Ill. High Court's Rescission Ruling A Warning For Firms
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Ill. High Court's Rescission Ruling A Warning For Firms By Jeff Sistrunk Law360, Los Angeles (February 25, 2015, 6:12 PM ET) The Illinois Supreme Court's recent ruling that the “innocent insured” doctrine couldn't prevent an insurer from using rescission to terminate a law firm's malpractice policy strengthened the defense for insurers and showed that firms need to be on guard against material misrepresentations on malpractice policy applications, attorneys say. In a 61 decision, the state high court said the innocent insured doctrine doesn’t apply to rescission and contract formation, overturning an appellate panel’s ruling that maintained legal malpractice coverage for Will Terpinas Jr., a Chicagoarea lawyer. Terpinas’ partner, Sam Tuzzolino, allegedly lied to Illinois State Bar Association Mutual Insurance Co . when renewing the policy by saying he was unaware of any potential malpractice claims against their firm. Under the innocent insured doctrine, parties covered by an insurance policy can keep their coverage if they were unaware that the policy was obtained or renewed through deception. The majority of the court said the doctrine has mostly been wielded in cases that involve enforcement of policy exclusions, typically for intentional acts committed by an insured who isn't challenging the exclusion. Conversely, the doctrine appears irrelevant in the context of the rescission of an insurance policy, "a recognized remedy for even innocent misrepresentations," the majority said. "As ISBA Mutual correctly notes, [the innocent insured] doctrine is relevant to issues of policy exclusions and insurance coverage, but it is unsuited to the case at bar, which deals with rescission and contract formation," Justice Charles E. Freeman wrote for the majority.
Clausen Miller PC partner Thomas H. Ryerson called the holding "a longoverdue proinsurance industry opinion." "This kind of an opinion should embolden the insurance industry to stand up for the integrity of the application process," Ryerson said. "The foundation of any contract is that both parties are dealing in good faith. If the actual formation of that contract was not made in good faith by the policyholder, the insurance companies should be encouraged to stand up for their rights and the public's rights." In the case, ISBA Mutual said Tuzzolino concealed the fact that he was facing a legal malpractice claim when he renewed his firm's malpractice policy with the company in May 2008. A month later, Terpinas discovered that Tuzzolino and the firm, the Skokie, Illinoisbased Law Office of Tuzzolino and Terpinas, had been named in a malpractice suit. ISBA Mutual sued in state court and won summary judgment orders that rescinded the entire policy for both Tuzzolino and Terpinas. An appellate court panel reversed, saying that the innocent insured doctrine protects an innocent coinsured even if a misrepresentation was made when the policy was formed. The Illinois Supreme Court rejected that holding, agreeing with ISBA Mutual that Section 154 of the state's insurance code allows complete rescission of a policy when a misrepresentation materially affects the acceptance of risk by the insurer. Laura Foggan, chair of Wiley Rein LLP's insurance appellate group, said the ruling is important because it "informs the basic principles of the rescission defense" and "reflects basic concepts of how rescission works."
"The focus is on the formation of the contract and effect of the misrepresentation, not the application of the innocent insured idea," Foggan said. Justice Thomas L. Kilbride said in a dissenting opinion that he would have applied the innocent insured doctrine in the case, writing that "Terpinas had a reasonable expectation that he maintained professional liability insurance based on his history with ISBA Mutual and his lack of culpability in the misrepresentation." The judge added that he was "troubled by the scope of consequences" that the decision would have on other law firms, especially midsize and large firms. "Under the majority’s view, a material misrepresentation on an insurance application could cause rescission of the policy as to each and every attorney, despite their reasonable expectations of continued professional liability insurance coverage," Justice Kilbridge wrote. Ryerson said midsize and large firms should take note and ensure they conduct adequate due diligence. "Responsible law firms poll their partners annually, asking for real or potential malpractice claims," Ryerson said. "If anything, this sends a message to law firms to upgrade their internal polling and due diligence processes." Attorneys also say law firms can avert Terpinas' fate by negotiating more specific severability clauses than the one in the ISBA Mutual policy to ensure that a material misrepresentation on the policy application is only imputed to individuals with knowledge of the misrepresentation. In addition, insureds may be able to negotiate language establishing that a policy isn't rendered completely void by a misrepresentation. "These days, lawyers' malpractice policies are being written with much more specific, nuanced severability provisions, that create a baseline of information for the insurer to
accurately underwrite the risk," said Goldberg Segalla LLP partner Jonathan Schwartz. "More specifically, these policies tie the innocent insured doctrine to the knowledge of certain people within the law firm." Indeed, the issues in the case could have been resolved if the policyholders had negotiated policy terms regarding misrepresentations in applications up front, said Sherilyn Pastor, the practice group leader for McCarter & English LLP's insurance coverage group. Another aspect of the ruling that policyholders can take as a "glimmer of hope" is that the court made it "very clear" that it was applying the ruling in the context of a situation where there is an actual intent to deceive as opposed to a negligent misrepresentation, Pastor said. Perkins Coie LLP partner Eric Barber pointed out that the malpractice claim arising from Tuzzolino's conduct related directly to Tuzzolino's misrepresentation on the policy. "That allows the court to avoid discussing materiality and sweep aside public policy in favor of strict contract interpretation," he said. "Materiality of a misrepresentation will be a key issue in most rescission cases, and we do not know how the court would have decided this case if, say, Terpinas had noticed his own completely unrelated malpractice claim. That may not have been material and, further, the public policy rationale would certainly have gotten larger consideration." Because intentionality doesn't matter under the law when it comes to rescission for certain misrepresentations, "you have to worry about insurance companies that bring rescission cases," Barber said. "That is, even if you made an innocent but material misrepresentation, is that insurer going to eviscerate coverage for the law firm or professional services firm?" he said. "That is an important question law firms need to think very carefully about in purchasing insurance."
Editing by John Quinn and Brian Baresch.
You can also read