WHO IS PRIMARY INSURER IN PIZZA DELIVERY ACCIDENT?
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WHO IS PRIMARY INSURER IN PIZZA DELIVERY ACCIDENT?

Commercial Auto

Primary Versus Excess Coverage

Notice Of Lawsuit

 

While delivering pizza for his employer, Pizza Nova on January 22, 1999, Francisco Araujo (Araujo) struck and injured a pedestrian, Luz Mendez. Araujo was driving his father's car, which was insured by Universal Casualty Company (Universal). Progressive Insurance Company (Progressive) insured Pizza Nova. The Progressive policy insured any automobiles used in the course of Pizza Nova's business that it did not own.

 

On January 17, 2001, Mendez filed a complaint naming Araujo and Pizza Nova as defendants but Mendez was unable to serve the Araujos with process regarding the lawsuit. On May 1, 2001, Progressive settled the case with Mendez for $57,500. Progressive then filed a complaint for declaratory judgment, requesting a finding that Universal was the primary insurer of the car and that Progressive was an excess insurance carrier. Under this theory, Progressive sought reimbursement of the $57,500. Universal denied any obligation to reimburse Progressive, claiming its duty to defend the lawsuit never arose because it never received notice of the lawsuit.

 

The trial court granted summary judgment in favor of Progressive and Universal appealed.

 

On appeal, the primary issue was whether Universal had actual notice of the underlying action. However, as a preliminary matter, the Appellate Court of Illinois evaluated several technical aspects of the case. It first determined that Pizza Nova was the insured party under the Universal policy because the policy language included "any other person or organization legally responsible for the use of . . . any owned automobile." Next, the court evaluated the language of the Progressive policy to determine whether Progressive was a true excess insurer. To reach this conclusion, it was necessary for the court to find the existence of primary coverage. Progressive's policy provided "For any covered 'auto' you don't own, the insurance provided by this Coverage Form is excess over any other collectible insurance." Thus, to find a primary insurer it was necessary to determine whether Universal's insurance coverage was "collectible." Universal argued that its coverage was not collectible because the insured did not comply with certain conditions necessary to trigger coverage. Progressive argued that Universal could not assert such an argument (i.e., it was "estopped" from doing so) because it improperly refused to defend the insured in the underlying lawsuit. Universal claimed it never received notice of the lawsuit in the first place and whether Universal had actual notice of the underlying action was the key question in the case.

 

The parties provided conflicting evidence regarding the issue of notice. Progressive provided a copy of a letter from Mendez's attorney to Universal stating he had been retained by Mendez to represent her, a copy of a letter from a Universal claims representative acknowledging receipt of the attorney's letter, and copies of two letters from Progressive to Universal referencing the Mendez matter. Progressive also provided an affidavit of an officer of the company stating that the existence of the lawsuit was communicated to Universal. Universal submitted an affidavit in which an officer of the company stated Universal knew of the Mendez matter but not of the lawsuit itself. Because this evidence was in conflict, the court reversed the trial court's grant of summary judgment in favor of Progressive and remanded the cause to the trial court for further consideration.

 

Progressive Insurance Company v. Universal Casualty Company-No. 1-03-1445-Appellate Court of Illinois, First District, First Division-March 15, 2004-807 North Eastern Reporter 2d 577