Clark v. Cannon Steel Erection Co.
Case Date: 08/24/2005
Court: 1st District Appellate
Docket No: 1-04-2739 Rel
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THIRD DIVISION No. 1-04-2739
JUSTICE SOUTH delivered the opinion of the court: Defendant, Cannon Steel Erection Company, appeals from an order of the circuit court of Cook County which granted the motion of the plaintiff, the Director of the Illinois Department of Insurance, as liquidator of Back of the Yards Neighborhood Council Risk Management Association, Inc. (BYRMA), for summary judgment. Defendant's cross-motion for partial summary judgment was denied, and judgment was entered in plaintiff's favor in the amount of $186,318. BACKGROUND Plaintiff pursued this action to recover unpaid premiums and assessments that defendant allegedly owed under a group self-insured workers' compensation fund operated by BYRMA. The fund was created under section 4a of the Workers' Compensation Act (820 ILCS 305/4a (West 1996))(1) and provided workers' compensation insurance and employer liability insurance to its members. In 1996, defendant entered into an agreement (the pooling agreement) to become a member of the group self-insurance pool and received a policy of insurance that defined the coverage that it obtained. Specifically, for purposes of this case, the workers' compensation coverage required BYRMA to pay benefits due to defendant's employees under the Workers' Compensation Act, while the employers' liability insurance provided defendant coverage for claims brought against it by a third party by reason of a claim filed against the third party by one of defendant's employees. Under both coverages, BYRMA was responsible for defending and indemnifying defendant at BYRMA's expense. Defendant was required under the pooling agreement to pay both premiums and assessments and "make prompt payment of all its contributions, premiums, costs and assessments." The initial premiums were estimated and subject to adjustments after the policy year ended based upon an audit by BYRMA of the participant's payroll and other business records. In addition, BYRMA could assess additional premiums proportionately among its members during any calendar year if the premiums collected were insufficient to meet the fund's obligations. For this purpose, the pooling agreement provided, in relevant part: "D. Costs, Contributions, Distributions and Assessments 1. Each participant shall be responsible for its proportionate share of all BYRMA's costs, based on premiums or contributions charged to that participant in relation to premiums or contributions charged to all of the participants, including but not limited to risk charges, administrative expenses, losses, and loss adjustment expenses. * * * 4. In the event that BYRMA deems, in its business judgment, that BYRMA should issue assessments to its participants, in order to meet its obligations to the participants, (and its obligations to employees and their dependents), BYRMA shall do so in accordance with rules established by it, and such assessments shall be equitably apportioned among all participants, and any former participants who are subject to assessments, based on the total amount of premiums or contributions paid or payable by all participants. Participants and former participants shall be liable for any such assessments as provided in this Agreement and as may be required by the Illinois Insurance Code, the Illinois Workers Compensation Act, Illinois Occupational disease laws, and the regulations of the Illinois Department of Insurance and Industrial Commission. E. Duration of Liability for Additional Assessments Each participant shall be liable for assessments should they occur, for claims filed during the period of its participation, regardless of subsequent termination from BYRMA." On April 21, 1999, the circuit court entered an agreed order for conservation of assets in case No. 99 CH 6024, which authorized the Director of the Illinois Department of Insurance to take possession and control of BYRMA's property, accounts, assets and business records, and to conserve the same. On December 20, 1999, an agreed order of rehabilitation with a finding of insolvency was entered against BYRMA. Then, on January 22, 2001, the circuit court entered an agreed order of liquidation with a finding of insolvency against BYRMA. All three of the agreed orders in case No. 99 CH 6024 were entered pursuant to the provisions of article XIII of the Illinois Insurance Code (Code) (215 ILCS 5/187 et seq. (West 2004)). Prior to the orders of rehabilitation and liquidation, BYRMA filed a breach of contract suit against defendant in the instant case on July 12, 1999. BYRMA sought $125,786 in unpaid audit premiums and assessments from defendant on defendant's 1996, 1997 and 1998 policies, which it alleged defendant was obligated to pay under the pooling agreement. Plaintiff, as BYRMA's liquidator, ultimately filed a sixth amended complaint alleging that defendant owed, as a result of various audits of defendant's payroll and business records, an audit premium of $44,932 on the 1997 policy and $56,931 on the 1998 policy for a total of $101,863. Plaintiff further alleged that defendant owed a total of $84,455 for its participant share of the assessments for the 1996, 1997 and 1998 policies based upon the following calculation: Date Defendant was Assessed Amount May 26, 1999 $3,535 December 26, 2000 $3,547 December 2001 $3,547 1997 Policy May 21, 1999 $5,253 June 21, 1999 $7,128 December 26, 2000 $7,142 December 2001 $7,142 November 2002 $7,142 1998 Policy June 21, 1999 $7,991 December 26, 2000 $8,007 December 2001 $8,007 December 2002 $8,007 December 2003 $8,007 __________________ Total Assessments Due = $84,455
Plaintiff alleged that defendant failed to pay, as required under the pooling agreement, any part of the balance of these premiums and assessments, which totaled $186,318. On June 5, 2002, defendant filed a counterclaim seeking a setoff for all amounts that it had paid or would be obligated to pay due to BYRMA's failure, after entry of the order of liquidation, to defend and indemnify it against applicable workers' compensation claims. On July 17, 2003, plaintiff filed a motion for summary judgment alleging that there was no genuine issue of material fact as to the outstanding premiums and assessments that defendant owed, and that defendant's claim to a setoff was invalid as a matter of law. On September 18, 2003, defendant responded and filed a cross-motion for partial summary judgment on plaintiff's claim for assessments. Defendant alleged that at the time BYRMA was placed in liquidation, three of defendant's employees, who were ironworkers, filed workers' compensation claims arising out of injuries that they sustained on construction sites. Prior to the liquidation order, BYRMA had paid over $199,000 in workers' compensation benefits to these men. The three employees had filed personal injury lawsuits against the general contractors and others for injuries incurred at the jobsites. Thereafter, the defendants in each of those cases filed third-party claims against Cannon seeking contribution for defendants' proportionate share of liability. Cannon, at its own expense, had been defending the third-party and workers' compensation claims after BYRMA had been placed in liquidation. While one of the cases had been settled, the other two were set for trial in early 2004. Edward Whalen, an attorney representing Cannon in both the workers' compensation cases and the third-party complaints, later attested in a supplemental affidavit that, as of March 30, 2004, defendant had incurred attorney fees and costs totaling $51,619 defending the third-party actions and that, in his opinion, defendant would incur additional attorney fees and costs of $30,000 in preparing for and trying the cases. Defendant further asserted that plaintiff had no authority, statutory or contractual, for the assessments which it claimed defendant owed. Defendant claimed that section 207.1 of the Code (215 ILCS 5/207.1 (West 2004)) barred the collection of any assessments against it once the order of liquidation had been entered. Defendant also asserted that its share of the assessments had not been properly established with adequate specificity as required under the pooling agreement. While defendant previously conceded that it had not paid the amounts which plaintiff claimed it owed, defendant argued that it was entitled to a setoff for all the amounts it paid, or would pay, as a result of BYRMA's failure to defend or indemnify it. Consequently, defendant sought partial summary judgment on plaintiff's claims for assessments. On April 26, 2004, the trial court granted plaintiff's motion for summary judgment, denied defendant's cross-motion for partial summary judgment, and entered judgment against defendant in the amount of $186,318. On appeal, defendant contends that the trial court erred by granting plaintiff's motion for summary judgment. Specifically, defendant claims that plaintiff lacked the statutory and regulatory authority to levy assessments against it, that the pooling agreement's assessment provision was unenforceable, that plaintiff failed to submit proper support that it was obligated to pay $84,455 in assessments, and that defendant was entitled to a setoff against the unpaid premiums. ANALYSIS In appeals from summary judgment rulings, we conduct a de novo review. Outboard Marine Corp. v. Liberty Mutual Insurance Co., 154 Ill. 2d 90, 102 (1992). Summary judgment is appropriate when the pleadings, depositions and affidavits, construed most strongly against the movant and most liberally in favor of the opponent, present no genuine issue of material fact and show that judgment should be granted as a matter of law. 735 ILCS 5/2-1005(c) (West 2004); Golla v. General Motors Corp., 167 Ill. 2d 353, 358 (1995). The party moving for summary judgment must show, as a matter of law, that it is entitled to judgment. Wright v. St. John's Hospital of the Hospital Sisters of the Third Order of St. Francis, 229 Ill. App. 3d 680, 682 (1992). In deciding a motion for summary judgment, the court may draw inferences from the undisputed facts. Loyola Academy v. S & S Roof Maintenance, Inc., 146 Ill. 2d 263, 272 (1992). Where a reasonable person could draw divergent inferences from undisputed facts, summary judgment should be denied. Outboard Marine Corp., 154 Ill. 2d at 102; Loyola Academy, 146 Ill. 2d at 272. The purpose of summary judgment is not to try a question of fact but to determine whether one exists. Golla, 167 Ill. 2d at 358. Summary judgment is a drastic measure and should only be granted if the movant's right to judgment is clear and free from doubt. Outboard Marine Corp., 154 Ill. 2d at 102. We first turn to defendant's claim that plaintiff lacked the statutory and regulatory authority to levy assessments against defendant. Defendant asserts that section 207.1 of the Code barred any assessments after the entry of the liquidation order against BYRMA. Defendant further claims that group workers' compensation pools, such as the one at issue here, are assessable domestic mutual insurance companies pursuant to section 107a.04 of the Code (215 ILCS 5/107a.04 (West 2004)), and that under the Department of Insurance's administrative rules, and the Code, the Director of Insurance lacked the authority to impose assessments against defendant. Defendant's reliance on section 207.1 of the Code for the proposition that the unpaid assessments due on defendant's 1996, 1997 and 1998 policies were void after the entry of the liquidation order against BYRMA is misplaced. Section 207.1 of the Code provides that "[u]pon the entry of an order of liquidation any provision in the policies of a company providing for a contingent liability of the policyholders shall become void." 215 ILCS 5/207.1 (West 2004). This provision became effective in 1969, after the repeal of section 207 of the Code (Ill. Rev. Stat. 1967, ch. 73, par. 819), which authorized the Director of Insurance, after being appointed liquidator, to assess policyholders in such amounts as might be necessary to pay all the allowed claims in full. See People ex rel. Baylor v. Bell Mutual Casualty Co., 54 Ill. 2d 433, 439 (1973). The assessments at issue were not imposed under the repealed version of the Code or in violation of the current section 207.1. The fund operated by BYRMA, which defendant joined in 1996, was created under section 4a of the Workers' Compensation Act (820 ILCS 305/4a (West 1996)), which allowed two or more qualified employers to enter into agreements to pool their workers' compensation and employer liability exposure. By joining the group self-insured fund, defendant received a policy of insurance that defined the workers' compensation and employer liability coverage provided by BYRMA. Prior to becoming a member of the fund, defendant also executed a separate pooling agreement. The assessment obligations were not contained in the policy of coverage but were found in the pooling agreement's costs, contributions, distributions and assessments section, which constituted a contractual obligation assumed by defendant as a member of the self-insured fund. In issuing the assessments, BYRMA, and subsequently plaintiff as liquidator, calculated defendant's assessment obligations as stipulated by the pooling agreement. We agree with the trial court that section 207.1 does not require such contractually assumed assessment obligations to be erased after a self-insured fund, such as BYRMA's, is placed in liquidation. The assessment obligations found in the pooling agreement were merely an enforcement of the defendant's obligation to pay its proportionate share of the costs required for BYRMA to meet its obligations to participants and employees, as well as their dependents. Moreover, the order of liquidation against BYRMA was entered on January 22, 2001, and defendant relies upon section 207.1 to erase all of its assessment obligations dating as far back as the 1996 policy year and for amounts that were assessed prior to the entry of the order of liquidation. We find no basis to conclude that such an outcome is mandated by section 207.1 and, therefore, reject defendant's claim. Defendant's argument that the pooling agreement's assessment provision constitutes a contingent liability policy provision for purposes of section 55 of the Code (215 ILCS 5/55 (West 2004)) is also unavailing for the same reasons. Likewise, we reject defendant's argument that section 107a.04 of the Code is applicable. The trial court's order of rehabilitation was entered against BYRMA on December 20, 1999. This order was entered pursuant to article XIII of the Code (215 ILCS 5/187 et seq. (West 2004)), which covers rehabilitation, liquidation, conservation and dissolution of companies. Section 194(a), which is found within article XIII of the Code, provides in relevant part: "(a) The rights and liabilities of the company and of its creditors, policyholders, stockholders or members and all other persons interested in its assets, except persons entitled to file contingent claims, shall be fixed as of the date of the entry of the Order directing liquidation or rehabilitation unless otherwise provided by Order of the court." (Emphasis added.) 215 ILCS 5/194(a) (West 2004). Consequently, section 107a.04 of the Code (215 ILCS 5/107a.04 (West 2004)), which provides that after December 31, 2000, group workers' compensation pools, for the purposes of the Worker's Compensation Pool Law, shall be considered as though they were assessable domestic mutual insurance companies and subject to certain articles of the Code, is inapplicable to the case at bar. See Baylor, 54 Ill. 2d at 440 (where the supreme court concluded that the rights and duties of all the parties were fixed as of the date of orders directing liquidation of insurance companies, and all statutes effective at that time continued to govern the proceedings). We further reject defendant's claim that the assessments levied by plaintiff exceeded the Director's statutory authority under section 107a.14(b) of the Code (215 ILCS 5/107a.14(b) (West 2004)) and violated section 2901.30(d)(1) of the Department's administrative rules (50 Ill. Adm. Code |
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