding that, in a insured’s case against his agent, the insured’s
failure to read his policy may be evidence of contributory negligence but is not contributory
negligence as a matter of law.
In Perelman, the insured plaintiff brought suit against the defendant broker who, the
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plaintiff alleged, had breached his agreement to obtain a disability policy under which the
plaintiff’s benefits would increase at the rate of inflation and had negligently misrepresented the
contents of the policy that he had presented to the plaintiff. The trial court dismissed the case as
barred by a tolled statute of limitations, finding that the plaintiff’s cause of action had accrued at
the time that he was presented with the policy because he had an affirmative duty to know the
contents of his policy.
On appeal, the plaintiff contended that the trial court erred in finding that, as a matter of
law, he should have known of the discrepancies between the policy requested and the policy
received at the time he received the policy. The appellate court noted that when an insured brings
suit against an insurer after failing to notice a discrepancy between the policy that was issued and
the policy that was requested, the insured is bound by the terms of the policy because he has a
duty to read the policy upon its receipt and inform the insurer of any discrepancies in order to
prevent the insurer from being prejudiced in the future. However, the court drew a distinction
between actions brought by insureds against insurers who issue policies and actions by insureds
against agents or brokers who procure the policies. In the former cases, an insured is trying to
deny the effect of part of the policy itself. In the latter cases, the suit depends on proof that the
agent or broker failed to fulfill its obligations to the insured, and therefore the plaintiff’s failure to
know the contents of the policy is not a bar to the cause of action. The Perelman court
determined that the plaintiff had adequately raised a genuine issue of fact as to whether the
defendant had breached his obligations to the plaintiff. Therefore, the court concluded that the
trial court erred in holding that the plaintiff’s suit was defeated as a matter of law because he did
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not realize the breach when he initially received the policy.
In this case, plaintiff is not denying the effectiveness of the language of the policy itself.
Instead, he alleges that defendants failed to fulfill their obligations pursuant to section 2 of the
Consumer Fraud Act when they misrepresented the content of the policy in selling it to plaintiff.
Under these circumstance, pursuant to Black and Perelman, plaintiff’s failure to know the content
of his policy is not an absolute bar to his Consumer Fraud Act cause of action and the count was,
therefore, erroneously dismissed by the court.
We turn now to defendants’ contention that the consumer fraud count could have been
alternatively dismissed pursuant to the economic-loss doctrine.
Pursuant to the Country Mutual court’s reasoning, we find that plaintiff’s Consumer Fraud
Act cause of action is not barred by the economic-loss doctrine. In Country Mutual, the insured
brought suit alleging a violation of 2-2201(a) of the Code of Civil Procedure, which provides that
an insurer “shall exercise ordinary care and skill in renewing, procuring, binding, or placing the
coverage requested by the insured or proposed insured” (735 ILCS 5/2-2201(a) (West 2004)).
On appeal, the insured contended that the trial court had erred in dismissing the claim as barred by
the economic-loss doctrine. The Country Mutual court explained:
“The economic-loss doctrine, or Moorman doctrine, has its Illinois roots in
[Moorman Manufacturing Co. v. National Tank Co., 91 Ill. 2d 69 (1982)]. In
Moorman, the plaintiff sued to recover damages under various tort causes of
action resulting from ‘an alleged crack in a grain-storage tank.’ [Citation.] The
Supreme Court of Illinois reasoned the plaintiff could not recover under the tort
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theories upon finding ‘at common law, purely economic loss was generally not
recoverable in tort.’ [Citation.] The court concluded that contract law, protecting
expectation interests, provided ‘ “the proper standard when a qualitative defect
[was] involved.’ ” [Citations.]
The Moorman doctrine, however, does not apply when a duty arises that is
extracontractual. [Citation.] For instance, in [Kanter v. Deitelbaum, 271 Ill. App.
3d 750 (1995)], the First District rejected the argument the Moorman doctrine
barred a claim against an insurance broker who failed to procure the health-
insurance coverage as agreed. [Citation.] The court reasoned the broker, who had
a fiduciary duty to the insured, had a duty that arose outside the contract.”
Country Mutual, 366 Ill. App. 3d at 767-68, quoting Moorman, 91 Ill. 2d at 72,
and First Midwest Bank, N.A. v. Stewart Title Guaranty Co., 218 Ill. 2d 326, 337
(2006).
The court concluded that the duty created by section 2-2201(a) of the Code of Civil
Procedure, like the fiduciary duty in Kanter, was an extracontractual duty. Accordingly, the
economic-loss doctrine did not bar the insured’s claim.
In this case, plaintiff advanced a statutory consumer fraud claim pursuant to section 2 of
the Consumer Fraud Act. It follows that the obligations which plaintiff alleges defendants failed
to fulfill in misrepresenting the material facts of the policy were created by the statute. Put
another way, the duties that plaintiff alleges were violated arose outside of any contract between
the parties. Because these duties were extracontractual, like the Country Mutual and Kanter
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courts, we find that plaintiff’s cause of action is not barred by the economic-loss doctrine.
We further note that defendants generally argue throughout their brief that plaintiff’s suit
was properly dismissed because plaintiff cannot show that he was damaged by defendants’ failure
to obtain the requested policy. The parties agree that plaintiff was entitled to and collected
worker’s compensation benefits from the state after he was injured on the job and defendants
argue that because he was able to collect those benefits, he was not damaged by defendants’
actions in failing to obtain the requested coverage. However, defendants fail to cite authority
which would support their argument that plaintiff could not collect worker’s compensation
benefits and also collect benefits for which he had contracted with a private insurance company.
Accordingly, we regard this argument as waived. See 210 Ill. 2d R. 341(i); Libertyville Toyota v.
U.S. Bank, 371 Ill. App. 3d 1009, 1017 (2007) (“arguments presented in an appellate brief that
are not supported by relevant authority are waived”).
Finally, we address plaintiff’s second contention: that reversal is warranted because
Henderson breached his statutory duty to exercise ordinary care in procuring plaintiff’s policy
pursuant to section 2-2201(a) of the Code of Civil Procedure.
Specifically, section 2-2201(a) of the Code of Civil Procedure provides:
“An insurance producer, registered firm, and limited insurance
representative shall exercise ordinary care and skill in renewing, procuring,
binding, or placing the coverage requested by the insured or proposed insured.”
735 ILCS 5/2-2201(a) (West 2004).3
3
Defendants do not dispute that they were either “insurance producer[s], registered firm[s
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The Country Mutual court construed section 2-2201(a) to mean that insurance producers,
including agents, have a duty “to act with ordinary care in procuring insurance for insureds”
(Country Mutual, 366 Ill. App. 3d at 766) and held that the plaintiff in that case had stated a claim
for breach of that duty.
As defendants note, this allegation, that Henderson breached his statutory duty to plaintiff,
was not raised in plaintiff’s amended complaint nor was it raised in response to defendants’
motion to dismiss plaintiff’s amended complaint. Though plaintiff did raise a claim of negligence
in his original complaint, plaintiff chose to plead over that complaint and to pursue breach of
contract and consumer fraud claims, rather than a tort claim. Consequently, plaintiff’s appellate
contention that he could state a cause of action pursuant section 2-2201(a) of the Code of Civil
Procedure is waived. See O’Malley v. Village of Palos Park, 346 Ill. App. 3d 567, 576 (2004),
quoting Barnett v. Zion Park District, 171 Ill. 2d 378, 384 (1996) (“ ‘[a]llegations in a former
complaint not incorporated in the final amended complaint are deemed waived’ ”); Morgan v.
CUNA Mutual Insurance Society, 242 Ill. App. 3d 1027, 1029 (1993), quoting Lemke v.
Kenilworth Insurance Co., 109 Ill. 2d 350, 355 (1985) (“ ‘[i]ssues concerning alleged error not
raised in the trial court are waived and, therefore, cannot be raised for the first time on appeal’ ”).
Plaintiff notes that Country Mutual was decided after his amended complaint was
dismissed and argues that, therefore, we should ignore the waiver of his section 2-2201 claim.
This argument is unavailing. Though Country Mutual was decided on July 14, 2006, three days
after the dismissal of plaintiff’s amended complaint, as the Country Mutual court noted, section 2-
or] limited insurance representative[s].” 735 ILCS 5/2-2201(a) (West 2004).
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2201 of the Code of Civil Procedure, which established an insurance agent’s duty to act with
ordinary care in procuring the coverage requested by an insured, was enacted by the General
Assembly in 1996 and became effective in 1997 (Country Mutual, 366 Ill. App. 3d at 763, citing
Pub. Act 89-638, §5, eff. January 1, 1997 (adding 735 ILCS 5/2-2201 (West 1998))), several
years before plaintiff purchased insurance from defendant. Accordingly, we refuse to excuse
plaintiff’s waiver of his section 2-2201 claim.
Nonetheless, we recognize that, on remand from an appellate court, a trial court is not
precluded from allowing the plaintiff to amend or supplement his pleadings if the case was not
remanded with specific instructions and if amendment is not inconsistent with the legal principles
announced by the appellate court. Clemons v. Mechanical Devices Co., 202 Ill. 2d 344, 352-53
(2002) (on remand for a new trial, the plaintiff was not precluded from amending his complaint to
add an additional count); Merrill v. Drazek, 58 Ill. App. 3d 455, 457-58 (1978) (because issues
addressed by appellate and supreme court on appeal did not include damages, on remand to the
trial court, the plaintiff was not precluded from amending complaint to state with specificity a
damages claim); Crane Paper Stock Co. v. Chicago & Northwestern Ry. Co., 63 Ill. 2d 61, 69
(1976) (on remand from a reversal of summary judgment with directions that the trial court allow
for presentation of evidence to resolve disputed facts, trial court was not precluded from allowing
the plaintiff to amend and supplement its pleadings). Though we will not address the merits of
plaintiff’s contention that he could properly state a cause of action pursuant section 2-2201(a) of
the Code of Civil Procedure because that contention was not raised before the trial court, this
opinion does not necessarily preclude plaintiff from moving to amend his complaint to plead such
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a cause of action on remand. However, because plaintiff may be precluded from pursuing an
amendment for some other reason or may decide not to advance such a motion, because the
decision to grant or deny such a motion is within the trial court’s discretion and because many
factors go into a court’s consideration of whether amendment should be allowed (see, e.g.,
Goldberg v. Rush University Medical Center, 371 Ill. App. 3d 597, 604 (2007)), it would be
premature to address the merits of a motion to amend the pleadings.
In summary, because it was not appealed or, alternatively, was not adequately argued, we
affirm the trial court’s dismissal of plaintiff’s breach of contract claim. Because plaintiff
adequately stated a cause of action alleging violation of the Consumer Fraud Act and because
such cause of action was not precluded, as a matter of law, by plaintiff’s obligation to know the
contents of his insurance policy or by the economic-loss doctrine, we reverse the trial court’s
dismissal of plaintiff’s consumer fraud claim. Finally, because it is waived, we refuse to address
plaintiff’s claim that he could state a cause of action pursuant to section 2-2201 of the Code of
Civil Procedure.
Affirmed in part and reversed in part; cause remanded.
KARNEZIS and CUNNINGHAM, JJ., concur.
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