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11/16/87 Edward K. Fuoss, v. Auto Owners (Mutual)

November 16, 1987

EDWARD K. FUOSS, APPELLANT

v.

AUTO OWNERS INSURANCE COMPANY ET AL., APPELLEES



SUPREME COURT OF ILLINOIS

516 N.E.2d 268, 118 Ill. 2d 430, 114 Ill. Dec. 113 1987.IL.1690

Appeal from the Appellate Court for the Fifth District; heard in that court on appeal from the Circuit Court of Madison County, the Hon. George J. Moran, Judge, presiding.

APPELLATE Judges:

JUSTICE SIMON delivered the opinion of the court. JUSTICE CUNNINGHAM took no part in the consideration or decision of this case.

DECISION OF THE COURT DELIVERED BY THE HONORABLE JUDGE SIMON

The plaintiff, Edward K. Fuoss, appeals from a grant of summary judgment by the circuit court of Madison County in favor of defendants, Auto Owners (Mutual) Insurance Company (Auto Owners) and Van's Insurance Agency (Van's). Fuoss' complaint was based on the defendants' alleged failure, in violation of section 143a-2 of the Illinois Insurance Code (Ill. Rev. Stat. 1981, ch. 73, par. 755a-2(3)), to offer underinsured motor vehicle coverage as part of his automobile insurance policy. The statute in question states that: "Any offer made [to purchase insurance] under . . . this Section shall also include an offer of underinsured motorist coverage." Underinsured motorist insurance provides coverage against an "underinsured motor vehicle" which,

"[f]or the purpose of this Act . . . means a motor vehicle whose ownership, maintenance or use has resulted in bodily injury or death of the insured . . . and for which the sum of the limits of liability under all bodily injury liability insurance policies . . . applicable to the driver or to the person or organization legally responsible for such vehicle . . . is less than the limits for underinsured coverage provided the insured . . . at the time of the accident." Ill. Rev. Stat. 1981, ch. 73, par. 755a-2(3).

Fuoss purchased an Auto Owners insurance policy through Van's with bodily injury liability limits of $25,000 per person and $50,000 per occurrence ($25,000/$50,000). The policy also included uninsured motorist insurance of $15,000/$30,000, covering Fuoss in the event he was in an accident and the at-fault driver carried no insurance. In that instance Fuoss would be covered in an amount up to $15,000 per person and $30,000 per occurrence. Fuoss' policy, however, failed to include under insurance; it provided no protection in the event the at-fault driver had insufficient insurance to cover Fuoss' damages.

While this policy was in effect, Fuoss was injured in an automobile accident in which Toni Kerr was at fault. She was insured with bodily injury liability limits of $100,000/$300,000. Fuoss sued Kerr and settled for $100,000, the maximum amount payable under her policy.

In his complaint against Auto Owners and Van's, Fuoss sought a declaration that they violated section 143a-2 of the Illinois Insurance Code (Ill. Rev. Stat. 1981, ch. 73, par. 755a-2) and asked the court to reform his original insurance policy to include sufficient amounts of underinsurance to cover all the damages from the accident, an amount which he alleged was greater than the $100,000 he received in his settlement with Kerr's insurer. Fuoss attached to his amended complaint an affidavit which stated: "If I had been aware of the existence and the availability of underinsured motorist coverage, I would have purchased an amount of underinsured motorist coverage that would have been sufficient to cover my loss herein."

In granting summary judgment for the defendants, the circuit Judge relied on Tucker v. Country Mutual Insurance Co. (1984), 125 Ill. App. 3d 329. Tucker held that the proper remedy for an insurance provider's failure to offer underinsured motorist coverage was to imply such coverage by operation of law with limits equal to the injured party's uninsured motorist coverage. (125 Ill. App. 3d 329, 337.) Under section 143a-2(3) of the Code, the "limits of liability for an insurer providing underinsured motorist coverage [are] the limits of such coverage, less those amounts actually recovered under the applicable bodily injury insurance polic[y]." (Ill. Rev. Stat. 1981, ch. 73, par. 755a-2(3).) Since Fuoss' uninsured policy limits of $15,000/$30,000 were less than the $100,000 settlement he received from Kerr, the circuit Judge concluded that Kerr's vehicle was not underinsured and that Fuoss incurred no damage as a result of the failure to offer him underinsured motorist coverage.

The appellate court affirmed, but concluded that the highest limits of underinsured motorist coverage that could be implied by operation of law were the limits Fuoss himself had selected for bodily injury coverage. (148 Ill. App. 3d 526.) Inasmuch as Fuoss received more in settlement than the $25,000/$50,000 bodily injury limits he had chosen and paid for under his policy, the appellate court held that the Code precluded any further recovery and thus affirmed the circuit court's ruling. We granted Fuoss' petition for leave to appeal under our Rule 315 (107 Ill. 2d 107 R. 315), and allowed the Association of Independent Insurers leave to file an amicus brief on behalf of the defendants.

Because we are reviewing a grant of summary judgment, we must determine whether, after liberally construing all the facts in the pleadings and affidavits in favor of Fuoss, who was the nonmoving party, the circuit Judge correctly concluded that there were no genuine issues of material fact for trial. (See, e.g., Carruthers v. B. C. Christopher & Co. (1974), 57 Ill. 2d 376, 380; C. D. Shockley v. Ryder Truck Rental, Inc. (1979), 74 Ill. App. 3d 89, 94.) Even if we were to resolve all the facts in Fuoss' favor and assume that the defendants violated the Code, the Illinois Insurance Code would still preclude any recovery.

Section 143a-2(4) of the Code states: "The named insured may elect to purchase limits of underinsured motorist coverage in an amount up to the uninsured motorist coverage on the insured vehicle . . .." (Emphasis added.) (Ill. Rev. Stat. 1981, ch. 73, par. 755a-2(4).) It furthers provides that uninsured coverage may be purchased "in an amount up to the insured's bodily injury liability limits." (Emphasis added.) (Ill. Rev. Stat. 1981, ch. 73, par. 755a-2(1).) Should we reform Fuoss' policy in accordance with the Code, we could imply coverage at no more than either $15,000/$30,000 (as the circuit court did)-the amount of his uninsured limits-or $25,000/$50,000 (as the appellate court did)-the amount of his bodily injury liability insurance. Under the most favorable reading of the Code, therefore, the defendants would be responsible for paying no more than $25,000 per person, "less those amounts actually recovered under the applicable bodily injury insurance policies . . . maintained on the underinsured motor vehicle [which in this case is $100,000]." (Ill. Rev. Stat 1981, ch. 73, par. ...


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