Grinnell Mutual Reinsurance Co. v. Haight , 697 F.3d 582 ( 2012 )


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  •                               In the
    United States Court of Appeals
    For the Seventh Circuit
    No. 11-1600
    G RINNELL M UTUAL R EINSURANCE C O .,
    Plaintiff-Appellant,
    v.
    N ICOLE A. H AIGHT,
    Defendant-Appellee.
    Appeal from the United States District Court
    for the Northern District of Illinois, Western Division.
    No. 10 CV 50042–Frederick J. Kapala, Judge.
    A RGUED S EPTEMBER 30, 2011—D ECIDED S EPTEMBER 26, 2012
    Before E ASTERBROOK , Chief              Judge,      and        P OSNER
    and W ILLIAMS, Circuit Judges.
    W ILLIAMS, Circuit Judge. Shawn Haight purchased an
    insurance policy that included underinsured motorist
    coverage for the named insured (him) and any family
    members. After his teenage daughter Nicole was injured
    while riding in a car driven by an acquaintance whose
    insurance did not fully compensate her, she made an
    2                                            No. 11-1600
    underinsured motorist claim on her father’s policy. The
    insurance company maintains that Nicole is not entitled
    to coverage because she was not riding in a vehicle
    listed on her father’s policy when she was hurt. But we
    read the policy to provide underinsured motorist cov-
    erage to the named insured and his family members
    that does require the named insured or his family
    members to be occupying a vehicle listed on the policy
    during the accident. We therefore affirm the district
    court’s entry of summary judgment in favor of Nicole.
    I. BACKGROUND
    Nicole Haight was hurt in a single-car accident while
    a passenger in a car driven by Brian Day. Her medical
    bills exceeded the $50,000 in bodily injury coverage that
    Day had through his carrier, Country Insurance. She
    therefore made a claim seeking underinsured motorist
    (“UIM”) coverage on a policy Grinnell Mutual Reinsur-
    ance Co. had issued to her father. According to its
    website, Grinnell provides insurance in twelve states
    throughout the Midwest.
    The policy Grinnell issued to Shawn Haight (sometimes
    referred to in the documents as “Shawn Haight d/b/a/
    SMH Rebuilding”) has a “Business Auto Coverage
    Form” and various endorsements. Grinnell used forms
    and endorsements created by the Insurance Services
    Office, Inc., a national clearinghouse. The endorsement
    at issue here, the Illinois Underinsured Motorists
    Coverage Endorsement, provides $300,000 in coverage
    for all amounts the “insured” is entitled to recover as
    No. 11-1600                                               3
    compensatory damages from the owner or driver of an
    underinsured vehicle.
    Day is not related to the Haights, nor does he work for
    Shawn Haight, and Day’s car was not one of the two
    vehicles listed on Shawn Haight’s policy. Maintaining
    that Nicole was not entitled to UIM coverage under the
    policy issued to her father because she was not riding in
    a “covered auto” during the accident, Grinnell filed
    this action in the United States District Court for the
    Northern District of Illinois seeking a declaratory judg-
    ment to that effect. The parties each moved for
    summary judgment, and the district court granted
    Nicole’s motion. Grinnell appeals.
    II. ANALYSIS
    A. Subject Matter Jurisdiction
    Our first task, as it is in every case, is to determine
    whether we have subject matter jurisdiction. The com-
    plaint asserts that the federal court has jurisdiction based
    on 
    28 U.S.C. § 1332
    (a) because the parties are citizens
    of different states and the amount in controversy
    exceeds $75,000. The jurisdictional statements in the
    parties’ appellate briefs assert that we have jurisdiction
    but do not give any information beyond that in the com-
    plaint.
    Nicole’s medical damages at the time the suit was filed
    were approximately $60,000. Day’s policy covered
    $50,000, so we wondered whether we had jurisdiction and
    inquired at oral argument. Grinnell took us up on our
    4                                                No. 11-1600
    suggestion to seek leave after argument to amend its
    jurisdictional allegation, and it now seeks to supplement
    with additional facts. See 
    28 U.S.C. § 1653
     (“Defective
    allegations of jurisdiction may be amended, upon terms,
    in the trial or appellate courts.”); Newman-Green, Inc. v.
    Alfonzo-Larrain, 
    490 U.S. 826
    , 830-32 (1989).
    Grinnell would now like to add more detail about the
    accident and Nicole’s injuries. The additional allega-
    tions include that in the accident, Nicole was ejected
    from the vehicle in which she was riding and suffered
    multiple pelvic fractures, a fractured lower vertebra,
    minor head injuries, and contusions. Her recovery
    included two months of bed rest and time in a wheel-
    chair. She claims continued pelvic and low back pain, a
    reduced ability to walk and sit for extended periods, and
    possible complications during pregnancy. Grinnell also
    seeks to add to its jurisdictional allegation that it is ex-
    posed to $250,000 in liability under the policy at issue.
    As we have explained, the standard for determining
    the amount in controversy requirement “was established
    by the Supreme Court in St. Paul Mercury: unless
    recovery of an amount exceeding the jurisdictional mini-
    mum is legally impossible, the case belongs in federal
    court.” Back Doctors Ltd. v. Metro. Prop. and Cas. Ins. Co.,
    
    637 F.3d 827
    , 830 (7th Cir. 2011) (citing St. Paul Mercury
    Indem. Co. v. Red Cab Co., 
    303 U.S. 283
    , 293 (1938)). The
    demonstration “concerns what the plaintiff is claiming
    (and thus the amount in controversy between the par-
    ties), not whether plaintiff is likely to win or be awarded
    everything he seeks.” Id. at 829-30 (quoting Brill v. Country-
    No. 11-1600                                               5
    wide Home Loans, Inc., 
    427 F.3d 446
    , 449 (7th Cir. 2005)).
    Also relevant in this regard, in addition to the
    other information about Nicole’s claimed injuries and
    their long-term effects, is that Grinnell has now informed
    us that Nicole’s settlement demand was $250,000. Al-
    though settlement negotiations are not admissible at
    trial pursuant to Federal Rule of Evidence 408 to prove
    liability for or invalidity of the claim or its amount, they
    can be considered “to show the stakes” when deter-
    mining whether the amount in controversy is met. Rising-
    Moore v. Red Roof Inns, Inc., 
    435 F.3d 813
    , 816 (7th Cir.
    2006). The additional information we have received
    assures us that Nicole is seeking damages in excess of the
    jurisdictional threshold. Cf. Walton v. Bayer Corp., 
    643 F.3d 994
    , 998 (7th Cir. 2011) (finding federal jurisdiction
    based on litany of injuries plaintiff claimed to have sus-
    tained). We grant Grinnell’s request to amend its juris-
    dictional allegation, and, satisfied that jurisdiction
    exists, we proceed to the merits.
    B. Whether Nicole Haight Receives Underinsured
    Motorist Coverage
    We review de novo the district court’s grant of summary
    judgment as well as its construction of the insurance
    policy. See Auto-Owners Ins. Co. v. Munroe, 
    614 F.3d 322
    ,
    324 (7th Cir. 2010). The parties agree that Illinois law
    governs the interpretation of the policy. In construing the
    policy, our primary objective is to ascertain and give
    effect to the parties’ intentions as expressed by the words
    of the policy. Rich v. Principal Life Ins. Co., 
    875 N.E.2d 6
                                                 No. 11-1600
    1082, 1090 (Ill. 2007). As with any contract, we construe
    an insurance policy according to the plain and ordinary
    meaning of its unambiguous terms. Auto-Owners Ins. Co.,
    
    614 F.3d at
    324 (citing Nicor, Inc. v. Associated Elec. &
    Gas, 
    860 N.E.2d 280
    , 286 (Ill. 2006)). Where a policy provi-
    sion is ambiguous, Illinois courts liberally construe it
    in favor of coverage. Founders Ins. Co. v. Munoz, 
    930 N.E.2d 999
    , 1004 (Ill. 2010).
    Grinnell maintains that Nicole Haight is not entitled
    to UIM coverage under the policy because the car in
    which she was riding when injured was not a “covered
    auto.” Nicole, on the other hand, maintains that she is
    an “insured” under the UIM policy as Shawn Haight’s
    family member. We note at the outset that this is not a
    case about a claim on a liability insurance policy. Illinois
    imposes a mandatory liability insurance requirement on
    all motor vehicles operating on its highways, and the
    liability policy must cover any person using the vehicle.
    See 625 ILCS 5/7-601(a); 625 ILCS 5/7-317(b)(2); Schultz v.
    Ill. Farmers Ins. Co., 
    930 N.E.2d 943
    , 950 (Ill. 2010). In
    contrast to liability insurance’s focus on the vehicle,
    uninsured and underinsured motorist coverage can
    protect the named insured and family members “when
    they are operating or are passengers in a motor vehicle,
    as well as when they are engaged in any other activity
    such as walking, riding a bicycle, driving a hay wagon,
    or even sitting on a front porch.” See 3 Alan I. Widiss &
    Jeffrey E. Thomas, Uninsured and Underinsured Motorist
    Insurance § 4.2 (3rd ed. 2005); see also id. § 33.2; Doyle v.
    State Farm Mut. Auto. Ins. Co., 
    775 N.E.2d 180
    , 181-82 (Ill.
    App. Ct. 2002) (detailing policy that provided for unin-
    No. 11-1600                                                 7
    sured motorist coverage if insured sustained bodily
    injury while walking and was struck by motor vehicle).
    With that background in mind, we turn to the policy
    at issue here. The policy consists of a Business Auto
    Coverage Form and several endorsements, with the
    “Illinois Underinsured Motorists Coverage” endorsement
    the one in question. This document begins by stating in
    all capital letters: “THIS ENDORSEMENT CHANGES
    THE POLICY. PLEASE READ IT CAREFULLY.” Under-
    neath the “ILLINOIS UNDERINSURED MOTORISTS
    COVERAGE” heading are the words:
    For a covered “auto” licensed or principally ga-
    raged in, or “garaged operations” conducted in
    Illinois, this endorsement modifies insurance
    provided under the following:
    BUSINESS AUTO COVERAGE FORM
    GARAGE COVERAGE FORM
    MOTOR CARRIER COVERAGE FORM
    TRUCKERS COVERAGE FORM
    Next, underneath boxes containing the effective date,
    named insured, and $300,000 insurance limit, the endorse-
    ment states:
    With respect to coverage provided by this endorse-
    ment, the provisions of the Coverage Form apply
    unless modified by the endorsement.
    A. Coverage
    1.     We will pay all sums the “insured” is
    legally entitled to recover as compensatory
    8                                                   No. 11-1600
    damages from the owner or driver of an
    “underinsured motor vehicle.”
    ...
    B. Who Is an Insured
    If the Named Insured is designated in the
    Declarations as:
    1.    An individual then the following are
    “insureds”:
    a.   The Named Insured and any “family
    members”.
    b. Anyone else “occupying” a covered
    “auto” or a temporary substitute for
    a covered “auto”. . .
    c.   Anyone for damages he or she is
    entitled to recover because of “bodily
    injury” sustained by another “in-
    sured.”
    Section B.2 provides that if the named insured is “a
    partnership, limited liability company, corporation, or any
    other form of organization,” then “insureds” include:
    a.   Anyone “occupying” a covered
    “auto” or a temporary substitute for
    a covered “auto.” The covered auto
    must be out of service because of its
    breakdown, repair, servicing, “loss”
    or destruction.
    b. Anyone for damages he or she is
    entitled to recover because of “bodily
    No. 11-1600                                                  9
    injury” sustained by another “in-
    sured.”
    As an initial, and notable, matter, the “Named Insured”
    in this case is an individual. Grinnell does not argue
    otherwise. The UIM endorsement contains a “Named
    Insured” box, and “Shawn Haight” is filled in. He is
    also the “Named Insured” on the Business Auto
    Coverage Form Declarations. Some of the other docu-
    ments refer to “Shawn Haight d/b/a SMH Rebuilding,”
    but Grinnell does not contend that those references mean
    that the “Named Insured” in the UIM endorsement
    is something other than an individual. Indeed, in Illinois,
    the “ ‘d/b/a’ designation does not create an entity distinct
    from the person operating the business.” See Pekin Ins. Co.
    v. Estate of Goben, 
    707 N.E.2d 1259
    , 1264 (Ill. App. Ct. 1999);
    see also Georgantas v. Country Mut. Ins. Co., 
    570 N.E.2d 870
    , 873 (Ill. App. Ct. 1991); Patrevito v. Country Mut. Ins.
    Co., 
    455 N.E.2d 289
    , 291 (Ill. App. Ct. 1983).
    There is also no dispute that Nicole is a “family mem-
    ber” of Shawn Haight under the terms of the endorse-
    ment. The UIM endorsement defines “family member” to
    include a person related to the named insured by blood
    who resides in the named insured’s household. Nicole
    was a teenager at the time of the accident, with parents
    who shared joint custody, and the parties do not dispute
    that she resided with her father for purposes of the
    policy. Cf. Casolari v. Pipkins, 
    624 N.E.2d 429
    , 432 (Ill. App.
    Ct. 1993) (finding under facts before it that minor
    whose parents had joint custody resided with father
    for insurance policy’s purposes although primary resi-
    dence was with mother).
    10                                            No. 11-1600
    Because section B.1.a of the UIM endorsement includes
    a “family member” as an “insured” when the named
    insured is an individual, Nicole maintains that is the
    end of the story and that she is entitled to UIM coverage.
    Grinnell, however, contends that a read of the policy as
    a whole demonstrates that Nicole needed to occupy a
    “covered auto” to be afforded UIM coverage. Nicole
    was not in a covered auto during the accident, so
    Grinnell says she does not receive UIM coverage under
    the policy. We conclude that the policy affords UIM
    coverage to the individual named insured and his family
    members that does not require occupation of a covered
    auto. Nicole is therefore entitled to coverage.
    The Business Auto Coverage Form states that the
    “insured” means the person qualifying as an insured in
    the “Who Is an Insured” provision of the applicable
    coverage. The applicable coverage here, the UIM En-
    dorsement, states in its “Who Is an Insured” section that
    when as here the named insured is an individual, then
    pursuant to B.1.a the named insured and any family
    members are “insureds.” So Nicole is entitled to
    coverage by the terms of B.1.a., as there is no qualifica-
    tion in B.1.a that the named insured or family member
    must have been occupying a covered auto.
    The lack of such a qualification in B.1.a stands in
    contrast to other provisions in the UIM Endorsement’s
    “Who Is an Insured” section, including the provision
    that immediately follows it. Section B.1.b includes as
    “insureds” when the named insured is an individual
    “[a]nyone else ‘occupying’ a covered ‘auto’ or a
    No. 11-1600                                               11
    temporary substitute for a covered ‘auto.’ ” The qualifica-
    tion of “occupying a covered auto” could have just as
    easily been added to B.1.a, but it was not. Moreover, the
    use of the word “else” in B.1.b suggests an intent to
    distinguish that category of insured persons from those
    in the previous category, B.1.a.
    Section B.1.a also becomes irrelevant if it only applies
    to persons “occupying a covered auto.” Cf. Cent. Ill. Light
    Co. v. Home Ins. Co., 
    821 N.E.2d 206
    , 214 (Ill. 2004) (noting
    Illinois courts generally avoid interpretations that
    render contract terms surplusage) (citing Dowd & Dowd,
    Ltd. v. Gleason, 
    693 N.E.2d 358
     (Ill. 1998)). If Grinnell’s
    reading is right, only a single category defining an insured
    when the named insured is an individual is neces-
    sary–“anyone occupying a covered auto”—and there is no
    need for B.1.a. Yet that is not what the policy does in
    section B.1; instead, there are distinct provisions in B.1.a
    and B.1.b. In contrast, the policy does in fact specify
    a single category of persons “occupying a covered auto”
    in B.2 of the UIM endorsement, which applies to
    business entities. Section B.2.a defines “insureds” when
    the named insured is a business entity to include
    “[a]nyone ‘occupying’ a covered ‘auto’ or a temporary
    substitute for a covered ‘auto.’ ” There is no separate
    provision for the named insured or anyone else. Rather,
    for business entities, there is a single category for
    persons occupying a covered auto.
    This distinction between named insureds who are
    individuals and those that are business entities is meaning-
    ful in Illinois and makes sense as “corporations cannot
    12                                          No. 11-1600
    have family members.” Econ. Preferred Ins. Co. v. Jersey
    Cnty. Const., Inc., 
    615 N.E.2d 1290
    , 1294 (Ill. App. Ct.
    1993) (rejecting uninsured motorist claim by daughter
    of president of corporation where policy covered “You
    or any family member,” policy defined “you” and “your”
    as “the person or organization shown as the named
    insured,” and the named insured was a corporation); see
    also Stark v. Ill. Emcasco Ins. Co., 
    869 N.E.2d 957
    , 963
    (Ill. App. Ct. 2007) (rejecting UIM claim by corpora-
    tion’s sole officer, director, and shareholder where
    policy issued to corporation and plaintiff not riding in
    covered automobile during accident). Here, though,
    the named insured is an individual, and so the “Named
    Insured and any ‘family members’ ” category of insureds
    in B.1.a has meaning.
    So the text of the “Who Is an Insured” section of the
    UIM Endorsement contains no prerequisite of covered
    auto occupancy when the named insured is an individ-
    ual. Grinnell, however, urges that the words “For
    a covered ‘auto’ ” at the very top of the UIM Endorse-
    ment mean that a covered auto must be occupied to
    qualify for coverage under section B.1.a. It argues that
    with those words at the top of the endorsement, there
    was no need to add them again in section B.1.a. We,
    however, think the better reading is that the sentence
    simply designates which coverages the UIM Endorse-
    ment modifies, and, therefore, that the phrase only
    No. 11-1600                                                      13
    applies to the first sentence on the page.1 It is strained
    both as a matter of grammar and of logic to read the
    prepositional phrase “For a covered auto” to modify
    not only words within the same sentence, but also every-
    thing in section B.1.a—a section visually and struc-
    turally separated from the phrase. (In between there are
    two tables containing information about the coverage as
    well as a three-paragraph section.) And if Grinnell’s
    reading were correct, section B.1.a would become “for a
    covered auto, the named insured and any family mem-
    bers.” But then B.1.b would read, “for a covered auto,
    anyone else occupying a covered auto . . . .” (with a similar
    reading in section B.2), an odd result. And the distinctions
    between B.1.a, B.1.b, and B.2 would be rendered mean-
    ingless. That is not the preferred way to interpret
    contract terms. Cf. Cent. Ill. Light Co., 
    821 N.E.2d at 214
    .
    Next, the fact that the Business Auto Coverage Form
    only deems “insureds” for liability coverage to be
    persons who occupy covered autos does not change our
    analysis. The “Who Is an Insured” provision in the
    1
    The sentence in question is:
    For a covered “auto” licensed or principally garaged in,
    or “garaged operations” conducted in Illinois, this
    endorsement modifies insurance provided under the
    following:
    BUSINESS AUTO COVERAGE FORM
    GARAGE COVERAGE FORM
    MOTOR CARRIER COVERAGE FORM
    TRUCKERS COVERAGE FORM
    14                                              No. 11-1600
    liability coverage form specifies that persons must be in
    a covered auto to be insured. But that is a liability provi-
    sion, not a UIM provision, and the form also specifies
    that “insured” means the person or organization who
    qualifies as an insured in the “Who Is an Insured” provi-
    sion of the applicable insurance. The UIM endorsement
    has its own provision defining who the insureds are for
    its purposes. Grinnell also emphasizes that the declara-
    tions page of the Business Auto Coverage Form shows “7”
    next to the selected coverages, including UIM coverage,
    which signifyies that the coverage only applies to “Specifi-
    cally Described ‘Autos.’ ” Our reading does not render
    the “7” designation irrelevant. Which autos are covered
    can be relevant in determining UIM coverage, including
    when sections B.1.b and B.2 apply, so the identity of
    covered autos is necessary and relevant there. But when
    there is no reference to a “covered auto,” such as in B.1.a,
    reference to the list of covered autos is not necessary.
    Grinnell also argues that the language in B.1.b of the
    UIM Endorsement is present simply to comply with
    the Illinois Motor Vehicle Code. Under Illinois law, a
    permissive user of a vehicle must be afforded liability
    coverage under the owner’s policy: liability insurance
    policies “[s]hall insure the person named therein and
    any other person using or responsible for the use of
    such motor vehicle or vehicles with the express permis-
    sion of the insured.” 625 ILCS 5/7-317(b)(2) (West 2008);
    see State Farm Mut. Auto. Ins. Co. v. Smith, 
    757 N.E.2d 881
    , 884 (Ill. 2001). As Grinnell points out, other Code
    provisions require the inclusion of uninsured and
    underinsured motorist coverage in all liability policies,
    No. 11-1600                                             15
    in minimum amounts set by statute, “for the protection
    of persons insured thereunder who are legally entitled to
    recover damages from owners or operators of uninsured
    motor vehicles.” See 215 ILCS 5/143a-2(1), (4). Where
    the insured purchases coverage exceeding the statutory
    minimum, liability policies must offer uninsured
    coverage up to the liability coverage limit and under-
    insured motorist coverage up to the uninsured limit. 
    Id.
    Grinnell argues that section B.1.b merely implements
    these statutory requirements. The Grinnell UIM Endorse-
    ment, however, does not mention mandatory liability
    insurance, liability coverage for permissive drivers of
    the insured’s vehicle, or the statutorily required amounts
    of coverage. Moreover, the Illinois statute defines an
    “underinsured motor vehicle” to mean a vehicle whose
    liability limits are less than the UIM limits on the policy
    in question, and “whose ownership, maintenance or use
    has resulted in bodily injury or death of the insured, as
    defined in the policy,” 
    id.
     § 143a-2(4) (emphasis added),
    which shows that reference to the policy is necessary.
    The Grinnell policy complies with the requirements of
    section 143a-2, but sections B.1.a and B.1.b of the UIM
    endorsement do not embody those requirements.
    In short, the UIM Endorsement contains its own defini-
    tion of who is insured, and for individuals, that
    includes the named insured and family members, with
    no requirement that they occupy a covered auto. Our
    decision is consistent with decisions in three states that
    have interpreted the same policy language. See Reisig
    v. Allstate Ins. Co., 
    645 N.W.2d 544
     (Neb. 2002); Stoddard
    16                                              No. 11-1600
    v. Citizens Ins. Co. of Am., 
    643 N.W.2d 265
     (Mich. Ct. App.
    2002); Bushey v. N. Assurance Co. of Am., 
    766 A.2d 598
    (Md. 2001). One state supreme court, however, over a
    dissent, construed the same policy language to mean
    that a family member must be in a “covered auto” to
    receive UIM coverage. Lisowski v. Hastings Mut. Ins. Co., 
    759 N.W.2d 754
     (Wis. 2009). We note that the Lisowski
    plaintiff argued that the words “For a covered auto” at the
    top of the UIM Endorsement were not part of the policy
    and were instead merely introductory language that
    should not be given effect, and that Nicole has not made
    the same argument here. We agree that the language
    should be given effect, but we think the proper effect
    is that it is part of a sentence specifying the types of
    coverage that the UIM Endorsement modifies.
    Our decision is also consistent with common under-
    standing of underinsured motorist insurance. Uninsured
    and underinsured motorist policy forms often specify
    three classes of insureds, as the form does here. See 3
    Alan I. Widiss & Jeffrey E. Thomas, Uninsured and
    Underinsured Motorist Insurance § 33.1 (3rd ed. 2005).
    Policy terms commonly specify that class 1 insureds
    include “both the persons identified as ‘named
    insureds’ on the declaration sheet and family members
    (including a named insured’s spouse) who are residents
    of a named insured’s household.” Id. § 33.2. (As here,
    the second class consists of any other person while oc-
    cupying a “covered” or “insured” vehicle, and the third
    for damages he is entitled to recover because of bodily
    injury sustained by a person in class 1 or 2. Id.) As one
    treatise explains, “Most significantly, clause/class (1)
    No. 11-1600                                                 17
    insureds do not have to be an occupant of an insured
    vehicle when an injury occurs in order to be covered.” Id.
    § 33.2. This is the common understanding. See also id.
    § 33.5; 16 Williston on Contracts § 49:35 (4th ed. 2009)
    (“Uninsured and underinsured insurance provide ‘first-
    party’ coverage that is personal and portable, following
    the insured, rather than the vehicle.”); cf. Stearns v. Millers
    Mut. Ins. Ass’n of Ill., 
    663 N.E.2d 517
    , 521 (Ill. App. Ct.
    1996), overruled on other grounds by McKinney v. Allstate
    Ins. Co., 
    722 N.E.2d 1125
     (Ill. 1999); Haberman v. Hartford
    Ins. Group, 
    443 F.3d 1257
    , 1268-69 (10th Cir. 2006)
    (applying Oklahoma law and concluding that named
    insured was covered while riding as passenger in vehicle
    not listed on her policy where policy did not limit
    UIM coverage to riding in covered vehicles).
    The rationale behind declining to require occupancy in
    a covered auto at the time of an accident is to protect
    the insured at all times against the risk of damages at
    the hands of underinsured motorists. See Howell v Balboa
    Ins. Co., 
    564 So.2d 298
     (La. 1990); Nationwide Mut. Ins. Co. v.
    Howard, 
    339 S.E.2d 501
    , 504 (S.C. 1985) (“Uninsured
    motorist coverage is not to provide coverage for the
    uninsured vehicle but to afford additional protection to
    the insured.”) (citation omitted); see also Janes v. W.
    States Ins. Co., 
    783 N.E.2d 37
    , 47 (Ill. App. Ct. 2001) (“The
    underinsured-motorist coverage a policyholder pur-
    chases should not be reduced simply because he is an
    occupant of someone else’s vehicle.”). As for the exten-
    sion from not only named insureds to relatives, “UM/UIM
    coverage for relatives is often mandated by statute
    based upon the rationale that an insurer cannot validly
    18                                                No. 11-1600
    exclude from coverage a class of individuals who are
    required to be insured under the liability portion of the
    policy.” 9 Lee R. Russ & Thomas F. Segalia, Couch on
    Insurance § 123:8 (3rd ed. 2011); see, e.g., Mundey v. Erie
    Ins. Group, 
    914 A.2d 1167
    , 1177 (Md. 2007) (“We hold,
    therefore, that [Md. Code Ann., Ins.] § 19-509 requires
    automobile liability insurance contracts to provide unin-
    sured motorist coverage, at a minimum, to the named
    insured as well as any family members who reside with
    the named insured.”); Vaiarella v. Hanover Ins. Co., 
    567 N.E.2d 916
    , 918 (Mass. 1991) (“While it has been
    remarked that [underinsured motorist] coverage is
    ‘limited personal accident insurance chiefly for
    the benefit of the named insured,’. . , it is clear that the
    Legislature intended to include members of the insured
    party’s household under this coverage when it passed
    G.L. c. 175, § 113L.”) (citations omitted); 16 Richard A.
    Lord, Williston on Contracts § 49:35 (4th ed. 2009).
    In Prudential Property and Casualty Insurance Co. v. Colbert,
    
    813 A.2d 747
     (Pa. 2002), for example, the Supreme Court
    of Pennsylvania considered a son’s claim for UIM
    benefits under his parents’ policy after he was injured
    while driving a car not listed on his parents’ policy. The
    policy only provided for UIM benefits for relatives if
    driving a car covered by the policy or a substitute car,
    and the son was driving neither. Nonetheless, the
    court held that Pennsylvania’s Motor Vehicle Financial
    Responsibility Law trumped. The statute defined an
    “insured” to include a minor residing in the household
    of the named insured, 
    75 Pa. Cons. Stat. § 1702
    , and the
    court ruled that the insurance policy impermissibly
    No. 11-1600                                            19
    narrowed the definition of “insured.” 
    Id. at 751
    . (The
    court ultimately upheld the denial of coverage under an
    “other household vehicle” exclusion not at issue here. See
    
    id. at 755
    .) According to its website, Grinnell operates
    in Pennsylvania. And according to its counsel, its forms
    were created by a national clearinghouse. It would
    make sense that the forms were created with the breadth
    of national knowledge in mind. In any event, we are
    comfortable concluding that under Illinois law, Nicole
    Haight is entitled to UIM coverage under the policy
    Grinnell issued to her father even though she was not
    riding in a covered vehicle at the time of the accident.
    III. CONCLUSION
    The judgment of the district court is A FFIRMED.
    9-26-12
    

Document Info

Docket Number: 11-1600

Citation Numbers: 697 F.3d 582

Judges: Easterbrook, Posner, Williams

Filed Date: 9/26/2012

Precedential Status: Precedential

Modified Date: 8/5/2023

Authorities (23)

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James Brill, Plaintiff-Respondent v. Countrywide Home Loans,... , 427 F.3d 446 ( 2005 )

Casolari v. Pipkins , 253 Ill. App. 3d 265 ( 1993 )

State Farm Mut. Auto. Ins. Co. v. Smith , 197 Ill. 2d 369 ( 2001 )

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Dowd & Dowd, Ltd. v. Gleason , 181 Ill. 2d 460 ( 1998 )

Schultz v. Illinois Farmers Insurance , 237 Ill. 2d 391 ( 2010 )

McKinney v. Allstate Insurance , 188 Ill. 2d 493 ( 1999 )

Howell v. Balboa Ins. Co. , 564 So. 2d 298 ( 1990 )

Stearns v. Millers Mutual Insurance , 278 Ill. App. 3d 893 ( 1996 )

Patrevito v. Country Mutual Insurance Co. , 118 Ill. App. 3d 573 ( 1983 )

Georgantas v. Country Mut. Ins. Co. , 212 Ill. App. 3d 1 ( 1991 )

Pekin Ins. Co. v. Estate of Goben , 303 Ill. App. 3d 639 ( 1999 )

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