Introduction

That is the question which was presented to the Federal District Court in the Northern District of Illinois by Scottsdale Insurance Company (“plaintiff”) in an action against American English, LLC (“defendant”) and Bessie Salter.[i] The case involved personal bodily injury liability coverage.

The Facts in The Underlying Complaint

In the Circuit Court of Cook County, Illinois, Bessie Salter filed a lawsuit against defendant, alleging injuries after being struck by a wheeled cart being unloaded from a van owned by defendants. Defendant filed a claim with plaintiff under their Commercial General Liability (“CGL”) insurance policy. The insurance company denied the claim, stating it had no duty to defend or indemnify the lawsuit under the terms of the CGL’s Auto Exclusion because it precludes coverage for bodily injury arising out of the “use” of a covered automobile.  

What Was the Motor Vehicle Exclusion, and Why Did It Apply?

The policy defines “use” to include loading and unloading. “Loading or unloading” is specifically defined within the policy:

1. After it is moved from the place where it is accepted for movement into or onto an . . . “auto”;
2. While it is in or on an . . . “auto”; or
3. While it is being moved from an . . . “auto” to the place where it is finally delivered; but “loading or unloading” does not include the movement of property by means of a mechanical device, other than a hand truck, that is not attached to the . . . “auto”.[ii]

The policy’s Auto Exclusion does not provide coverage for bodily injury of any claims involving the ownership, maintenance, use, or entrustment of others of any auto owned, operated by, rented, or loaned to any insured, including operation, loading, and unloading. The exclusion also applies if there are claims against any insured which allege negligence or other acts that caused bodily injury involving the supervision, hiring, employment, training, or monitoring of others by that insured.

Plaintiff alleges the Auto Exclusion applies because the van was being unloaded by defendant’s agent, who plaintiff alleges negligently lost control of the cart. At the time the cart struck her, it was not electrically powered by a mechanical device when it rolled off the van.

Defendant argues insurance coverage should not be denied because there was no nexus or connection between the accident, injury, the ownership, use, or maintenance of the vehicle. The Auto Exclusion does not apply because the property being loaded or unloaded was being moved by a mechanical device not attached to the automobile. Salter was not struck by the vehicle, and the agent was not behind the wheel when the injury occurred. The injuries were not connected to the vehicle’s use or purpose. The vehicle’s location was incidental to the conduct that caused the injury.[iii]

By the agreement of the parties, this case comes down to contract principles and interpretation of the party’s intent and meaning expressed in the entire policy under Illinois law. If the drafter of the contract uses terms and language which are vague and unclear, the interpretation will be construed strictly against the drafter.[iv] “The allegations must be liberally construed in favor of the insured.”[v] In fact, “‘[a]ny doubts about the duty to defend are resolved in favor of the insured.’”

The Court focused on the plain language and meaning of the policy’s term “use” of the vehicle and if it is reasonably connected to the vehicle’s purpose and observed that the Illinois Supreme Court defines “use of an automobile” as “its employment for some purpose of the user.”[vi]

Under the Auto Exclusion in the plaintiff’s policy, “use” includes operation, loading, and unloading. It also includes coverage for injuries caused by the negligent use of the vehicle by the insured or insured’s agent, which includes loading or unloading, in this case carts, that causes bodily injury. The court determined the transporting, loading, and unloading of the equipment by the agent in the company’s van is connected to the direct use of the vehicle for the company’s central purpose and was not incidental to Salter’s alleged injuries.

What Did the Federal Magistrate Judge Say About Defending the Policy Holder? 

The defendant’s argument that there must be a causal connection between the use and the accident or injury for coverage to apply failed because it only restated the allegation Salter’s injuries occurred from defendant’s operation or use of the motor vehicle. The court determined that Scottsdale did not owe a duty to defend or indemnify the defendant and granted Scottsdale’s motion for judgment on the pleadings.[vii]

Takeaway

In most cases, an insurer must defend and indemnify the insured against claims and lawsuits under the terms of the policy. Even if one claim is covered, “the insurer has a duty to defend the entire suit.”[viii] “Under Illinois law, ‘[a]n insurer’s duty to defend is broader than its duty to indemnify.”[ix]

However, in some cases, an insurer can refuse to defend the insured if the allegations of the underlying complaint preclude any possibility of coverage. If an exclusion applies, the insurer may not have a duty to defend and indemnify the insured subject to terms within the insurance policy. As a reminder, review the policy’s terms, coverage provisions, and exclusions to verify the scope of coverage afforded.

Keep Reading

Audish v. Macias Builds Upon the Foundation Started in Howell v. Hamilton Meats & Provision, Inc. By Affirming the Admissibility of Medicare... My New Year’s Resolutions at Work Barking Up the Wrong Policy California Civil Procedure Code Section 998 – a Means to An End May or Must: California and the Ninth Circuit Applies Grammar Rules for FMLA Par For the Course Shining Light on Phantom Medical Bills–Lessons from Washington on Using Federal Hospital Price Transparency Rules to... When Roads Diverge in the Wood: the Power of Risk in Building a Fulfilling Career and Stopping Nuclear Verdicts® Ask Atty: Scott Ruksakiati

More by this author

“Building” a Better Plan for Design Professional Expert Witnesses: Theater Patrons Trapped in Elevators After Architect’s Failure Actions With Far-Reaching Consequences: Brody v. Hoch,  Non-Resident Jurisdiction, and the “Long Arm” of the Law Let’s Get Ethical! Amendments to Illinois Rules of Professional Conduct Intended to Guard Against Harassment and Discrimination... Duty of Care Ups and Downs: The Perils of a Parking Lot Gate Settling Under the FLSA Crash Course: Why Summary Judgment Misses the Mark in Illinois Multi-Cause Limousine Crash Collision To Defend and Indemnify, or Not to Defend and Indemnify Start Small, but Think Big: Attorneys’ Fees Can Add Up There’s No Such Thing as A Free Bite

Sources

[i] “Defendant” in this article refers to only American English, LLC, not Bessie Salter.

[ii] Scottsdale Insurance Co. v. American English LLC et al., 2023 WL 5348765; Auto Exclusion. Compl. Ex. A at 26, ¶ 11.

[iii] Mount Vernon Fire Ins. Co. v. Heaven’s Little Hands Day Care, 343 Ill. App. 3d 309 (1st Dist. 2003).

[iv] Valley Forge Ins. Co. v. Swiderski Elecs., Inc., 223 Ill. 2d 352, 361 (2006). “Like any contract, an insurance policy is to be construed as a whole, giving effect to every provision, if possible, because it must be assumed that every provision was intended to serve a purpose.”

[v] Federated Mut. Ins. Co. v. Coyle Mech. Supply Inc., 983 F.3d 307, 314 (7th Cir. 2020).

[vi] Schultz v. Illinois Farmers Ins. Co., 237 Ill. 2d 391 (2010).

[vii] Northbrook Prop. & Cas. Co. v. Transp. Joint Agreement, 194 Ill. 2d 96, (2000)); see Pactiv Corp. v. Nat’l Union Fire Ins. Co., 179 F. Supp. 3d 803, 808 (N.D. Ill. 2015). See also Scottsdale Ins. Co v. Am. English, 23 C 28 (N.D. Ill. Aug. 21, 2023) (“An underlying complaint’s vague allegations and legal labels, without supporting facts, do not trigger a duty to defend.”)

[viii] Mesa Labs., Inc. v. Fed. Ins. Co., 994 F.3d 865, 868 (7th Cir. 2021).

[ix] Federated Mut. Ins. Co. v. Coyle Mech. Supply Inc., 983 F.3d 307, 314 (7th Cir. 2020).