Opinion

Direct Auto Insurance Co. v. Merx

  • 2020 IL App (2d) 190050
Court
Appellate Court of Illinois
Filed
Feb 2, 2021
Status
Published
Cited by
1 cases
Authority
More cited than 45.7%

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Appellate Court Date: 2021.02.01

13:58:50 -06'00'

Direct Auto Insurance Co. v. Merx, 2020 IL App (2d) 190050

Appellate Court DIRECT AUTO INSURANCE COMPANY, Plaintiff-Appellant, v.

Caption ROYCELYNNE MERX, Defendant-Appellee.

District & No. Second District

No. 2-19-0050

Filed July 22, 2020

Decision Under Appeal from the Circuit Court of Kane County, No. 17-MR-934; the

Review Hon. Kevin T. Busch, Judge, presiding.

Judgment Affirmed.

Counsel on William H. Ransom, of Newman Ransom LLC, of Chicago, for

Appeal appellant.

Michael Silverman, of Horwitz, Horwitz & Associates, Ltd., of

Chicago, for appellee.

Panel PRESIDING JUSTICE BIRKETT delivered the judgment of the

court, with opinion.

Justices Schostok and Brennan concurred in the judgment and opinion.

OPINION

¶1 Plaintiff, Direct Auto Insurance Company (Direct Auto), appeals the circuit court’s orders

denying its motion for summary judgment and granting the motion for judgment on the

pleadings filed by defendant, Roycelynne Merx. 1 Direct Auto argues on appeal that (1) the

plain and unambiguous language of the vehicle insurance policy it issued to Merx provides

uninsured-motorist coverage only when the insured is an occupant in her own vehicle covered

under the policy and (2) the circuit court erred in concluding that Illinois’s public policy as

reflected in section 143a of the Illinois Insurance Code (215 ILCS 5/143a (West 2014))

mandated uninsured-motorist coverage for the insured stemming from the accident in this case.

For the following reasons, we affirm.

¶2 I. BACKGROUND

¶3 On June 18, 2015, Merx was injured when she was a passenger in a 2013 Chevrolet Cruze

that was owned and operated by Brandon Motley and Motley struck another vehicle while

attempting to cross an intersection in Evanston. Motley was both an uninsured motorist and at

fault for the accident. Merx filed a claim for uninsured-motorist coverage under her personal

automobile insurance policy with Direct Auto, the insurer of her 2012 Chevrolet Sonic. Her

vehicle was not involved in the collision. Merx’s policy provided for automobile liability

coverage and uninsured-motorist coverage for the period of January 15, 2015, to July 15, 2015,

and each coverage type provided $25,000 in coverage for bodily injury or death per person and

a maximum of $50,000 per accident.

¶4 On July 21, 2017, Direct Auto filed a complaint for declaratory judgment, arguing that

there was no uninsured-motorist coverage for the accident because, at the time of the accident,

Merx was not an occupant in an “insured automobile” as that term is defined in the policy.

Specifically, it argued that there was no uninsured-motorist coverage because Merx did not

occupy the 2012 Chevrolet Sonic covered by her policy at the time of the accident. Direct Auto

attached to the complaint a copy of the policy, which pertinently provides as follows:

“PART II—UNINSURED MOTORIST COVERAGE

COVERAGE C: UNINSURED MOTORIST BODIL [sic] INJURY and

COVERAGE D: UNINSURED MOTORIST PROPERTY DAMAGE.

If you have paid for this coverage(s), have provided prompt and proper notice of

the loss pursuant to Condition 3, and have submitted your written claim by certified

mail, return receipt requested, for Uninsured Motorist coverage within two (2) years

from the date of the accident, unless otherwise set forth herein, we will pay all sums

(up to your applicable policy limits) which the named insured or his legal representative

shall be legally entitled to recover as damages from the owner or operator of an

uninsured motor vehicle because of *** bodily injury *** sustained by the insured

provided the damages were:

(1) caused by accident; and

(2) while ‘you’ are an occupant in an ‘insured automobile’ as defined herein, and

1

Both parties on appeal spell defendant’s first name “Roycelyne.” However, her name appears as

“Roycelynne” in the record and in the insurance policy. We assume the latter is correct.

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(3) were as a result of the ownership, maintenance or use of such uninsured motor

vehicle.

***

‘insured automobile’ means:

(a) an owned automobile as defined under Part I of this policy for which a specific

premium charge for Uninsured Motorist coverage has been paid.” (Emphasis added.)

Part I of the policy, in turn, defines “owned automobile” as “a private passenger, farm, or utility

automobile described in this policy.”

¶5 Merx answered the complaint for declaratory judgment on April 16, 2018, admitting that

she was a passenger in the 2013 Chevrolet Cruze driven by Motley during the accident but

denying Direct Auto’s assertion that there was no uninsured-motorist coverage.

¶6 Direct Auto moved for summary judgment on May 21, 2018, arguing that the plain and

unambiguous language of the policy provided uninsured-motorist coverage only if the insured

occupied an “insured vehicle,” here, the 2012 Chevrolet Sonic, at the time of the accident.

Because there was no dispute that Merx did not occupy the 2012 Chevrolet Sonic at the time

of the accident, Direct Auto argued that there was no uninsured-motorist coverage and thus

Direct Auto was entitled to judgment as a matter of law.

¶7 Merx responded to the motion for summary judgment on September 6, 2018. She asserted

that the terms of the uninsured-motorist provision were contrary to section 143a of the

Insurance Code and violated Illinois public policy because the provision would leave her with

no remedy for her injuries, even though she had paid for uninsured-motorist coverage. She

stressed that, because Motley was both at fault for the accident and uninsured, she could look

only to her own insurer for coverage. In reply, Direct Auto argued that, following the 1995

amendment to section 143a, uninsured-motorist coverage is not absolute and parties to an

insurance contract may agree to reasonable limits on such coverage.

¶8 On October 18, 2018, the circuit court denied Direct Auto’s motion for summary judgment.

Pertinently, the order provided as follows:

“The court having determined the 1995 amendment to [section 143a of the

Insurance Code] applied to owned vehicles, not listed in the policy, and the statute and

public policy preclude denial of uninsured coverage for an insured (Merx) when she is

a passenger in an uninsured vehicle, involved in a collision, and the driver of the

uninsured vehicle is at-fault.”

¶9 On October 30, 2018, Merx filed a motion for judgment on the pleadings pursuant to

section 2-615(e) of the Code of Civil Procedure (735 ILCS 5/2-615(e) (West 2018)). She

argued that the legislative intent and purpose behind section 143a of the Insurance Code

required coverage for the accident, that the terms of the policy directly conflicted with said

section, and that the 1995 amendment thereto did not apply to the facts of the case because the

2013 Chevrolet Cruze was not owned by, furnished, or available for Merx’s regular use and

Motley was not a resident relative or resident spouse. Direct Auto adopted its motion for

summary judgment and its response to Merx’s reply to stand as its response. The circuit court

granted Merx’s motion for judgment on the pleadings on December 18, 2018, and found that

Merx was entitled to uninsured-motorist coverage. Direct Auto timely appealed.

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¶ 10 II. ANALYSIS

¶ 11 This appeal comes before us following the circuit court’s entry of judgment on the parties’

motions seeking a judgment on the pleadings and summary judgment. “Either a judgment on

the pleadings or summary judgment is proper when there are no genuine issues of material fact

and the moving party is entitled to judgment as a matter of law.” Hess v. Estate of Klamm,

2020 IL 124649, ¶ 14. A motion for a judgment on the pleadings is like a motion for summary

judgment, but it is limited to the pleadings. Allstate Property & Casualty Insurance Co. v.

Trujillo, 2014 IL App (1st) 123419, ¶ 15. The standard of review is de novo under either type

of motion. Id.

¶ 12 Direct Auto’s argument on appeal is twofold. First, it argues that the circuit court erred in

denying its motion for summary judgment because the plain and unambiguous language of the

insurance policy provides uninsured-motorist coverage only for accidents that occur while the

insured is an occupant in the vehicle covered under the policy for which a specific premium

charge for uninsured-motorist coverage has been paid. In other words, it asserts that the policy

provides uninsured-motorist coverage to Merx only for injuries sustained while occupying the

2012 Chevrolet Sonic (the only vehicle for which Merx was paying a specific premium for

insured-motorist coverage under the policy). Because it is undisputed that she did not occupy

the 2012 Chevrolet Sonic at the time of the accident, Direct Auto maintains that summary

judgment should have been entered in its favor. Second, it asserts that neither public policy nor

the Insurance Code precludes the denial of coverage to Merx because section 143a of the

Insurance Code was amended in 1995 such that, in Direct Auto’s view, limitations on

uninsured-motorist coverage do not violate public policy. Merx counters that Illinois law

mandates that she be entitled to uninsured-motorist coverage, and she points to a string of cases

that predate the 1995 amendment to section 143a.

¶ 13 We begin by examining the terms of the insurance policy, the construction of which

presents a question of law, which we review de novo. See Shefner v. Illinois Farmers Insurance

Co., 243 Ill. App. 3d 683, 686 (1993). Our primary objective in construing the language of an

insurance policy is to ascertain and give effect to the parties’ intentions as set forth in their

agreement. Rosenberg v. Zurich American Insurance Co., 312 Ill. App. 3d 97, 101 (2000). In

interpreting the meaning of provisions in an insurance policy, we construe the policy as a

whole, keeping in mind the risk undertaken, the subject matter that is insured, and the purpose

of the contract. Id. Where the policy language is clear and unambiguous, the language must be

given its plain, ordinary, and popular meaning. Id. If, however, the terms are ambiguous, they

are construed strictly against the insurer who drafted the policy and in favor of the insured.

Menke v. Country Mutual Insurance Co., 78 Ill. 2d 420, 423 (1980).

¶ 14 As noted, Direct Auto maintains that summary judgment should have been entered in its

favor because the plain language of the policy’s uninsured-motorist provision establishes that

“there is only uninsured-motorist coverage when the insured is occupying an insured vehicle,

[which is] a 2012 Chevrolet Sonic.” Merx makes no attempt to refute this assertion, and she

does not argue that the uninsured-motorist provision is ambiguous. We agree with Direct Auto

that, on its face, the uninsured-motorist provision affords Merx no coverage for the June 18,

2015, accident. The policy unambiguously provides uninsured-motorist coverage for bodily

injury, provided that the injuries were “(1) caused by accident; and (2) while ‘you’ are an

occupant in an ‘insured automobile’ as defined herein, and (3) were as a result of the

ownership, maintenance or use of such uninsured motor vehicle.” The policy pertinently

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defines “you” as “the named insured,” meaning Merx, and it defines “insured automobile” as

“an owned automobile as defined under Part I of this policy for which a specific premium

charge for Uninsured Motorist coverage has been paid.” Part I of the policy defines “owned

automobile” as “a private passenger, farm or utility automobile described in this policy,”

meaning the 2012 Chevrolet Sonic. As Direct Auto stresses, it is uncontested that Merx did not

occupy the 2012 Chevrolet Sonic during the accident but, instead, occupied the 2013 Chevrolet

Cruze.

¶ 15 However, the fact that the terms of the policy preclude Merx from receiving uninsured-

motorist coverage is not dispositive of the issue. It is well established that, “[i]f the insurance

policy terms are clear and unambiguous, they must be enforced as written, unless doing so

would violate public policy.” (Emphasis added.) Thounsavath v. State Farm Mutual

Automobile Insurance Co., 2018 IL 122558, ¶ 17. “The construction of the terms of an

insurance policy and whether the insurance policy comports with statutory requirements

present questions of law that are properly decided on a motion for summary judgment.” Id.

¶ 15. We review de novo “whether a provision in a contract, insurance policy, or other

agreement is invalid because it violates public policy.” In re Estate of Feinberg, 235 Ill. 2d

256, 263 (2009). Public policy is necessarily a question of law. Id. Accordingly, we next

evaluate whether the denial of Merx’s claim for uninsured-motorist coverage under the

circumstances of this case comports with the pertinent statutes and their underlying purpose.

¶ 16 Our state constitution, statutes, and judicial decisions reflect our public policies.

Thounsavath, 2018 IL 122558, ¶ 17. Although an insurance policy is a contract, its terms must

comply with the statutory requirements in effect at the time the policy was issued. Id. ¶ 30.

Insurers have no right to depart from valid statutory requirements in their policies, and

contractual terms that do so are void and unenforceable. Id. ¶¶ 17, 30. Likewise, the terms of

an insurance policy may not circumvent the purpose of a statute in effect when the policy is

issued. Id. ¶ 17. However, an insurance contract “will not be invalidated unless it is clearly

contrary to what the constitution, the statutes, or the decisions of the courts have declared to

be the public policy of Illinois or unless the agreement is ‘manifestly injurious to the public

welfare.’ ” (Internal quotation marks omitted.) Goldstein v. Grinnell Select Insurance Co.,

2016 IL App (1st) 140317, ¶ 16 (quoting Phoenix Insurance Co. v. Rosen, 242 Ill. 2d 48, 55

(2011)). An insured seeking to invalidate an agreement as against public policy bears a “heavy

burden” of demonstrating a violation of public policy. Id.

¶ 17 We turn now to an overview of the applicable law. Subject to certain exceptions not

pertinent here, section 7-601(a) of the Illinois Safety and Family Financial Responsibility Law

(Financial Responsibility Law) (625 ILCS 5/7-601(a) (West 2014)), which is part of the Illinois

Vehicle Code, requires liability insurance coverage for all motor vehicles operated or

registered in Illinois. At the time of the accident in this case, the Financial Responsibility Law

mandated that a liability insurance policy include, at a minimum, $25,000 in coverage for

bodily injury or death to one person as a result of any one accident, $50,000 for bodily injury

or death of all persons as a result of any one accident, and $20,000 for damage to the property

of others as a result of any one accident. See id. §§ 7-203, 7-317(b)(3). A liability insurance

policy is required to meet certain coverage requirements in that it must “designate by explicit

description or by appropriate reference, all motor vehicles with respect to which coverage is

thereby intended to be granted,” as well as “insure the person named therein and any other

person using or responsible for the use of such motor vehicle or vehicles with the express or

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implied permission of the insured.” Id. § 7-317(b)(1), (b)(2). The “principal purpose” of the

liability insurance requirement is “ ‘to protect the public by securing payment of their

damages.’ ” Phoenix Insurance Co., 242 Ill. 2d at 57 (quoting Progressive Universal Co. of

Illinois v. Liberty Mutual Fire Insurance Co., 215 Ill. 2d 121, 129 (2005)).

¶ 18 Section 143a of the Insurance Code requires a motor vehicle liability policy to also include

uninsured-motorist and hit-and-run motor vehicle coverage. 215 ILCS 5/143a (West 2014).

The uninsured-motorist coverage must be in an amount equal to the insured’s bodily injury

liability limits unless the insured has bodily injury coverage in excess of the statutory minimum

and specifically rejects that additional amount of uninsured-motorist coverage. Id. § 143a-2(1).

We note that, here, Merx carried the minimum amount of coverage for liability and uninsured-

motorist coverage allowed by law—$25,000.

¶ 19 Section 143a provides, in relevant part, as follows:

“(1) No policy insuring against loss resulting from liability imposed by law for

bodily injury *** suffered by any person arising out of the *** use of a motor vehicle

that is designed for use on public highways *** shall be *** issued for delivery in this

State unless coverage is provided *** for bodily injury *** of persons insured

thereunder who are legally entitled to recover damages from owners or operators of

uninsured motor vehicles *** because of bodily injury *** resulting therefrom.

Uninsured motor vehicle coverage does not apply to bodily injury *** of an insured

while occupying a motor vehicle owned by, or furnished or available for the regular

use of the insured, a resident spouse or resident relative, if that motor vehicle is not

described in the policy under which a claim is made or is not a newly acquired or

replacement motor vehicle covered under the terms of the policy.” Id. § 143a.

¶ 20 Our supreme court has stressed that this section is plain and unambiguous in mandating

that every policy contain the specified uninsured-motorist coverage. Thounsavath, 2018 IL

122558, ¶ 33. Illinois law and public policy regarding uninsured-motorist coverage provide

that no automobile liability insurance policy shall be issued without coverage protecting

against damages cause by uninsured motorists. Id. (citing Squire v. Economy Fire & Casualty

Co., 69 Ill. 2d 167, 176 (1977)). Uninsured-motorist coverage must extend to all who are

insured under the policy’s liability provisions. Id. ¶ 19. “If a person constitutes an insured for

purposes of liability coverage under a policy, the insurance company may not, either directly

or indirectly, deny uninsured-motorist coverage to that person.” Schultz v. Illinois Farmers

Insurance Co., 237 Ill. 2d 391, 403 (2010).

¶ 21 Nevertheless, “[n]either the statute nor the case law places any restriction on the right of

the parties to an insurance contract to agree on which persons are to be the ‘insureds’ under an

automobile insurance policy. [Citation.] However, once a person qualifies as an insured for

purposes of the policy’s bodily injury liability provisions, she must be treated as an insured for

purposes of uninsured and underinsured motorist coverage as well.” Thounsavath, 2018 IL

122558, ¶ 31. Section 143a of the Insurance Code protects insured parties but does not extend

its protection to those who are uninsured. State Farm Mutual Automobile Insurance Co. v.

George, 326 Ill. App. 3d 1065, 1068 (2002).

¶ 22 It is well established that uninsured-motorist coverage is required so that the policyholder

is placed in substantially the same position he or she would occupy if injured or killed in an

accident where the party at fault carried the minimum liability coverage required by law.

Phoenix Insurance Co., 242 Ill. 2d at 57. Section 143a of the Insurance Code was enacted “ ‘to

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ensure that persons injured by an uninsured motorist are protected at least to the extent that

compensation is made available to persons injured by a motorist insured for the minimum legal

limits.’ ” American Family Mutual Insurance Co. v. Jeris, 376 Ill. App. 3d 1070, 1074-75

(2007) (quoting American Service Insurance Co. v. Pasalka, 363 Ill. App. 3d 385, 390 (2006));

see also Heritage Insurance Co. of America v. Phelan, 59 Ill. 2d 389, 395 (1974) (“[T]he

legislative intent [(behind section 143a)] was to provide extensive uninsured-motorist

protection for those who are ‘insureds’ under an automobile liability policy.”). This statutory

purpose may not be circumvented by inserting into a policy a contrary or restricting provision.

Phoenix Insurance Co., 242 Ill. 2d at 57. In other words, the uninsured-motorist coverage

Illinois law requires may not be whittled away by an unduly restrictive definition.

Thounsavath, 2018 IL 122558, ¶ 33 (citing Barnes v. Powell, 49 Ill. 2d 449, 453 (1971)). If the

amount of uninsured-motorist coverage exceeds the statutory minimums required for liability

insurance, the policy must also include underinsured coverage equal to the amount of

uninsured-motorist coverage. 215 ILCS 5/143a-2(4) (West 2014).

¶ 23 Liability, uninsured motorist, and underinsured motorist provisions are “inextricably

linked.” Schultz, 237 Ill. 2d at 404. All three types of coverage “serve the same underlying

public policy: ensuring adequate compensation for damages and injuries sustained in motor

vehicle accidents.” Phoenix Insurance Co., 242 Ill. 2d at 58.

¶ 24 Here, applying the insurance policy’s uninsured-motorist provision to the June 18, 2015,

accident would impermissibly thwart the legislative purpose behind section 143a of the

Insurance Code by foreclosing the insured, Merx, from being placed in substantially the same

position she would have occupied had she been injured in an automobile accident where the

party at fault, Motley, carried the minimum liability coverage required by law. See id. at 57;

American Family Mutual Insurance Co., 376 Ill. App. 3d at 1074. Under the circumstances of

this case, judgment on the pleadings in favor of Merx was appropriate, and the circuit court

did not err in denying Direct Auto’s motion for summary judgment and granting Merx’s

motion for judgment on the pleadings.

¶ 25 Doxtater v. State Farm Mutual Automobile Insurance Co., 8 Ill. App. 3d 547 (1972), relied

on by Merx, is instructive. There, an insured was injured when the motorcycle he was riding

collided with an automobile driven by an uninsured motorist. Id. at 549. The motorcycle was

not listed on the declarations page of the insured’s automobile insurance policy, 2 and the

policy contained an “owned vehicle” exclusion that excluded bodily injury coverage to an

insured while occupying a motor vehicle owned by the named insured or any household

resident if the vehicle was not an “ ‘owned vehicle,’ ” meaning a “ ‘motor vehicle ***

described in the declarations.’ ” Id. at 548-49. The plaintiff argued that section 143a of the

Insurance Code required uninsured-motorist coverage for all “insureds” under an automobile

policy, regardless of whether the insured occupied a vehicle included in the policy. Explicitly

relying on the legislative intent behind section 143a as expressed by our supreme court in

Barnes, the Doxtater court held that the exclusion conflicted with section 143a and was

unenforceable. Id. at 552; see also Cohs v. Western States Insurance Co., 329 Ill. App. 3d 930,

937 (2002) (stating that Doxtater “held that an uninsured motorist exclusion in that policy,

which excluded bodily injury coverage to an insured while occupying a vehicle not declared

2

The court explicitly assumed that the plaintiff was an “insured” under the policy and that the

motorcycle was not an “ ‘owned motor vehicle.’ ” Doxtater, 8 Ill. App. 3d at 549.

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in the policy, was unduly restrictive under section 143a of the Insurance Code” (emphasis in

original)). In reaching this ruling, the Doxtater court stated:

“Although we recognize the facts of Barnes v. Powell are distinguishable from the

facts at bar, we nonetheless cannot overlook the Supreme Court’s statements therein

regarding the legislative intent behind Section 143a. The expansive interpretation

applied by a majority of that court leads us to conclude that, presented with the issue at

bar, our Supreme Court would interpret Section 143a of the Insurance Code as a

direction to insurance companies to provide uninsured motor vehicle coverage for

‘insureds,’ regardless of whether, at the time of injury, the insureds occupied or

operated vehicles declared in the subject policy.” (Emphasis added.) Doxtater, 8 Ill.

App. 3d at 552.

¶ 26 The Doxtater court’s reasoning was adopted subsequently by our supreme court, as

recognized in Squire, 69 Ill. 2d at 179. There, the plaintiff pedestrian was injured by an

uninsured motorist. The plaintiff was insured under both a primary policy, which covered the

family automobile, and an endorsement thereto, which provided coverage for a second family

automobile and for which an additional premium was paid. Id. at 171-72. The primary policy

and the endorsement included uninsured-motorist coverage. The primary policy excluded

coverage for “ ‘bodily injury to an insured while occupying an automobile (other than an

insured automobile) owned by the named insured or a relative, or through being struck by such

an automobile.’ ” Id. at 171. “ ‘Insured automobile’ ” meant “ ‘an automobile described in the

policy for which a specific premium charge indicates that coverage is afforded.’ ” Id. The

endorsement included a similar exclusion.

¶ 27 The plaintiff argued she was entitled to stack the uninsured-motorist coverage provided

under both the primary policy and the endorsement. In response, the defendant insurance

company asserted that the endorsement did not provide additional indemnification but, instead,

insured against accidents caused by uninsured motorists while the insureds occupied the

second vehicle. It further argued that the purpose of the endorsement was to allow the insureds

to collect the coverage that was barred by the exclusion in the primary policy. Id. at 173-74.

Plaintiff maintained that she already had this coverage under the primary policy because the

exclusion violated section 143a, and she argued that the payment of the additional premium

for the endorsement necessarily purchased additional uninsured-motorist coverage. Id. at 173.

¶ 28 Relying on Doxtater, the court in Squire held that the exclusion in the primary policy was

unenforceable insofar as it “would make coverage dependent upon the insured not being in a

vehicle unlisted in the policy.” Id. at 179. Stated another way, the exclusion impermissibly

made coverage dependent upon the insured being in a vehicle listed in the policy. See Roby v.

Illinois Founders Insurance Co., 57 Ill. App. 3d 89, 94-95 (1978). The Squire court, citing

Phelan, 59 Ill. 2d at 394-95, emphasized that “ ‘the legislative intent [of section 143a] was to

provide extensive uninsured-motorist protection for those who are “insureds” under an

automobile liability policy.’ ” Squire, 69 Ill. 2d at 178-79. In reaching this conclusion, the court

explicitly adopted the Doxtater court’s reasoning and stated “it is well settled that section 143a

requires coverage of insured persons regardless of the motor vehicle the uninsured motorist is

driving, and regardless of the vehicle in which the insured person is located when injured.”

(Emphasis added.) Id. The court ultimately concluded that the parties intended for the

endorsement to provide additional coverage for injuries from risks that were already covered

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by the primary policy and, thus, held that the plaintiff was entitled to recover under both the

primary policy and the endorsement. Id. at 179-81.

¶ 29 Squire was discussed at length in Roby, 57 Ill. App. 3d 89. In Roby, the plaintiff police

officer was injured when an uninsured motorist struck his squad car while the plaintiff was on

duty. Id. at 90. The plaintiff filed a claim under the uninsured-motorist provision in his personal

vehicle insurance policy, but the defendant insurance company denied it because the plaintiff

was not driving an “insured automobile” as defined in the policy at the time of the accident.

Id. at 91. The policy exempted from the definition of “insured automobile” any “ ‘automobile

furnished for the regular use of the principal named insured or any resident of the same

household.’ ” The policy also excluded “ ‘bodily injury to an insured while occupying an

automobile (other than an insured automobile) owned by a named insured or any relative

resident in the same household.’ ” Id. at 92. The trial court concluded that the policy did not

provide uninsured-motorist coverage for the accident because the policy “ ‘excluded an insured

driving an automobile regularly furnished to him in his employment.’ ” Id. Relying on Squire,

the appellate court reversed, finding that the exclusionary clause violated section 143a because

it made coverage dependent upon the insured being in a vehicle listed in the policy at the time

of the accident. Id. at 95.

¶ 30 Turning to the case at bar, it is uncontested that Merx was injured while riding as a

passenger in a vehicle other than her 2012 Chevrolet Sonic covered under the Direct Auto

policy. Instead, she occupied Motley’s 2013 Chevrolet Cruze. Motley was both an uninsured

motorist and at fault for the accident. As noted recently by our supreme court, if a passenger is

injured while riding in an uninsured motor vehicle, the passenger must look to his or her own

policy for recovery under its uninsured-motorist provision. Thounsavath, 2018 IL 122558, ¶ 39

(citing Rockford Mutual Insurance Co. v. Economy Fire & Casualty Co., 217 Ill. App. 3d 181,

187 (1991)). As explained in Rockford Mutual,

“[p]olicyholders and named insureds may recover under their own insurance policy

when they are injured as a result of an accident in or with an uninsured motorist or

vehicle, just as an injured third party may recover under his or her own uninsured

motorist insurance if he or she is injured as a result of an accident in or with an

uninsured motorist or vehicle.” Rockford Mutual, 217 Ill. App. 3d at 186-87.

The intention and purpose of section 143a of the Insurance Code is to provide a means of

recovery for insureds under their own uninsured-motorist provisions. Thounsavath, 2018 IL

122558, ¶ 38. The statute provides “protection to policyholders and named insureds for whom

protection is specifically contracted.” Rockford Mutual, 217 Ill. App. 3d at 186.

¶ 31 The policy in the instant matter unambiguously affords Merx uninsured-motorist coverage

for bodily injury only if she occupied an “insured vehicle,” meaning the 2012 Chevrolet Sonic,

at the time of the accident. Put simply, conditioning uninsured-motorist coverage on the

insured being “an occupant in an ‘insured automobile,’ ” as it relates to Merx and the June 18,

2015, accident, would violate public policy and conflict with our supreme court’s interpretation

of section 143a of the Insurance Code. The court put it bluntly in Squire: “[I]t is well settled

that section 143a requires coverage of insured persons regardless of the motor vehicle the

uninsured motorist is driving, and regardless of the vehicle in which the insured person is

located when injured.” Squire, 69 Ill. 2d at 179. Merx, as the named insured who carried the

legal minimum amount of liability and uninsured-motorist coverage, is entitled to coverage for

her injuries stemming from the accident to the same extent she would have been afforded had

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Motley carried the legal minimum amount of liability coverage. To conclude otherwise would

run afoul of Illinois’s clear public policy of ensuring coverage for policyholders injured by

uninsured motorists. Cf. Shefner, 243 Ill. App. 3d at 685, 690 (holding that neither public policy

nor Squire was violated by exclusion stating insurer would “ ‘not provide insurance for a

vehicle other than your insured car, unless the owner of that vehicle has no other insurance

applicable to [uninsured-motorist coverage],’ ” because it did not deny uninsured-motorist

coverage merely because of the car the insured occupied at the time of injury and was phrased

such that uninsured-motorist coverage could not be denied solely on that basis; indeed, “ ‘this

safety net distinguishe[d] the exclusion *** from that at issue in Squire’ ”).

¶ 32 Direct Auto erroneously argues that the 1995 amendment to section 143a of the Insurance

Code nevertheless allows the exclusion at issue in the case at bar. As discussed in Goldstein,

“[p]rior to 1995, our courts held that the owned-vehicle exclusion in an automobile liability

policy was unenforceable as to both uninsured- and underinsured-motorist coverage.”

Goldstein, 2016 IL App (1st) 140317, ¶ 18. However, the 1995 amendment added the

following provision, upon which Direct Auto relies: “Uninsured motor vehicle coverage does

not apply to bodily injury *** of an insured while occupying a motor vehicle owned by, or

furnished or available for the regular use of the insured, a resident spouse or resident relative,

if that motor vehicle is not described in the policy under which a claim is made or is not a

newly acquired or replacement motor vehicle covered under the terms of the policy.” Pub. Act

89-206 (eff. July 21, 1995) (amending 215 ILCS 5/143a). Thus, the legislature amended

section 143a to “allow[ ] insurers to exclude unnamed owned vehicles from uninsured-motorist

coverage.” Goldstein, 2016 IL App (1st) 140317, ¶ 23.

¶ 33 In Direct Auto’s estimation, the 1995 amendment to 143a of the Insurance Code “allow[s]

insurers to limit [uninsured-motorist] coverage to accidents involving vehicles specified in the

policy.” This argument rests on a tortured reading of section 143a and finds no support in the

Insurance Code or the case law relied on by Direct Auto. In denying Direct Auto’s motion for

summary judgment, the circuit court found that the language added by the 1995 amendment

applied to, among other instances not applicable to the facts at bar, “owned vehicles *** not

listed in the policy.” We agree. Our primary objective is to ascertain and give effect to the

legislature’s intent, which is best determined from the plain and ordinary language used in the

statute. Rosenbach v. Six Flags Entertainment Corp., 2019 IL 123186, ¶ 24. Under a plain

reading of section 143a, uninsured-motorist coverage is not mandated if the insured is injured

in a motor vehicle “owned by, or furnished or available for the regular use of the insured, a

resident spouse or resident relative” (215 ILCS 5/143a (West 2014)) and if the vehicle is not

listed in the policy or is not a newly acquired or replacement vehicle. The amendment is limited

to the specific instances it describes. It does not “allow insurers to limit [uninsured-motorist]

coverage to accidents involving vehicles specified in the policy,” as Direct Auto argues, but

allows insurers to exclude vehicles that are owned by the insured or their resident spouse or

resident relative and that are not specified in the policy, subject to certain exceptions not

applicable here. The distinction is somewhat subtle, yet determinative of the issue at bar.

¶ 34 We acknowledge that, to the extent that the facts of Doxtater, Squire, and Roby involved

“owned-vehicle” exclusions, those cases might well have yielded different results had they

been decided after the 1995 amendment to section 143a, as argued by Direct Auto.

Nevertheless, those cases are instructive in resolving the instant matter because of their broad

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interpretation of the uninsured-motorist statute and because the instant matter does not involve

an “owned-vehicle” exclusion, as Merx was injured in a vehicle owned by a third-party.

¶ 35 It is uncontested that (1) the 2013 Chevrolet Cruze was not “owned by, or furnished or

available for the regular use” of Merx and (2) Motley was not a “resident spouse or resident

relative” of Merx. Thus, we agree with Merx that the language the 1995 amendment added to

section 143a of the Insurance Code is simply not triggered by the facts of this case, and it

therefore does not preclude uninsured-motorist coverage. For Direct Auto’s argument to hold

water, one would have to completely disregard the statutory qualification that the vehicle be

“owned by, or furnished or available for the regular use of the insured, a resident spouse, or

resident relative” in order for uninsured-motorist coverage to not apply. Where, as here, the

statutory language is plain and unambiguous, we may not depart from it by reading in

exceptions, limitations, or conditions that the legislature did not express, nor may we add

provisions not found in the law. See Rosenbach, 2019 IL 123186, ¶ 24. There is no statutory

basis to deny uninsured-motorist coverage to Merx where she occupied an unowned vehicle

that was not furnished or available for her regular use, and Motley was an uninsured motorist.

¶ 36 The cases Direct Auto relies on are distinguishable from the instant matter. In Goldstein,

the insured was operating his riding lawnmower on a street when he was struck and killed by

a minimally insured driver. Goldstein, 2016 IL App (1st) 140317, ¶ 3. He had, among other

automobile insurance, a policy with the defendant insurance company containing

underinsured-motorist coverage. Id. The defendant denied coverage under the owned-vehicle

exclusion in the policy, which excluded coverage for bodily injury sustained “ ‘by an “insured”

while “occupying” *** any motor vehicle owned by that “insured” which is not insured for

this coverage under this policy.’ ” Id. ¶ 4. In granting summary judgment in favor of the

defendant, the trial court found that the riding lawnmower was a “motor vehicle” under the

Vehicle Code and that the 1995 amendment to section 143a of the Insurance Code, which

permitted the owned-vehicle exclusion in uninsured-motorist coverage, also applied to

underinsured-motorist coverage. Id. ¶ 6. The appellate court affirmed, observing that the 1995

amendment “allow[ed] insurers to exclude unnamed owned vehicles from uninsured-motorist

coverage” (id. ¶ 23) and concluded that there was no reason to treat underinsured-motorist

coverage differently (id. ¶ 26).

¶ 37 The Goldstein court reiterated that the purpose of uninsured-motorist coverage is to place

the insured “in substantially the same position he would occupy if he were injured or killed in

an accident where the party at fault carried the minimum liability coverage” (id. ¶ 21), yet it

recognized that the 1995 amendment to section 143a “meant that the insured would no longer

be placed in the same position as if the wrongdoer carried the minimum insurance coverage”

(id. ¶ 23). Direct Auto seizes on this statement and suggests that the 1995 amendment wholly

upended the public policy behind the uninsured-motorist statute such that any limitation to

uninsured-motorist coverage is permissible and does not violate public policy. Direct Auto

reads Goldstein’s public policy statements far too broadly. We note that, while it draws our

attention to Goldstein’s statement that “[t]he legislature chose to override the public policy

behind the uninsured-motorist statute,” Direct Auto conveniently neglects to include the words

that directly follow—“as to this exclusion.” See id. “This exclusion,” of course, refers to the

owned-vehicle exclusion at issue in Goldstein and, more importantly, the subject of the 1995

amendment. Goldstein demonstrates that the 1995 amendment allows automobile insurers to

exclude both uninsured- and underinsured-motorist coverage for owned vehicles not listed in

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the policy. The 1995 amendment did not obliterate the public policy behind uninsured-motorist

coverage, as Direct Auto suggests but, rather, carved out an exception for so-called “unnamed

owned-vehicles,” or a vehicle that is not described in the policy, yet is “owned by, or furnished

or available for the regular use of the insured, a resident spouse or resident relative *** or is

not a newly acquired or replacement motor vehicle covered under the terms of the policy.” As

stated above, this exception is not implicated in the instant matter. The exclusion at issue here

does not bar coverage for unnamed vehicles owned by the insured, as was the case in Goldstein,

but, rather, excludes coverage for all vehicles, whether owned by the insured or not, other than

Merx’s 2012 Chevrolet Sonic. There is simply no “owned” vehicle at issue in the case at bar

because Merx was injured while riding in a vehicle owned and operated by a third party. For

this reason, Direct Auto’s reliance on Goldstein is misdirected.

¶ 38 Further evidence that the public policy underpinning the uninsured-motorist statute

remains intact following the 1995 amendment can be found in numerous cases published post-

1995, all of which continue to state that the public policy behind uninsured-motorist coverage

is to place the insured in substantially the same position he or she would occupy had the party

at fault carried liability insurance in at least the amount required by law. See Thounsavath,

2018 IL 122558, ¶ 25; Phoenix Insurance Co., 242 Ill. 2d at 57; Rosenberg, 312 Ill. App. 3d

at 107. Even Goldstein, upon which Direct Auto principally relies, makes this clear. See

Goldstein, 2016 IL App (1st) 140317, ¶ 21.

¶ 39 The other cases Direct Auto relies on―Rosenberg, 312 Ill. App. 3d 97, and Cohs, 329 Ill.

App. 3d 930―are likewise distinguishable. In Rosenberg, the policy endorsement defined an

“insured” for purposes of uninsured-motorist coverage as (1) “you,” meaning the incorporated

retirement village that had taken out the business automobile insurance policy for its lone

vehicle, and (2) “ ‘[i]f you are an individual, any “family member.” ’ ” Rosenberg, 312 Ill.

App. 3d at 99. The policy defined “family member” as “ ‘a person related to you by blood,

marriage[,] or adoption who is a resident of your household, including a ward or foster child.’ ”

Id. The decedent was a resident of the retirement village and was struck and killed as a

pedestrian by an uninsured motorist. Id. at 98. The appellate court affirmed the trial court’s

dismissal of the complaint, reasoning that because the defendant was a corporation, not an

individual, and corporations cannot have family members (id. at 101-02), the “family member”

provision was not triggered (id. at 101) and thus the decedent was not an “insured” under the

uninsured-motorist policy. Direct Auto’s reliance on the rejection of the public-policy

argument advanced by the plaintiff in Rosenberg simply misses the mark because, unlike in

the instant case, the plaintiff there did not satisfy the definition of an “insured,” and public

policy did not warrant extending uninsured-motorist coverage to someone who did not meet

that definition. Here, it is uncontested that Merx was an “insured” under the policy. Indeed,

Merx just as easily could have cited Rosenberg for the proposition that “courts are obliged ***

to ensure that individuals insured by uninsured motorist policies receive that coverage when

injured by uninsured motorists.” Rosenberg, 312 Ill. App. 3d at 107.

¶ 40 In Cohs, an underinsured-motorist policy endorsement defined an “insured” as (1) “[y]ou,”

meaning the plaintiff’s corporate employer and (2) “ ‘[a]nyone else “occupying” a covered

“auto” or a temporary substitute for a covered “auto.” ’ ” Cohs, 329 Ill. App. 3d at 932. The

policy defined “occupying” as “ ‘in, upon, getting in, on, out or off.’ ” Id. The plaintiff was

working some 12 feet away from the insured vehicle when he was struck by an underinsured

motorist. Id. at 930-31. The First District upheld the definition of the term “insured” under the

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underinsured-motorist provision, even though that definition was narrower than the definition

under the liability coverage in the same policy, 3 and it concluded that the term neither was

unduly restrictive nor violated section 143a. Id. at 937. As such, the court held that the plaintiff

was not an “insured” under the policy because he did not occupy the vehicle at the time of the

accident. Id.

¶ 41 Both Rosenberg and Cohs hinged on whether the injured party fell within the definition of

an “insured” under the policies at issue. This determination was critical to the resolution of

those cases because “[n]either the statute nor the case law places any restriction on the right of

the parties to an insurance contract to agree on which persons are to be the ‘insureds’ under an

automobile insurance policy.” Thounsavath, 2018 IL 122558, ¶ 31. Once someone qualifies as

an insured under an automobile insurance policy, however, “the statute and case law become

applicable and prohibit an insurance company from either directly or indirectly denying

uninsured-motorist coverage to an ‘insured.’ ” Phelan, 59 Ill. 2d at 395. Here, again, it is

uncontested that Merx is an “insured” under the Direct Auto policy.

¶ 42 Because Merx unquestionably constituted an “insured” at the time of the June 18, 2015,

accident, uninsured-motorist coverage extends to her under the policy’s liability provisions.

To deny uninsured-motorist coverage to Merx simply because she did not occupy her insured

automobile at the time of the accident, for which Direct Auto advocates, would contravene

public policy and the legislative purpose behind section 143a of the Insurance Code by

foreclosing her from being placed in substantially the same position she would have occupied

had she been injured in an automobile accident where the party at fault carried the legal

minimum amount of liability coverage. Accordingly, the trial court acted properly in granting

judgment on the pleadings in favor of Merx and denying Direct Auto’s motion for summary

judgment.

¶ 43 III. CONCLUSION

¶ 44 For the reasons stated, we affirm the circuit court’s orders granting judgment on the

pleadings in favor of Merx and denying Direct Auto’s motion for summary judgment.

¶ 45 Affirmed.

3

We note that a different panel of the First District declined to follow Cohs regarding a similar

issue, holding that the term “insured” had to be defined the same way for uninsured and underinsured

coverage because the use of different definitions contravened the intent of the Insurance Code. Schultz

v. Illinois Farmers Insurance Co., 387 Ill. App. 3d 622, 629 (2009); see also DeSaga v. West Bend

Mutual Insurance Co., 391 Ill. App. 3d 1062, 1068-70 (2009).

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This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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