United States Court of Appeals, Seventh Circuit
United States Court of Appeals, Seventh Circuit
United States Court of Appeals, Seventh Circuit
2d 260
6 Fed.R.Serv.3d 54
Mitchell A. Orpett, Tribler & Marwedel, P.C., Chicago, Ill., for Howard
A. Esser, Inc.
Richard J. O'Brien, Sidley & Austin, Chicago, Ill., for Lazzara.
Stephen R. Swofford, Hinshaw, Culbertson, Moelmann, Hoban & Fuller,
Chicago, Ill., for Aetna Casualty & Surety Co.
Kristine A. Karlin, Judge & Knight, Ltd., Park Ridge, Ill., for Reliance
Ins. Co. of Illinois, Inc.
Before CUDAHY, POSNER, and EASTERBROOK, Circuit Judges.
CUDAHY, Circuit Judge.
Plaintiff, Joseph Lazzara, directed his insurance broker, Howard A. Esser, Inc.
("Esser"), to acquire and maintain $1,000,000 in automobile insurance coverage
for him. Esser obtained such coverage by acquiring two policies and it
periodically renewed these policies. At one point, when it sought renewal of
one of the policies, a policy with different liability limits than the original
policy was issued, creating a "gap" of $150,000 in Lazzara's coverage. Lazzara
was subsequently sued and had judgment entered against him when his
daughter was involved in an automobile accident. Lazzara sued Esser for
breach of fiduciary obligation and breach of contract. Esser in turn seeks
recovery from the insurers that issued the two policies, Aetna Casualty &
Surety Company of Illinois ("Aetna") and Reliance Insurance Company of
Illinois ("Reliance"). The district court granted summary judgment for Lazzara
and dismissed the complaints against the third-party defendants, 604 F.Supp.
1205. We affirm in part and reverse in part.
I.
2
requested. At no time prior to the accident did Esser advise the plaintiff of this
gap in coverage or take steps to correct it. Esser renewed the split-limit
Reliance policy several times. It was in effect at the time of the accident.
4
In January 1983 plaintiff filed a complaint against Esser with respect to the
unpaid $150,000. Esser was subsequently granted leave to file a third-party
complaint against Aetna and Reliance. In February 1984 the district court
granted the motion of the third-party defendants to dismiss the complaint
against them. Lazzara v. Esser, No. 83 C 185 (Feb. 21, 1984). In October 1984
the district court denied the plaintiff's motion for summary judgment. Lazzara
v. Esser, No. 83 C 185 (Oct. 30, 1984). After the case was transferred to a
different judge both plaintiff and Esser filed motions to reconsider. In March
1985 the district court granted summary judgment for plaintiff. Lazzara v.
Esser, No. 83 C 185 (March 27, 1985). Plaintiff then timely filed a motion to
amend judgment seeking an award of prejudgment and postjudgment interest,
costs and attorney's fees. The district court denied the motion with respect to
attorney's fees and granted the motion with respect to prejudgment and
postjudgment interest. Lazzara v. Esser, 622 F.Supp. 382 (N.Dist.Ill.1985).
Esser appeals.
II.
A. Esser's Relationship to Lazzara
6
The district court correctly held that, as a matter of law, Esser acted as an
insurance broker for the purposes of acquiring and maintaining automobile
insurance for Lazzara, rather than as an agent for the insurer. Thus Esser was
acting as Lazzara's agent and had a duty to act in good faith and with reasonable
care, skill and diligence in compliance with Lazzara's instructions.
Although the question whether an insurance broker is the agent of the insured
or the insurer is generally one of fact, when the evidence clearly shows that the
broker is the agent of the insured, it becomes a matter of law. See Davidson v.
Comet Casualty Co., 89 Ill.App.3d 720, 723, 44 Ill.Dec. 943, 946, 412 N.E.2d
19, 22 (1980); Ross v. Thomas, 45 Ill.App.3d 705, 708, 4 Ill.Dec. 379, 381, 360
N.E.2d 126, 128 (1977); Galiher v. Spates, 129 Ill.App.2d 204, 207, 262
N.E.2d 626, 628 (1970).
The Illinois courts have defined an insurance broker as:
9
[O]ne
who procures insurance and acts as middleman between the insured and the
insurer, and solicits insurance business from the public under no employment from
any special company, but, having secured an order, places the insurance with the
company selected by the insured, or, in the absence of any selection by him, with the
company selected by such broker.
10
Galiher, 129 Ill.App.2d at 206-07, 262 N.E.2d at 628; see, e.g., City of Chicago
v. Barnett, 404 Ill. 136, 141-42, 88 N.E.2d 477, 481 (1949); Davidson, 89
Ill.App.3d at 722-23, 44 Ill.Dec. at 946, 412 N.E.2d at 22; Browder v. Hanley
Dawson Cadillac Co., 62 Ill.App.3d 623, 628-29, 20 Ill.Dec. 138, 142, 379
N.E.2d 1206, 1210 (1978). An insurance agent, on the other hand, has a fixed
and permanent relationship to an insurance company that the agent represents
and has certain duties and allegiances to that company. See Roby v. Decatur
Steel Erectors, Inc., 59 Ill.App.3d 720, 725, 17 Ill.Dec. 71, 75, 375 N.E.2d
1355, 1359 (1978); Galiher, 129 Ill.App.2d at 207, 262 N.E.2d at 628. Whether
a person is an agent or a broker is determined by his or her acts. See City of
Chicago v. Barnett, 404 Ill. at 141-42, 88 N.E.2d at 481 (1949); Browder, 62
Ill.App.3d at 629, 20 Ill.Dec. at 142, 379 N.E.2d at 1210; Galiher, 129
Ill.App.2d at 207, 262 N.E.2d at 628.
11
Some of the Illinois appellate courts have applied four criteria in determining
whether an intermediary is an agent or a broker: (1) who called the
intermediary into action; (2) who controls its actions; (3) who pays it;1 and (4)
whose interests does it represent. See Browder, 62 Ill.App.3d at 629, 20 Ill.Dec.
at 143, 379 N.E.2d at 1211; Roby, 59 Ill.App.3d at 725, 17 Ill.Dec. at 75, 375
N.E.2d at 1359.
12
The evidence clearly shows that Esser was acting as a broker for Lazzara. Esser
had served as Lazzara's broker for many years. The evidence establishes that
Esser acted to protect Lazzara's interest and that Lazzara controlled its actions.
Lazzara called Esser into action by requesting that Esser procure additional
automobile insurance. Lazzara did not direct Esser to obtain the insurance
coverage from a specified insurer, but rather relied on Esser's judgment. Nor
was Esser obliged to obtain the coverage from any particular insurer. Further,
by prior agreement, Esser was to maintain the insurance coverage until
otherwise notified. Esser in fact did maintain the coverage for a period of time
by renewing the policies. Esser's actions thus belie its claim that its agency
relationship with Lazzara ended once it procured the initial policies.2
13
In light of such clear evidence showing that Esser was an agent for Lazzara for
the purpose of procuring and maintaining automobile insurance, Esser's
argument that its agency agreement with the insurance companies and the fact
that the companies paid its commissions raise an issue of fact must fail. The
agency agreement does not establish a "fixed or permanent" relationship
between the insurers and Esser for the purpose of acquiring and maintaining
insurance.3 Esser was permitted to solicit from any person it desired, was not
required to broker a particular amount of business annually and was not paid a
salary. It had no allegiance to any insurance company. It was permitted to, and
in fact did, enter into such agency agreements with other companies.
14
Hartford Accident & Indemnity Co. v. Northwest National Bank, 228 F.2d 391
(7th Cir.1955), upon which the defendant relies, is distinguishable. In Hartford
we held that the party at issue was an agent for the insurer, rather than a broker,
for the purpose of attributing knowledge of the agent to the insurer. The agent
had entered into an agency agreement with the insurer that granted him the
same powers as the agency agreement between Esser and Reliance. In Hartford,
however, there is no indication that the agent had an arrangement with any
insurance company other than Hartford. In fact, the name "Hartford Agency"
appeared on his office door. Further, the agent did not have a long-standing
arrangement with the insured under which he was to protect the insured's
interests.
B. Fiduciary Obligations
15
Esser argues that even if it was Lazzara's agent there is a genuine issue of fact
as to whether it breached its fiduciary obligations. We agree with the district
court that there is no genuine issue of fact. An insurance broker is liable for any
loss sustained by the principal if the broker fails to procure insurance or does
not follow instructions when obligated to do so (including instructions about
maintaining a policy), or if the policy obtained is void or materially defective
through the broker's fault, or if the principal suffers damage by reason of any
mistake or act of omission or commission of the broker. See Clear-Vu
Packaging, Inc. v. National Union Fire Insurance Co., 105 Ill.App.3d 671, 675,
61 Ill.Dec. 212, 215, 434 N.E.2d 365, 368 (1982); Omni Overseas Freighting
Co. v. Cardell Insurance Agency, 78 Ill.App.3d 639, 642-43, 33 Ill.Dec. 779,
782, 397 N.E.2d 112, 115 (1979); Pittway Corp. v. American Motorists
Insurance Co., 56 Ill.App.3d 338, 346-47, 13 Ill.Dec. 244, 250, 370 N.E.2d
1271, 1277 (1977); Johnson v. Illini Mutual Insurance Co., 18 Ill.App.2d 211,
216, 151 N.E.2d 634, 637 (1958); Johnston v. Otta, 340 Ill.App. 270, 275-76,
91 N.E.2d 468, 471 (1950). The broker is obligated to act in good faith and
with reasonable care, skill and diligence in transacting the business of the
principal. See Omni, 78 Ill.App.3d at 643, 33 Ill.Dec. at 782, 397 N.E.2d at
115; Pittway, 56 Ill.App.3d at 346-47, 370 N.E.2d at 1271. Thus Esser
breached its fiduciary duties to Lazzara because it failed to maintain the
coverage that it had been instructed to maintain.
16
Esser argues that the plaintiff cannot prevail on summary judgment because
there is no evidence that Esser ordered the reduced coverage or that
uninterrupted coverage was available. These considerations, however, are
irrelevant. At the very least Esser had a duty to inform Lazzara that the policies
no longer provided the full amount of coverage that Lazzara had instructed
Esser to obtain. We have held that
17 the case of a broker who has agreed to seek renewal of a policy, it is immaterial
[I]n
whether the insurer would renew the policy. Inherent in the obligation to seek
continuation of an insurance policy is the duty to notify the applicant if the insurer
declines to continue [to insure] the risk, so the applicant "may not be lulled into a
feeling of security or put to prejudicial delay in seeking protection elsewhere."
Talbot v. Country Life Insurance Co., supra, 8 Ill.App.3d [1062,] 1065, 291 N.E.2d
[830,] 832.
18
Prince v. Royal Indemnity Co., 541 F.2d 646, 650 (7th Cir.1976), cert. denied,
429 U.S. 1094, 97 S.Ct. 1108, 51 L.Ed.2d 540 (1977); see Wheaton National
Bank v. Dudek, 59 Ill.App.3d 970, 972, 17 Ill.Dec. 487, 489, 376 N.E.2d 633,
635 (1978). Similarly, the reasons why Reliance lowered its policy limits are
irrelevant to the question whether Esser breached its fiduciary duties.
C. Contractual Obligations
19
Esser also argues that Lazzara failed to prove the essential elements of a
contract to procure and maintain insurance. Although we have little doubt that
such elements were adequately proven, we find it unnecessary to address this
issue because we have already held that summary judgment was correctly
granted for Lazzara on his tort claim. It makes little difference whether we
uphold the grant of summary judgment on the basis of breach of fiduciary duty
Esser's next argument is that the district court erred by not permitting Esser to
raise the exclusionary language of the Reliance policy to defeat plaintiff's
claim. Damages for a broker's failure to procure or maintain insurance are
determined by the terms of the policy that the broker failed to procure. See
Wheaton National Bank v. Dudek, 59 Ill.App.3d 970, 973, 17 Ill.Dec. 487, 490,
376 N.E.2d 633, 636 (1978); Gothberg v. Nemerovski, 58 Ill.App.2d 372, 38384, 208 N.E.2d 12, 19 (1965); Schmidt v. Sinclair, 342 Ill.App. 484, 97 N.E.2d
129 (1951); see also Stinson v. Cravens, Dargan & Co., 579 S.W.2d 298, 300
(Tex.Civ.App.1979); Pacific Dredging Co. v. Hurley, 65 Wash.2d 394, 400-01,
397 P.2d 819, 822-23 (1964). Hence Lazzara's damages should be calculated
by reference to the hypothetical Reliance policy, which would have provided
protection up to $250,000 (the amount that would have eliminated a gap in
coverage). Reliance, however, has paid $100,000 in accordance with the Bond
judgment under the policy that was actually in force, thus effectively conceding
its liability under the terms of the policy. The issue before us then is whether
Esser should be allowed to argue the policy defenses, despite Reliance's
acquiescence in its liability under the terms of the policy.
21
We need not resolve this issue because the policy clearly covers the accident.
Under the policy an insured is defined as follows:
22
(1) the named insured and any resident of the same household,
23
24 any other person using such automobile with the permission of the named
(2)
insured, provided his actual operation or (if he is not operating) his other actual use
thereof is within the scope of such permission, and
25 any other person or organization but only with respect to his or its liability
(3)
because of acts or omissions of an insured under (a)(1) or (2) above;
26
with the permission, or reasonably believed to be with the permission, of the owner
and is within the scope of such permission, and
(3) any other person or organization not owning or hiring the automobile, but only
29
with respect to his or its liability because of acts or omissions of an insured under (b)
(1) or (2) above.
30
Esser argues that the policy does not provide coverage because the automobile
was assertedly a non-owned automobile and Diana was not a relative4 of the
plaintiff within the terms of the policy. Esser bases this argument on Lazzara's
deposition, in which he states that he promised to give her the car if she
required it in establishing residency or if she went to school and required it.
Lazzara also says that he may have signed title over to her (although without
transferring it to her). The policy, however, defines "owned automobile" as "a
private passenger ... automobile described in this policy for which a specific
premium charge indicates that coverage is afforded." The automobile involved
in the accident was separately listed on the policy then in effect and a specific
premium charge was made for it. Because the automobile was an "owned
automobile" within the terms of the policy, any person (not just a relative)
using that automobile with Lazzara's permission was covered under the policy.5
Since the accident was clearly covered under the terms of the policy, there were
no policy defenses which Esser could effectively argue and its effort to escape
liability on this basis is unavailing.
E. Damages
31
Esser also argues that the plaintiff had failed to prove by competent evidence
that he was damaged. First, Esser argues that, because the plaintiff may have
assigned his rights against Esser to the attorneys for the Bonds, the Bonds or
their attorneys may in fact be the real parties in interest under Federal Rule of
Civil Procedure 17(a). Second, Esser argues that an uncertified photocopy of
only the first page of the final judgment order in the Bond case is inadmissible
under Rule 902 of the Federal Rules of Evidence and therefore the plaintiff has
not produced any proof of damages. Third, Esser argues that because the
plaintiff has never been compelled to pay the $150,000 judgment to the Bonds
and because another defendant in the Bond action may be compelled to pay in
the end, the plaintiff has failed to prove damages.
32
These arguments were not properly raised before the district court and hence
we will not address their merits. A ground for reversal cannot be presented for
the first time on appeal unless it involves jurisdiction or there are exceptional
circumstances requiring as a matter of justice that the rule be set aside. See
Zbaraz v. Hartigan, 763 F.2d 1532, 1544 (7th Cir.1985). The district court is
not obligated to conduct on its own a search for any issues that may lurk in the
pleadings, even if ignored by counsel. See Erff v. MarkHon Industries, 781
F.2d 613, 618-19 (7th Cir.1986). Esser has not argued that exceptional
circumstances are present nor do we perceive any.
33
As for the first issue, we do not find in the record any reference to an argument
under Rule 17(a), nor has Esser directed us to any. Esser discovered the
purported factual bases of a Rule 17(a) argument when it took plaintiff's
deposition on May 18, 1984. Yet Esser did not raise this point in its
Memorandum in Opposition to Plaintiff's Motion for Summary Judgment (July
16, 1984) or by any other procedure. Esser has thereby waived its right to
present this argument on appeal.
34
Esser's second argument is that the uncertified photocopy of only the first page
of the Bond judgment was inadmissible. Esser's answer did note that the
photocopy permitted no conclusion about Lazzara's liability and demanded
production of the complete judgment order. Similarly, Esser's Memorandum in
Opposition to Plaintiff's Motion for Summary Judgment (July 16, 1984) noted
that the final judgment order attached to the complaint was insufficient to
establish Lazzara's liability for the judgment. However, neither of these
submissions nor any other submission by Esser in the district court argues that
the photocopy was inadmissible under Rule 902 of the Federal Rules of
Evidence. The district court did have a complete copy of the judgment order
before it when it ruled on the motions for summary judgment. A complete copy
was attached to Aetna's Motion to Dismiss (October 19, 1983). The complete
order states clearly that the first $250,000 of the $510,000 judgment is to be
recovered from Joseph Lazzara and Diana Lazzara, jointly and severally, but
without prejudice to any rights they may have against Reliance. The judgment
also notes that $100,000 was received from Reliance in partial satisfaction of
the judgment against the Lazzaras, leaving them liable to the Bonds for
$150,000.
35
Esser, however, did not argue to the district court that this was a reason not to
grant summary judgment to Lazzara.
36
37
Plaintiff
sustained personal liability in the amount of the $150,000.00 "gap" when a
loss occurred within the coverages of the primary and umbrella policies, and a
judgment was entered against plaintiff on May 5, 1982 in the amount of $510,000.00
in an action brought in the Twentieth Judicial Circuit for Collier County Florida
under the caption Bond v. Lazzara, No. 80-1028-CA-01-TBC.
38
39 May 5, 1982, a judgment was entered against Lazzara in the amount of $510,000
On
in the case of Bond v. Lazzara, in Collier County, Florida ("Bond ") (see Complaint,
Count I, par. 9). Due to the coverage gap, $150,000 of that judgment was not paid by
Lazzara's insurers, leaving Lazzara personally exposed.
40
Thus we believe that Esser failed to present its damages arguments to the
district court and thereby waived its right to present these issues on appeal.6
F. Comparative Negligence
41
Esser also argues that the district court erred in granting summary judgment
without applying the doctrine of comparative negligence. This is yet another
argument that Esser has waived by failing to press it before the district court.
Although Esser's answer does state "that the alleged damage to plaintiff was
caused in whole or in part by his own negligence and not by the negligence of
this defendant," Esser failed to raise the issue of comparative negligence in its
Memorandum in Opposition to Motion for Summary Judgment or
Memorandum in Opposition to the Motion for Reconsideration. A contention
included in an answer, but not pressed before the district court, may not be
presented on appeal as a ground for reversal. See King v. Stevenson, 445 F.2d
565, 571 (7th Cir.1971); see also Heiar v. Crawford County, 746 F.2d 1190,
1197 (7th Cir.1984) (a ground not "pressed" in the district court is treated as
abandoned), cert. denied, ---- U.S. ---, 105 S.Ct. 3500, 87 L.Ed.2d 631 (1985).
A trial judge may properly depend upon counsel to apprise her of the issues for
decision. The judge is not obligated to search for other issues that "may lurk in
the pleadings." Erff v. MarkHon Industries, 781 F.2d 613, 618 (7th Cir.1986)
(plaintiff failed to present argument in "a lawyer-like fashion" and did not
disclose argument at pre-trial conference); see Libertyville Datsun Sales v.
Nissan Motor Corp., 776 F.2d 735, 736 (7th Cir.1985); Desert Palace, Inc. v.
Salisbury, 401 F.2d 320, 324 (7th Cir.1968). Thus Esser has waived the issue of
comparative negligence by failing to press the issue in the district court.
G. Prejudgment Interest
42
The district court awarded Lazzara prejudgment interest under Illinois Revenue
Statute Chapter 17, Sec. 6402 (1983), which provides:
43
Creditors shall be allowed to receive [interest] at the rate of five (5) per centum
per annum for all moneys after they became due on any bond, bill, promissory
note, or other instrument of writing; on money lent or advanced for the use of
another; on money due on the settlement of account from the day of liquidating
accounts between the parties and ascertaining the balance; on money received
to the use of another and retained without the owner's knowledge; and on
money withheld by an unreasonable and vexatious delay of payment.
44
The district court did not specify which of the statutory bases it relied upon.
Esser argues that none of the statutory criteria are met. Lazzara contends that
the award of prejudgment interest was proper either because Esser's refusal to
pay had been unreasonable and vexatious, or because such an award is proper
apart from the statute as a measure of Esser's liability for breaching its fiduciary
duties to the plaintiff.7
45
Esser's refusal to pay has not been unreasonable and vexatious. The
unreasonable delay provision in the statute is not applicable in the absence of
fraud when the delay in payment is the result of litigation. See Kalalinick v.
Knoll, 97 Ill.App.3d 660, 669, 52 Ill.Dec. 802, 809, 422 N.E.2d 1011, 1018
(1981). There is no evidence of fraud. Further, in addressing the issue of
attorney's fees, the district court held that Esser's delay in settling Lazzara's
claim did not amount to an unreasonable or vexatious delay. Memorandum
Opinion and Order (July 16, 1985). The district court found that "a genuine
legal issue was presented regarding whether Esser was a broker or an agent."
Id.
46
47
In In re Air Crash Disaster Near Chicago, 644 F.2d 633 (7th Cir.1981), we
upheld an award of prejudgment interest in a wrongful death case. Although
prejudgment interest per se was not permissible on the facts, the amount of the
prejudgment interest award was a proper element of damages under the
wrongful death statute. The statute required "fair and just compensation" and
this was interpreted as requiring damages that would compensate for the
present value of plaintiff's pecuniary loss as of the date of trial. Because the
jury was instructed to calculate the present value of the loss as of the date of
death, the award of prejudgment interest merely allowed a proper adjustment to
arrive at the present value as of the date of trial. Thus, in the case before us, we
can affirm the award of prejudgment interest if it, in effect, merely serves to
fully compensate plaintiff for the damages recognized under Illinois law.
48
Esser is liable, under the Illinois cases, for "any loss" sustained by Lazzara. See
supra at 266. We believe that this includes the interest that he is liable for under
the Bond judgment. In National Boulevard Bank v. Brokerage Resources, Inc.,
62 Ill.App.3d 159, 19 Ill.Dec. 342, 378 N.E.2d 1217 (1978), the plaintiffs'
insurance broker acquired fire insurance for a building that they were
remodeling. The broker, however, failed to obtain a vacancy endorsement and
the insurance company denied liability after a fire struck the building because
the premises had been vacant for more than 60 days, in violation of the policy
terms. Although the insurers eventually settled with the plaintiffs, the plaintiffs
in the interim had to pay substantial finance charges in order to borrow the
money necessary to continue remodeling. The court held that these finance
charges were compensable as damages because payment of the fire loss
settlement was delayed as a result of defendant's negligence.
49
49
III.
50
51
the subject of Esser's agency. She denied Esser's motion for reconsideration on
Counts I, II, III, V, VI and VII. On Counts IV, VIII, and IX Judge Rovner
considered the motions to dismiss as motions for summary judgment. She
granted summary judgment for the insurance companies on these counts
because she had already determined, in addressing Lazzara's motion for
summary judgment, that Esser was Lazzara's broker (and not the agent of the
insurance companies) for the purpose of procuring insurance.
52
Esser now complains that it did not receive notice that Judge Rovner was going
to treat the motion to dismiss as a motion for summary judgment, as mandated
by Rule 12(b)(7) of the Federal Rules of Civil Procedure. Rule 12(b)(7)
provides:
53 on a motion asserting the defense numbered (6) to dismiss for failure of the
If,
pleading to state a claim upon which relief can be granted, matters outside the
pleading are presented to and not excluded by the court, the motion shall be treated
as one for summary judgment and disposed of as provided in Rule 56, and all parties
shall be given reasonable opportunity to present all material made pertinent to such a
motion by Rule 56.
54
Although Esser may not have received proper notice that the district court was
treating the motion to dismiss as a motion for summary judgment,8 any error
was harmless on the facts of this case. The only issue outside of the pleadings
considered by the district court was whether Esser was acting as a broker or an
agent for the purpose of reviewing Lazzara's policy at the time the gap in
coverage occurred. But that very issue was addressed by Esser in arguing
against summary judgment for Lazzara. Thus Esser had an opportunity to
submit relevant material outside of the pleadings on that issue. Esser was not
prejudiced and therefore any error was harmless. See Malak v. Associated
Physicians, Inc., 784 F.2d 277, 280-81 (7th Cir.1986); Kaestel v. Lockhart, 746
F.2d 1323, 1324 (8th Cir.1984); Coldwell Banker & Co. v. Karlock, 686 F.2d
596, 605 (7th Cir.1982); Chicago-Midwest Meat Association v. City of
Evanston, 589 F.2d 278, 282 (7th Cir.1978), cert. denied, 442 U.S. 946, 99
S.Ct. 2895, 61 L.Ed.2d 318 (1979). Further, Esser offers no hint of what
additional materials it would have produced had it been given the appropriate
notice.
55
Esser argues that the district court's consideration of the motion as one for
summary judgment is based on the erroneous assumption that, because Esser
was found to be a broker for plaintiff for purposes of procuring insurance, it
could never be considered an agent of Reliance or Aetna for any other purpose
(such as the purpose of reviewing Lazzara's policy). Esser argues that the
district court's ruling that Esser was Lazzara's broker for the purpose of
procuring insurance is irrelevant to the determination of Esser's role when the
gap was created.
56
We agree with Esser that a determination that Esser was an agent or a broker at
one point in time (or for one purpose) may not be determinative of whether
Esser was an agent or a broker at another time (or for another purpose).
However, the agent/broker question at issue in the plaintiff's case is
indistinguishable from the agent/broker question in the third-party action. In
both actions the relevant time is the time when the gap appeared. In both
actions the relevant issue is whether, at that time, Esser was a broker or an
agent for the purpose of procuring the renewal of the policies.9 Therefore we
affirm the district court's grant of summary judgment on Counts IV, VIII and
IX.
57
Counts I and V seek indemnity from Aetna and Reliance, respectively, on the
basis of indemnification provisions in Esser's agency agreements with the two
insurance companies. Both agency agreements provide for indemnity only if
the agent did not cause, contribute to or compound the error.10 Judge Kocoras
dismissed these counts for failure to state a claim because the narrowly drawn
indemnification clauses do not encompass a situation in which an independent
insurance broker's liability is predicated on the broker's own negligent failure
to procure for its customer what it had promised. In considering Count V he
also noted that the complaint failed to allege that Esser was free from fault, a
point that is equally applicable to Count I.
58
Counts I and V seek indemnity "if any liability should be found against Esser in
the claim brought by the plaintiff." Plaintiff's claim against Esser alleged that
Esser was negligent and breached his contract with Lazzara by failing to obtain
the amount of insurance requested by Lazzara. We think that the district court
quite reasonably concluded that if Esser was found to have breached its duties
to Lazzara by failing to procure the correct amount of insurance, it would
necessarily have caused or contributed to the error.
59
Esser argues, however, that the issue whether its negligence caused or
contributed to the error could not be decided solely on the basis of the
pleadings. Ultimately we need not resolve this issue. We have held that Esser
breached its fiduciary duties to plaintiff because, at the very least, Esser had a
duty to inform Lazzara of the gap in coverage. Thus Esser caused or
contributed to the error. Even if the district court should have granted summary
judgment on Counts I and V, rather than dismissing for failure to state a claim,
no reversible error has resulted. We need not remand Counts I and V for
In Count II Esser seeks implied indemnity from Aetna on the ground that Aetna
was negligent in issuing the policy because it knew or should have known of
Lazzara's split limits under his Reliance policy. In Count VI Esser seeks
implied indemnity from Reliance on the ground that Reliance was negligent in
reducing Lazzara's policy limits. The Illinois Supreme Court has recently held
that, following the adoption of the Illinois Contribution Act, implied indemnity
no longer remains a viable theory for shifting the costs of tortious conduct
among jointly liable tortfeasors. See Allison v. Shell Oil Company, 113 Ill.2d
26, 99 Ill.Dec. 115, 495 N.E.2d 496 (1986). Hence, active-passive indemnity is
not an available alternative to contribution even when there exists a pre-tort
relationship and a "quantitative" difference in the fault attributable to the
tortfeasors.11 Id. Thus Counts II and VI must be dismissed.
61
Counts III and VII present claims for contribution on the same grounds as
Counts II and VI. Esser argues that the district court's dismissal of Count III
was erroneous because if a "jury were to determine that Aetna knew of the
'insufficient' Reliance primary policy and negligently issued coverage reflecting
underlying limits of $250,000, in spite of that knowledge, Aetna could very
well be held responsible for all or part of the alleged gap." Defendant's Brief at
45-46.
62
We believe, however, that under Illinois law Aetna would not be negligent in
issuing coverage reflecting underlying limits of $250,000, even if Aetna knew
that the primary policy provided insufficient coverage. An insurance company
has the duty to exercise good faith and reasonable skill, care and diligence in
writing and issuing policies. See Central States Joint Board v. Continental
Assurance Co., 117 Ill.App.3d 600, 605, 73 Ill.Dec. 107, 111, 453 N.E.2d 932,
936 (1983); Cleary v. Country Mutual Insurance Co., 63 Ill.App.3d 637, 638,
20 Ill.Dec. 547, 548, 380 N.E.2d 525, 526 (1978). An insurer, however, does
not have the duty of reviewing the adequacy of an insured's coverage, even
when it knows of facts that indicate that the coverage is inadequate. See Cleary,
63 Ill.App.3d 637, 20 Ill.Dec. 547, 380 N.E.2d 525; see also Central States, 117
Ill.App.3d 600, 73 Ill.Dec. 107, 453 N.E.2d 932.12 The insured, not the
insurance company, best knows his or her need for insurance. Cleary, 63
Ill.App.3d at 638, 20 Ill.Dec. at 548, 380 N.E.2d at 526. Further, insured parties
have the burden of knowing the contents of their insurance policies and of
bringing alleged discrepancies to the attention of the insurer. See Central States,
117 Ill.App.3d at 607, 73 Ill.Dec. at 113, 453 N.E.2d at 937; Cleary, 63
Ill.App.3d at 638, 20 Ill.Dec. at 548, 380 N.E.2d at 526. Count III was
therefore properly dismissed.
63
Count VII, Esser's claim for contribution from Reliance, alleges that Reliance
breached various duties that it owed to Lazzara.13 Esser argues that it
adequately stated a claim by alleging that Reliance negligently failed to provide
Lazzara the coverage requested and failed to provide Lazzara appropriate
insurance coverage in the face of actual or constructive knowledge of his
specific circumstances. See Appellants's Brief at 46-47. We have already
concluded that an insurer does not have the duty of reviewing the adequacy of
an insured's coverage, even when it knows of facts that indicate that the
coverage is inadequate. Thus Esser's latter allegation fails to state a claim. We
believe, however, that the former allegation (that Reliance did not provide the
coverage requested) does state a claim and should not have been dismissed by
the district court at this stage in the proceedings. An insurance company bears
the duty to exercise good faith and reasonable skill, care and diligence in
writing and issuing policies for its insured. See Germann v. Pekow, 531
F.Supp. 355, 356 (N.D.Ill.1981); Cleary, 63 Ill.App.3d at 638, 20 Ill.Dec. at
548, 380 N.E.2d at 526. It seems that the insurance company's duties include
the duty to issue policies that comport with the coverage requested. See Central
States, 117 Ill.App.3d at 605, 73 Ill.Dec. at 111, 453 N.E.2d at 935; Cleary, 63
Ill.App.3d at 638, 20 Ill.Dec. at 548, 380 N.E.2d at 526. Reliance itself admits:
66
Reliance argues that Lazzara had the burden of knowing the contents of his
Reliance thus may be able to defeat Esser's claim by showing that Lazzara
could not recover directly from Reliance because he should have known of any
discrepancy in the policy and called it to Reliance's attention.16 However, this is
not an issue that is appropriately considered on a motion to dismiss for failure
to state a claim.
68
For the reasons stated above we affirm the grant of summary judgment in favor
of Lazzara, reverse the award of prejudgment interest, but remand for further
proceedings, not inconsistent with this opinion, relating to the inclusion of
interest for which Lazzara may be liable on the Bond judgment. As to the thirdparty complaint, we affirm the district court's disposition of all counts, with the
exception of Count VII, as to which we reverse the grant of the motion to
dismiss and remand for further proceedings not inconsistent with this opinion.
As Judge Rovner noted, the factor of who pays the commission is probably not
given much weight in practice. Illinois law permits insurers to pay brokers.
Ill.Rev.Stat. ch. 73, Sec. 1065.40; see Browder, 62 Ill.App.3d at 630-31, 20
Ill.Dec. at 143-44, 379 N.E.2d at 1212 (insurance broker is a fiduciary of
insured even though broker deducts commission from premiums). Further, most
of the cases do not consider this factor in determining whether a person is a
broker or an agent
Esser argues that the agency relationship terminated once insurance was
procured. See Roby v. Decatur Steel Erectors, Inc., 59 Ill.App.3d 720, 17
Ill.Dec. 71, 375 N.E.2d 1355 (1978). Roby, however, only stands for the
proposition that a broker may act only in accordance with the authority
conferred upon him by his principal. See id. 17 Ill.Dec. at 75-76, 375 N.E.2d at
1359-60. In Roby the broker had not been authorized to pay a disputed claim to
the insurer. In the case before us, however, Esser was instructed to maintain the
agreed upon coverage. His authority thus extended beyond the mere
procurement of a policy. Alternatively, Esser argues that the cases cited are not
dispositive of the question whether Esser was a broker when the gap was
created or when the accident occurred, because they only address the broker
relationship for the procurement of insurance. We are confident, however, that
the standards articulated in these cases for determining whether one is a broker
or an agent are fully applicable to situations other than the initial procurement
of insurance
3
The policy defines "relative" as "a relative of the named insured who is a
resident of the same household."
Why Lazzara should have been found liable for an accident involving his
daughter under the circumstances shown here is not clear, but this question is
not before us
Should it turn out that Lazzara, after collecting from Esser, never pays the
$150,000 Bond judgment, Esser would presumably have some remedy in
equity, perhaps the imposition of a constructive trust to prevent unjust
enrichment
Esser, however, should have been aware that such a conversion was possible,
because both Reliance's and Aetna's memoranda in opposition to the motion to
reconsider invited the court to convert their motions to dismiss to motions for
summary judgment if necessary
Esser seems to assume that because the district court states at some points in
the opinion that Esser was "a broker for Lazzara for the purpose of procuring
insurance," it is only referring to the initial procurement of insurance and not
the renewal of policies. Clearly, however, the district court found that Esser
was a broker for the purpose of renewing policies at the time the gap occurred.
See District Court Opinion (March 27, 1985) at 11 n. 3, 12
10
The agreement between Esser and Aetna, as set forth in the pleadings,
provided:
The Company will hold the agent harmless of any liability, including costs of
defense, caused by Company error in the preparation, processing or billing of
any policy, provided the agent did not cause, contribute to or compound such
error and provided the agent shall have given the Company prompt notice of
any claim asserted against the agent and provided further that the Company is
permitted to direct the investigation, settlement and defense of any such claim.
The agreement between Esser and Reliance provides:
A. The Company shall indemnify and hold the Agent harmless:
Against any claims, liabilities or costs of defense which the Agent may become
obligated to pay as a result of loss to policyholders caused directly by error of
the Company in the processing of Direct Billed policies under its Agreement
except to the extent that the Agent has caused, contributed to or compounded
such error; and
against any and all civil liability for damages and expenses, including the cost
of defense that the Agent may be obligated to pay as a direct result of the
failure of the Company to comply with the requirements of the Fair Credit
Reporting Act (Public Law 91-508) except to the extent that such failure to
comply has been caused or contributed to by any willful or intentional act or
omission of the Agent
B. The Company's obligation to indemnify shall be conditioned upon prompt
notification by the Agent to the Company of any claim made or legal action
brought against the agent which is subject to indemnification as set forth above
and the Company shall have the right to direct the investigation, settlement and
defense of any such claim or action.
11
The court reserved the question of the viability of implied indemnity in cases
involving a defective product or vicarious liability
12
In Cleary the plaintiff alleged that the insurance company was negligent in
breaching its duty to counsel her as to the inadequacy of her insurance
coverage. The plaintiff claimed that her homeowner's coverage should have put
the insurance company on notice that she owned residential and farm property
(and presumably required greater automobile insurance coverage to protect this
property). The court rejected the argument that the insurer had a "continuous
duty to advise and counsel its insured as to the need or advisability of increased
insurance coverage." 63 Ill.App.3d at 638, 20 Ill.Dec. at 548, 380 N.E.2d at 526
In Central States the plaintiff requested that the insurance company change its
pension funding insurance contract to eliminate a cash lump-sum payment
provision. Plaintiff alleged that the defendant should have disclosed that the
policy also contained an annuity purchase provision that had the same
deleterious effect as the cash payment provision--both provisions caused a cash
drain problem. The court rejected this claim and held for the defendant.
13
Count VII adopts the allegations found in Count VI of the Complaint, which
allege that Reliance:
a) negligently and improperly reduced the limits of plaintiff's insurance
coverage so as to create a "gap" in plaintiff's coverage between its policy and
the umbrella coverage issued to plaintiff by Aetna Casualty & Surety Company
of Illinois;
b) negligently and improperly renewed said improper reduction of coverage;
c) negligently issued and renewed coverage to plaintiff for specified losses up
to $100,000.00 per person, when it knew or should have known that plaintiff
had umbrella coverage which required $250,000.00 per person in underlying
primary liability coverage;
d) negligently failed to make proper inquiry or conduct proper investigation
into plaintiff's insurance coverage, needs and history prior to issuing policy #
AK 9 94 51 20;
e) negligently failed to deal promptly with plaintiff;
f) negligently made or caused to be made numerous errors in issuing and
processing policy # AK 6 38 74 22, so as to cause the improper reduction of
plaintiff's coverage to be written into its replacement policy # AK 9 94 51 20;
Reliance argues that such a failure has not, and cannot, be alleged by Esser. We
believe, however, that the complaint, especially p 14(f), can be read as alleging
such a breach of duty
15
Under Illinois law, insured-agent cases are treated differently from insurerinsured cases. In an insured-agent case, in which the insured seeks to prove that
the agent negligently performed its duty to procure a specified party, the
insured's failure to read the policy and point out errors may be evidence of
contributory negligence, but is never contributory negligence as a matter of law.
See Floral Consultants, Ltd. v. Hanover Insurance Co., 128 Ill.App.3d 173,
176, 83 Ill.Dec. 401, 403, 470 N.E.2d 527, 529 (1984); Black v. Illinois Fair
Plan Assoc., 87 Ill.App.3d 1106, 1110-11, 42 Ill.Dec. 934, 938, 409 N.E.2d
549, 553 (1980)
16
We need not resolve here the issue whether Reliance can rely on a defense that
it would have had against a claim by Lazzara to defeat a third-party claim for
contribution by Esser