Direct Auto Insurance Co. v. Reed , 76 N.E.3d 85 ( 2017 )


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  •                                     
    2017 IL App (1st) 162263
    FIRST DIVISION
    March 27, 2017
    No. 1-16-2263
    DIRECT AUTO INSURANCE COMPANY,                              )
    )
    Plaintiff-Appellant,                                 )
    )               Appeal from the
    v.                                                          )               Circuit Court of
    )               Cook County.
    ANGELA M. REED, LUCRETIA RAWLES,                            )
    FELECIA COOKE, JANET GIBSON, MALAKIA                        )               No. 14 CH 11051
    WINTERS, and ERIE INSURANCE COMPANY,                        )
    )               Honorable
    Defendants                                           )               Peter Flynn,
    )               Judge Presiding.
    (Lucretia Rawles, Felecia Cooke, Janet Gibson,              )
    Malakia Winters, and Erie Insurance Company,                )
    Defendants-Appellees).                                      )
    JUSTICE MIKVA delivered the judgment of the court, with opinion.
    Presiding Justice Connors and Justice Simon concurred in the judgment and opinion.
    OPINION
    ¶1     The plaintiff insurance company in this case sought a declaration that it had no duty to
    provide coverage in connection with a motor vehicle accident because its insured, the driver of
    one of the vehicles, breached the cooperation clause in the insurance policy. The insured failed to
    appear at a mandatory arbitration hearing held in the underlying personal injury and insurance
    subrogation litigation, resulting in an order debarring her from rejecting an unfavorable
    arbitration award. At the close of the insurance company’s case-in-chief in this coverage dispute,
    the defendants moved for a judgment in their favor. The circuit court granted their motion,
    No. 16-2263
    finding that although the company had made a prima facie showing that the insured had willfully
    refused to cooperate, the company had failed to present sufficient evidence to make a prima facie
    case that it suffered substantial prejudice as a result of her breach of the cooperation clause.
    ¶2     For the reasons that follow, we affirm the judgment of the circuit court.
    ¶3                                        BACKGROUND
    ¶4     A brief discussion of the rules governing mandatory, court-annexed arbitration is needed
    to provide context for the proceedings in this case. Pursuant to Illinois Supreme Court Rules,
    certain civil actions are subject to mandatory arbitration before a panel of three arbitrators. Ill. S.
    Ct. R. 86 (eff. Jan. 1, 1994); R. 87 (eff. Feb. 1, 2007). Following the arbitration hearing, the
    panel makes an award, disposing of all claims for relief. Ill. S. Ct. R. 92(b) (eff. Jan. 1, 1994).
    The award is generally not binding; any party present at the arbitration hearing may file a notice
    of rejection of the award within 30 days and proceed to trial. Ill. S. Ct. R. 93(a) (eff. Jan. 1,
    1997). Although a party who is represented at the arbitration hearing by counsel but who does
    not personally appear does not waive the right to reject the award (Hinkle v. Womack, 303 Ill.
    App. 3d 105, 111 (1999)), the circuit court may still, in its discretion, debar any party from
    rejecting the arbitrators’ award if that party’s failure to personally appear at the arbitration
    constituted a failure, under Rule 91(b), “to participate in good faith and in a meaningful manner”
    (Martinez v. Gaimari, 
    271 Ill. App. 3d 879
    , 883 (1995); Ill. S. Ct. R. 91(b) (eff. June 1, 1993)).
    ¶5     On October 31, 2010, defendant Angela Reed, a motorist insured by plaintiff Direct Auto
    Insurance Company (Direct Auto), was making a left turn when her vehicle collided with another
    vehicle travelling in the opposite direction. Following the accident, three lawsuits were filed
    against Ms. Reed by Lucretia Rawles, Felicia Cooke, Janet Gibson, Malakia Winters, and Erie
    Insurance Company (collectively, claimants) in the Circuit Court of Cook County (the
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    underlying litigation). Those cases were consolidated and jointly arbitrated on March 18, 2014.
    Although Ms. Reed was represented by counsel at the arbitration hearing, she did not personally
    attend. An award was made against her and, at the request of one of the other parties, the circuit
    court entered an order debarring her from rejecting the award. Although it is unclear from the
    record before us what the specific basis for the debarring order was, that order is not challenged
    in this appeal, and the parties do not dispute that it was entered because of Ms. Reed’s failure to
    personally attend the hearing.
    ¶6     On July 2, 2014, Direct Auto filed this action for declaratory judgment (the coverage
    action), seeking a declaration that it had no duty to provide coverage because Ms. Reed breached
    the cooperation clause of her policy with Direct Auto, which states:
    “6. Assistance and Cooperation of the Insured. The insured
    shall cooperate with the Company and, upon the Company’s
    request or through attorneys selected by the Company, provide
    recorded statement(s); an examination under oath; attend hearings
    and trials; assist in making settlements, securing and giving
    evidence, obtaining the attendance of witnesses and in the conduct
    of any legal proceedings in connection with the subject matter of
    this insurance. ”
    In its complaint, Direct Auto alleged that Ms. Reed was informed of, but failed to attend, the
    arbitration in the underlying litigation and, as a result, was debarred from rejecting the award
    entered in her absence. Direct Auto further alleged that it was prejudiced by Ms. Reed’s actions
    because it “was not able to present any defense of [Ms. Reed] at arbitration, nor was [it] able to
    reject the arbitration award.”
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    ¶7     A default judgment was ultimately entered against Ms. Reed in the coverage action for
    her failure to file an amended answer to replace her initial pro se answer. The case was then
    scheduled for trial with the remaining defendants (claimants), and a bench trial began on June
    28, 2016. Direct Auto presented the testimony of two witnesses: claims manager Michael Torello
    and insurance defense attorney Shawn Swope.
    ¶8     According to a bystander’s report of the proceedings, Mr. Torello testified that he had
    been working as a claims manager for Direct Auto for eight years. He stated that Ms. Reed and
    her husband were insured drivers under a Direct Auto policy requiring their cooperation in the
    event of an accident or claim, which included their assistance in the defense of a lawsuit. Mr.
    Torello understood that Ms. Reed had cooperated in the defense of the underlying litigation prior
    to the arbitration hearing by answering written discovery and by sitting for a deposition.
    However, Ms. Reed did not attend the arbitration, and judgment was entered against her on the
    arbitration award.
    ¶9     Mr. Torello testified that the attorney assigned to defend Ms. Reed in the underlying
    litigation filed a notice of rejection of the arbitration award that was met by a motion to debar
    rejection. Ms. Reed’s response to the motion to debar rejection included affidavits by her and her
    husband, stating that they had spoken with an employee of Direct Auto named Shirley who told
    them that Ms. Reed did not need to attend the arbitration. Mr. Torello testified that, although
    Direct Auto employed an individual named Shirley in its underwriting department, Shirley
    “would not have contact with insureds regarding lawsuits” and “would not have told [Reed and
    her husband] that because she d[id] not know.” According to Mr. Torello, once matters are
    assigned to defense counsel, Direct Auto does not communicate directly with its insureds.
    ¶ 10   Mr. Torello acknowledged that he did not attend the arbitration hearing, did not know
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    what evidence was submitted or what arguments were made at the hearing, and did not know the
    name of the attorney who represented Ms. Reed at the hearing.
    ¶ 11   Direct Auto also introduced the evidence deposition of Shawn Swope, the insurance
    defense attorney it retained to defend Ms. Reed in the underlying litigation. Although he
    acknowledged that he was not the lawyer who represented her at the arbitration, Mr. Swope
    identified himself as the person at his office most knowledgeable about the file for Ms. Reed’s
    defense in the underlying litigation. His recollection of the case, upon being shown several
    documents filed in the underlying litigation, was that it involved “[o]ne driver allegedly making
    a left turn failing to yield” and “[t]he other driver speeding, driving erratically, [and] failing to
    yield.” He stated that there was “definitely” a liability defense for Ms. Reed to assert in the
    underlying litigation. Although Mr. Swope stated that his understanding of the case was
    consistent with information that Ms. Reed provided his office, he could not recall whether that
    information was considered before an answer was filed on Ms. Reed’s behalf that included
    affirmative defenses and counterclaims for contributory negligence:
    “Q. *** [Y]ou testified earlier that your office prepared an
    answer to the complaint; is that correct?
    A. I haven’t seen it, but I’m sure, yeah.
    Q. And Miss Reed would have assisted you in preparing
    that answer?
    A. Probably if I could get ahold [sic] of her before I did it.
    Sometimes if I can’t get ahold [sic] of them, I look at the
    pleadings, case notes. It depends on how quickly I have to get stuff
    on file. *** In this case, I really don’t remember one way or the
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    other.”
    The answer and affirmative defenses themselves are not a part of the record in this case.
    ¶ 12   Mr. Swope further testified that his office “presumably” would have received
    interrogatories directed to Ms. Reed in the underlying litigation, prepared draft responses, and
    then forwarded those on to Ms. Reed to fill in any missing information. When asked if Ms. Reed
    signed interrogatories and gave a deposition in the underlying litigation, Mr. Swope stated: “I
    believe so. I have no personal knowledge of that because I don’t think I did the dep[osition].”
    Aside from her failure to attend the arbitration hearing, Mr. Swope testified that he was not
    aware of any issues regarding Ms. Reed’s cooperation with his office, either before or after the
    hearing.
    ¶ 13   Mr. Swope testified that when a client’s case is scheduled for arbitration, it is his office’s
    standard practice to immediately call the client and send a written notice, followed by a second
    telephone call as the hearing draws near to confirm that the client will attend. Mr. Swope stated
    that he did not personally call Ms. Reed but stated that it was “probably” one of his paralegals.
    He did not know exactly when a letter was sent to Ms. Reed regarding the arbitration hearing but
    guessed that it was done shortly after the hearing was scheduled. Prior to the arbitration hearing,
    Mr. Swope had no concerns regarding Ms. Reed’s attendance. According to Mr. Swope, Ms.
    Reed spoke to him after the arbitration hearing and acknowledged that she had received a
    confirmatory telephone call from his office prior to the hearing.
    ¶ 14   Mr. Swope stated that Ms. Reed was represented at the arbitration hearing by a former
    associate from Mr. Swope’s office whose name he could not recall. Mr. Swope did not attend the
    hearing and had no firsthand knowledge of what testimony was provided or whether any other
    witnesses besides Ms. Reed could have provided testimony in Ms. Reed’s defense. As far as he
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    knew, no subpoenas for third-party witnesses were issued by his office. It was nevertheless Mr.
    Swope’s belief that Ms. Reed’s absence affected his office’s ability to defend her in the
    underlying litigation:
    “Q. Okay. And in this case would it be fair to assume that
    in order to defend Angela Reed at that arbitration you would have
    had to have her attendance and appearance?
    A. That’s true. Yes.”
    Mr. Swope further suggested that Ms. Reed’s absence at the arbitration hearing also could have
    affected his office’s ability to challenge the damages asserted by the claimants in the underlying
    litigation:
    “Q. *** Now, Miss Reed’s failure to appear at the
    arbitration that would in no way have prevented your attorney who
    was there from contesting damages, correct?
    A. Not exactly correct, no. You still have to contest the
    damages, but your client can offer stuff like admissions made by a
    party opponent, how they acted at the scene, whether they had any
    visible injuries, sorts of stuff like that which does go to injury.”
    ¶ 15    Mr. Swope testified that his office filed a response on behalf of Ms. Reed to the motion to
    debar her from rejecting the arbitration award. Attached to the response were affidavits signed by
    Ms. Reed and her husband that Mr. Swope prepared following a conversation he had with them
    after the arbitration hearing. In her affidavit, Ms. Reed explained that, after receiving calls and a
    letter from her attorneys telling her to appear at the arbitration, she and her husband called Direct
    Auto—as they did any time they received mail or notices relating to the accident—to confirm
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    what they should do. According to Ms. Reed, on March 5, 2014, her husband spoke to someone
    named “Shirley” who told him that Ms. Reed did not have to attend the arbitration hearing. Ms.
    Reed stated in the affidavit: “Otherwise, I would have been there and testified and cooperated,
    and I would have told my side of the story.”
    ¶ 16   Following Direct Auto’s case-in-chief, defendants filed a motion for a judgment in their
    favor pursuant to section 2-1110 of the Code of Civil Procedure (Code) (735 ILCS 5/2-1110
    (West 2014)). According to the bystander’s report of the court’s oral ruling on the motion, the
    court initially found that Direct Auto had made a prima facie showing that Ms. Reed had
    willfully refused to cooperate, “but had failed to show that it was substantially prejudiced in
    defense of the arbitration hearing.” The bystander report states: “In making this determination
    the Court indicated, in its view, Mr. Torello’s testimony contributed nothing to the issues to be
    determined.”
    ¶ 17   The circuit court then “analyzed further,” concluding first that “Direct [Auto] was
    substantially prejudiced by the debarring order, which occurred solely because of [Ms.] Reed’s
    failure to appear at the arbitration,” and denying defendants’ motion. When trial resumed the
    next day, on June 29, 2016, defendants asked the circuit court to reconsider its finding that Direct
    Auto was prejudiced in light of this court’s opinion in United Automobile Insurance Co. v.
    Buckley, 
    2011 IL App (1st) 103666
    . The circuit court reviewed Buckley, agreed to reconsider its
    ruling, and granted the defendants’ motion, concluding that “based on its reading of Buckley,
    substantial prejudice could not be shown simply by the entry of a debarring order in the
    underlying case.”
    ¶ 18   The circuit court entered judgment in defendants’ favor on June 29, 2016, stating in its
    written order that, “consistent with [Buckley], plaintiff failed to show substantial prejudice.”
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    Direct Auto filed a motion to vacate the judgment, which the circuit court denied on July 20,
    2016.
    ¶ 19                                    JURISDICTION
    ¶ 20    Defendants timely filed their notice of appeal in this matter on August 16, 2016. We
    therefore have jurisdiction pursuant to Illinois Supreme Court Rules 301 and 303 governing
    appeals from final judgments entered below. Ill. S. Ct. R. 301 (eff. Feb. 1, 1994); R. 303 (eff.
    Jan. 1, 2015).
    ¶ 21                                      ANALYSIS
    ¶ 22    On appeal, Direct Auto argues that the circuit court erred in finding that it had not
    demonstrated substantial prejudice through Mr. Swope’s evidence deposition and that it
    misapplied Buckley and improperly granted defendants’ motion for judgment in their favor
    pursuant to section 2-1110 of the Code (735 ILCS 5/2-1110 (West 2014)). Direct Auto insists
    that it was substantially prejudiced by Ms. Reed’s failure to attend the arbitration in the
    underlying litigation because it was hampered in putting on its defense and the resulting
    debarring order prevented Direct Auto from rejecting the arbitration award. In their joint
    response brief, the claimants argue that the circuit court did not err in applying Buckley or in
    granting defendants’ motion because Direct Auto failed to present sufficient evidence supporting
    a finding that it was substantially prejudiced by Ms. Reed’s failure to attend the arbitration
    hearing.
    ¶ 23    Section 2-1110 of the Code provides that a defendant in a non-jury case may, at the close
    of the plaintiff’s case-in-chief, move for a judgment in the defendant’s favor. 
    Id. In ruling
    on
    such a motion, the circuit court engages in a two-prong analysis. People ex rel. Sherman v.
    Cryns, 
    203 Ill. 2d 264
    , 275 (2003). “First, the court must determine, as a matter of law, whether
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    the plaintiff has presented a prima facie case,” which the plaintiff establishes by “proffering at
    least some evidence on every element essential to [the plaintiff’s underlying] cause of action.”
    (Internal quotation marks omitted.) 
    Id. If the
    plaintiff fails to meet this burden the motion should
    be granted and our review of that ruling is de novo. 
    Id. ¶ 24
      If, however, the court determines that the plaintiff has presented a prima facie case, it
    proceeds to the second prong of the inquiry. “In its role as the finder of fact,” the circuit court
    then weighs the evidence, assesses the credibility of witnesses, and determines what reasonable
    inferences may be drawn from the evidence as a whole. 
    Id. at 275-76.
    As our supreme court has
    noted, “[t]his weighing process may result in the negation of some of the evidence necessary to
    the plaintiff’s prima facie case, in which event the court should grant the defendant’s motion and
    enter judgment in his favor.” Kokinis v. Kotrich, 
    81 Ill. 2d 151
    , 155 (1980). If “sufficient
    evidence necessary to establish the plaintiff’s prima facie case remains following the weighing
    process, the court should deny the defendant’s motion and proceed as if the motion had not been
    made.” 
    Id. We will
    only reverse a circuit court’s ruling following this second-prong weighing
    process if it is against the manifest weight of the evidence. 
    Cryns, 203 Ill. 2d at 276
    . “A
    judgment is against the manifest weight of the evidence when an opposite conclusion is apparent,
    or when the findings appear to be unreasonable, arbitrary or not based upon the evidence.”
    Rhodes v. Illinois Central Gulf R.R., 
    172 Ill. 2d 213
    , 242 (1996).
    ¶ 25   The assistance and cooperation clause of an automobile insurance policy is designed to
    prevent collusion between the injured party and the insured. M.F.A. Mutual Insurance Co. v.
    Cheek, 
    66 Ill. 2d 492
    , 496 (1977). “While an insured has no duty to assist an insurer in any effort
    to defeat a proper claim for recovery,” pursuant to such provisions the insured must typically
    “disclose all facts within his knowledge and otherwise help the insurer determine coverage under
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    the policy.” Founders Insurance Co. v. Shaikh, 
    405 Ill. App. 3d 367
    , 374 (2010). Where, as here,
    an insurer has sought a declaration of no coverage based on the insured’s failure to cooperate, a
    prima facie case consists of two elements: a breach by the insured (i.e., a showing that the
    insurer “exercised a reasonable degree of diligence in seeking the insured’s participation” and
    “the insured’s absence was due to a refusal to cooperate”) and resulting substantial prejudice to
    the insurer. 
    Id. ¶ 26
       In Cheek, our supreme court explained the policy considerations underlying the latter
    requirement. 
    Cheek, 66 Ill. 2d at 500
    . Because automobile insurance policies are more than just
    private agreements between the parties who enter into them, but inure to the benefit of innocent
    third parties and the public in general, they should be construed to “ ‘afford to affected members
    of the public *** the maximum protection possible consonant with fairness to the insurer.’ ” 
    Id. at 501.
    Accordingly, there is no presumption of prejudice when an insurer attempts to invoke a
    policy’s cooperation clause. 
    Id. at 500.
    To avoid its responsibilities under the policy, an insurer
    must demonstrate that it was “substantially prejudice[d],” i.e., that it was “actually hampered in
    its defense by the violation of the cooperation clause.” 
    Id. at 499-500.
    ¶ 27    In this case, the circuit court’s ruling that Direct Auto established a prima facie case that
    Ms. Reed breached the cooperation clause of her policy is not challenged on appeal. The only
    issue for our consideration is whether Direct Auto presented sufficient evidence of substantial
    prejudice flowing from that breach to avoid a judgment in defendants’ favor.
    ¶ 28                                  A. Standard of Review
    ¶ 29    We initially address the parties’ disagreement regarding the applicable standard of review
    on appeal. Direct Auto contends that we should review the circuit court’s ruling de novo because,
    in finding that Direct Auto had not shown prejudice from Ms. Reed’s failure to cooperate, the
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    court never progressed beyond the first prong of its analysis under section 2-1110 of the Code—
    the purely legal question of whether at least some evidence was presented with respect to each
    element of Direct Auto’s claim. Claimants argue that a manifest weight standard is instead
    required because the circuit court did find that Direct Auto presented some evidence of
    prejudice, just not enough to meet its burden. Both parties are partially correct.
    ¶ 30      The circuit court ruled on the element of prejudice three times. It first concluded that
    Direct Auto “failed to show it was substantially prejudiced in defense of the arbitration hearing.”
    It appears from the bystander’s report that the court considered the testimony presented on this
    issue. This evidence included the live testimony of Mr. Torello and also the evidence deposition
    of Mr. Swope. The bystander’s report does not include any statement by the circuit court other
    than that the court found that Direct Auto “had failed to show it was substantially prejudiced in
    its defense of the arbitration hearing,” and that “[i]n making this determination, the Court
    indicated, in its view, Mr. Torello’s testimony contributed nothing to the issues to be
    determined.” In context, it is clear that this first ruling by the circuit, was based on a weighing of
    Direct Auto’s evidence and a finding by the court that the evidence was insufficient to sustain
    Direct Auto’s burden. Because this was a weighing of evidence by the circuit court, we will only
    reverse the court’s ruling if it was against the manifest weight of the evidence. 
    Cryns, 203 Ill. 2d at 276
    .
    ¶ 31      The court then reconsidered its ruling twice, first determining that Direct Auto was
    prejudiced by the debarring order itself and then, based on its reading of Buckley, that
    “substantial prejudice could not be shown simply by the entry of a debarring order in the
    underlying case.” (Emphasis added.) These second two rulings were both based on conclusions
    of law, and the last ruling effectively cancelled out the previous one. On appeal, we are left with
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    the legal issue of whether the debarring order itself was sufficient to show substantial prejudice.
    On this legal issue, our review is de novo.
    ¶ 32   Reversal of the circuit court order would be proper if Direct Auto made a sufficient
    showing of substantial prejudice, either by the impact of Ms. Reed’s absence at the arbitration
    itself or by virtue of the debarring order. Accordingly, we will consider the legal issue of whether
    the entry of a debarring order is sufficient to establish substantial prejudice and, if it is not,
    whether the circuit court’s finding that Direct Auto failed to present other sufficient evidence
    establishing that it was substantially prejudiced by Ms. Reed’s failure to attend the arbitration
    hearing was against the manifest weight of the evidence.
    ¶ 33                             B. Effect of the Debarring Order
    ¶ 34   Direct Auto’s primary argument on appeal is that the issuance of a debarring order,
    resulting from an insured’s failure to attend an arbitration hearing, establishes substantial
    prejudice to an insurer as a matter of law and the circuit court inappropriately construed this
    court’s decision in United Automobile Insurance Co. v. Buckley, 
    2011 IL App (1st) 103666
    , as
    holding otherwise. In Buckley, as in this case, the insured was involved in an automobile
    collision that resulted in civil litigation; an arbitration hearing was held, which the insured did
    not attend, and which resulted in an award in the injured party’s favor; the insured was debarred
    from rejecting the arbitrators’ award; and the insurer sought a declaration that it had no duty to
    provide coverage because the insured breached the assistance and cooperation provision of the
    policy by failing to attend the arbitration. 
    Id. ¶ 1.
    At the same time, the injured party brought
    garnishment proceedings against the insurer and the cases were consolidated.
    ¶ 35   The insured in Buckley, who had otherwise cooperated with the insurer, claimed that his
    failure to attend was inadvertent and that he believed the arbitration was on a different day. 
    Id. - 13
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    No. 16-2263
    ¶ 18. The coverage dispute proceeded to a bench trial and the circuit court rejected the insurer’s
    arguments against coverage. 
    Id. ¶ 22.
    On appeal, the insurer argued that it was prejudiced by the
    insured’s failure to appear at the arbitration hearing because it was deprived of the insured’s
    testimony regarding what he saw or experienced at the time of the collision. 
    Id. ¶ 53.
    We rejected
    that argument, concluding that the insurer failed to show that “it was dependent upon [the
    insured] for full and complete disclosure of the facts or preparation of the defense to [the
    underlying] personal injury suit.” 
    Id. ¶ 36
      The Buckley court was not called on to consider whether a debarring order, on its own,
    establishes substantial prejudice to an insurer as a matter of law. In fact, the court’s consideration
    of the debarring order in that case was limited to its rejection of an argument made by the insurer
    that the injured party who sought and obtained the debarring order because of the insured’s
    failure to attend the arbitration hearing was estopped from later arguing that the insured’s
    absence was not a breach of the policy’s cooperation clause. The conclusion implicit in the
    Buckley court’s analysis, however, is that a debarring order alone does not cause an insurer
    substantial prejudice. If the opposite were true, the court would have had no reason to consider,
    as it did at length, whether there was evidence of actual prejudice resulting from the insured’s
    failure to attend the arbitration hearing. Accordingly, the circuit court in this case did not
    necessarily misinterpret Buckley when, following its review of that case, it ultimately rejected
    Direct Auto’s argument in favor of a rule presuming the insurer is prejudiced whenever a
    debarring order is entered because an insured did not appear at the arbitration.
    ¶ 37   We now expressly hold, as the Buckley court seems to have implicitly concluded, that
    substantial prejudice to an insurer does not automatically flow from the issuance of a debarring
    order preventing the insured from rejecting an unfavorable arbitration award. A rule to the
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    contrary would not comport with the important policy considerations—stressed by our supreme
    court—that require an insurer to demonstrate actual, substantial prejudice from an insured’s
    breach of a cooperation clause. See 
    Cheek, 66 Ill. 2d at 499-500
    . This is by design a significant
    burden. Prejudice is more than a mere inconvenience but a “[d]amage or detriment to one’s legal
    rights.” Black’s Law Dictionary (10th ed. 2014). And some prejudice is not the same as
    substantial prejudice. Direct Auto has cited no authority for the proposition that prejudice from a
    debarring order may be presumed, and we decline to create a rule that would relieve insurers of
    the burden our supreme court saw fit to impose on them whenever they seek to rely on an
    insured’s breach of a policy’s cooperation clause as a defense to coverage.
    ¶ 38    In so holding, we do not foreclose the possibility that an insurer might, under the
    circumstances of a particular case, be able to demonstrate actual, substantial prejudice from the
    issuance of a debarring order itself. But such a showing must be based on evidence that the
    insured would have obtained a better result at the trial than the insured obtained at arbitration.
    Direct Auto offered no evidence in support of such a showing in this case and the law in Illinois
    is clear that actual prejudice will not be presumed from circumstances that merely create the
    potential for prejudice. See, e.g., American Access Casualty Co. v. Alassouli, 
    2015 IL App (1st) 141413
    , ¶¶ 22, 41-42 (holding insurer failed to prove substantial prejudice where insured refused
    to return any of the insurer’s calls but where the insurer also “failed to present any evidence ***
    suggest[ing] that [the insured] was not involved in the accident or that he was not liable”). 1
    ¶ 39             C. Substantial Prejudice from Ms. Reed’s Absence at Arbitration
    1
    Before moving on from this issue, we find it necessary to remind claimants that their extensive
    discussion of one of this court’s unpublished orders issued pursuant to Illinois Supreme Court Rule 23
    (eff. July 1, 2011) is improper. Rule 23(e) unambiguously provides that such orders “may not be cited by
    any party except to support contentions of double jeopardy, res judicata, collateral estoppel or law of the
    case.” Ill. S. Ct. R. 23(e) (eff. July 1, 2011).
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    ¶ 40   We move on to consider whether the circuit court’s ruling that Direct Auto failed to
    present sufficient evidence of substantial prejudice stemming from Ms. Reed’s failure to attend
    the arbitration hearing was against the manifest weight of the evidence. In doing so, we “will not
    substitute [our] judgment for that of the trial court on such matters as witness credibility, the
    weight to be given evidence, and the inferences to be drawn from the evidence.” In re An. W.,
    
    2014 IL App (3d) 130526
    , ¶ 55. Rather, “deference is given to the trial court as finder of fact
    because the trial court is in the best position to observe the conduct and demeanor of the parties
    and the witnesses and has a degree of familiarity with the evidence that a reviewing court cannot
    possibly obtain.” 
    Id. ¶ 41
      Direct Auto argues that its ability to mount a liability defense in this case was hampered
    by Ms. Reed’s absence because without her “there was no way to contradict the other driver’s
    version of the accident.” Direct Auto presented no testimony from anyone who attended the
    arbitration. Claimants argue that Mr. Swope, as a lawyer who was not present at the arbitration
    hearing, could never testify competently regarding how an insured’s absence impacted that
    proceeding. We need not decide whether that is so. It is sufficient to note that Mr. Swope’s
    evidence deposition revealed nothing about what testimony was expected from Ms. Reed at the
    arbitration hearing or how the absence of that testimony affected her defense in anything but a
    theoretical way. Mr. Swope had little to no contact with Ms. Reed prior to the arbitration hearing
    and could not remember if he even consulted with her before purportedly filing affirmative
    defenses and counterclaims based on the assertion that the other vehicle involved in the accident
    was “speeding and driving erratically.” On this record, the circuit court’s finding that Direct
    Auto failed to establish substantial prejudice from Ms. Reed’s absence at the arbitration hearing
    was not “unreasonable, arbitrary or not based upon the evidence” and the opposite conclusion is
    - 16 ­
    No. 16-2263
    not apparent. 
    Rhodes, 172 Ill. 2d at 242
    .
    ¶ 42   Mr. Swope also opined that Ms. Reed’s absence hampered Direct Auto’s ability to
    contest damages in the case because a “client can offer stuff like admissions made by a party
    opponent, how they acted at the scene, whether they had any visible injuries, sorts of stuff like
    that which does go to injury.” But again, Mr. Swope spoke in generalities and not specifics. His
    testimony did not establish that this client would have provided such testimony in this case.
    Indeed, just as in Buckley, Ms. Reed’s absence from the arbitration hearing did not in any way
    prevent her attorney from reviewing the injured parties’ medical records or challenging their
    claimed damages through cross-examination. See Buckley, 
    2011 IL App (1st) 103666
    , ¶ 53.
    Thus, even considering claims of liability and the assessment of damages separately, we cannot
    say that the circuit court’s finding that Direct Auto failed to show it was hampered in its defense
    by Ms. Reed’s absence was against the manifest weight of the evidence.
    ¶ 43   At argument, Direct Auto emphasized that, unlike in Buckley, the pleadings in this case
    demonstrate that whether Ms. Reed was liable was “always an open question.” That may be so,
    but it cannot be presumed from this that Ms. Reed’s presence at the arbitration hearing was
    necessary to Direct Auto’s defense of the claims against her. Indeed, although we do not rely on
    it as a basis for our holding, we also note that the transcript of Ms. Reed’s discovery deposition,
    which was attached as an exhibit to Mr. Swope’s evidence deposition, suggests that Ms. Reed
    would likely not have offered helpful testimony at the arbitration hearing. Although Ms. Reed
    testified at her deposition that, halfway through her left turn, she realized that the car coming at
    her from the other direction was traveling faster than she thought, she never testified that it was
    exceeding the speed limit or driving erratically. Ms. Reed also testified that, after the accident,
    when police and paramedics were on the scene, she did not hear anything that was said to the
    - 17 ­
    No. 16-2263
    passengers of her own car, did not know if there were passengers in the other car, did not know if
    the other driver received a ticket, and did not see if the other driver appeared impaired. Counsel
    for Direct Auto preserved an objection to the use of Ms. Reed’s deposition as hearsay, but there
    is no indication in the record that it obtained a ruling on that objection. In any event, we mention
    it here only because it demonstrates why the helpfulness of an insured’s testimony to the
    insurer’s defense cannot be presumed.
    ¶ 44   Direct Auto spends significant time arguing that this case is different than Buckley
    because the insured in that case never filed an answer denying the allegations in the underlying
    litigation and indeed admitted that he was at fault for the collision. 
    Id. Thus, we
    concluded in that
    case that the insured’s absence at the arbitration hearing could not have prejudiced the insurer
    with respect to a finding of liability. 
    Id. We agree
    with Direct Auto that the showing of prejudice
    is fact-specific and that evidence of the sort presented in Buckley—indicating that the insurer
    could not possibly have been prejudiced by the insured’s failure to attend the arbitration
    hearing—is not present in this case. However, the same result is warranted here as in Buckley.
    The burden was on Direct Auto to present sufficient evidence at trial, demonstrating that it was
    actually, substantially prejudiced by Ms. Reed’s absence. Direct Auto offered only speculative,
    nonspecific testimony from people who were not present at the hearing. For the reasons stated
    above, we cannot say that the circuit court’s determination that Direct Auto failed to meet that
    burden was against the manifest weight of the evidence.
    ¶ 45                                      CONCLUSION
    ¶ 46   For the foregoing reasons, we hold that (1) the circuit court did not err in ruling that a
    debarring order on its own does not, as a matter of law, establish the substantial prejudice that an
    insurer must demonstrate to obtain a declaration of no coverage based on an insured’s breach of
    - 18 ­
    No. 16-2263
    a policy’s cooperation clause and (2) the court’s ruling that Direct Auto failed to present
    sufficient evidence necessary to establish its a prima facie case that it was substantially
    prejudiced by Ms. Reed’s failure to attend the arbitration hearing in the underlying litigation was
    not against the manifest weight of the evidence.
    ¶ 47   Affirmed.
    - 19 ­
    

Document Info

Docket Number: 1-16-2263

Citation Numbers: 2017 IL App (1st) 162263, 76 N.E.3d 85

Filed Date: 3/27/2017

Precedential Status: Non-Precedential

Modified Date: 4/18/2021