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Insurance Claims professional presents articles and videos on insurance, insurance Claims and insurance law for insurance Claims adjusters, insurance professionals and insurance lawyers who wish to improve their skills and knowledge. Presented by an internationally recognized expert and author.
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March 22, 2022
Exclusion for Operating an Automobile Without a Reasonable Belief that he or she is Entitled to do So

Exclusion for Operating an Automobile Without a Reasonable Belief that he or she is Entitled to do So

Read the full article at https://www.linkedin.com/pulse/violating-term-graduated-license-eliminates-auto-zalma-esq-cfe and https://zalma.com/blog plus more than 4100 posts.

Posted on March 22, 2022 by Barry Zalma

United Equitable Insurance Company (UEI) sought and received a finding that it had no duty to defend, indemnify, or provide coverage in relation to an October 4, 2018, automobile accident. A defendant injured in the accident attempted to obtain benefits from the auto policy issued by UEI.

In United Equitable Insurance Company v. Cicely Calhoun, Individually and as Mother and Next Friend of Jadis Baker, a Minor; et al, No. 1-21-0525, 2022 IL App (1st) 210525, Court of Appeals of Illinois, First District, Third Division (March 9, 2022) the Court of Appeal resolved the dispute.
FACTS

On September 22, 2018, Cicely Calhoun was issued an automobile insurance policy by UEI, which covered her Chevrolet Impala. The policy listed both Calhoun and her 16-year-old son, Jadis Baker, who had been issued a graduated driver’s license days earlier, as operators of the vehicle. Less than two weeks later, on October 4, 2018, Baker was driving five passengers in the Impala, which had seatbelts for only a driver and four passengers, when Baker collided with a light pole.

Andre Robinson-Dock, one of the passengers in the vehicle at the time of the accident sued for personal injuries. Thereafter, UEI sued seeking declaratory judgment against Robinson-Dock and the other alleged passengers. UEI claimed that Baker held a graduated driver’s license and the graduated licensing statute prohibited Baker from operating a motor vehicle with more than one passenger under the age of 20, excluding siblings, step-siblings, children, or stepchildren of the driver. There were five passengers in Baker’s vehicle at the time of the collision, all of whom were under the age of 20 and not related to Baker. UEI further alleged that the Impala seated a driver and four passengers, and Baker was driving the vehicle in violation of the graduated licensing statute and the Illinois Vehicle Code, both of which prohibited him from operating the vehicle with more than one passenger in the front seat and more passengers in the back seats than the number of available safety belts.

Robinson-Dock generally admitted UEI’s allegations regarding Baker’s age and that he possessed a graduated license. Robinson Dock also admitted that the Impala seated a driver and four passengers and that Baker had five passengers in the Impala at the time of the accident. Additionally, Robinson-Dock admitted that the five passengers were under age 20 and that they were not related to Baker’s.

Robinson-Dock alleged that Baker was named in the policy as an operator, that he had a valid driver’s license, and that he had given Robinson-Dock permission to be present as a passenger at the time of the accident. Robinson-Dock claimed that, as a permissive user of the vehicle, he was an insured under the policy. He further alleged that denying coverage to him as a permissive passenger would violate public policy and, therefore, the reasonable belief exclusion was unenforceable against him.

UEI filed a motion for “prove-up,” requesting a default judgment against the defendants who had failed to appear, and further requesting summary judgment against Robinson-Dock. UEI argued that Robinson-Dock had admitted the facts necessary to find that Baker could not have had a reasonable belief that he was entitled to drive at the time of the accident, as he was driving in violation of the conditions placed on his graduated license.

The trial agreed with UEI and found “that … Jadis Baker was a 16-year-old driving a vehicle with a graduated driver’s license, subject to the driving restrictions contained in [the graduated driver’s license statute], and was driving 5 passengers all under the age of 20 years old, in a vehicle that only contained seatbelts for 4 passengers.”

The court entered summary judgment on the complaint in favor of UEI and against all defendants.

The policy provision at issue in this case is exclusion (h) of the policy’s liability coverage. It provides that the policy does not apply to provide liability coverage to “any person operating the owned automobile or a non-owned automobile without a reasonable belief that he or she is entitled to do so.”
DISCUSSION

Irrespective of whether a person owns the vehicle, or is a permissive user, without a valid license, a person cannot have a reasonable belief that he or she is entitled to drive in Illinois. Robinson-Dock argued, first, that summary judgment in favor of UEI should be reversed because “driving outside the parameters of a graduated driver’s license is not the equivalent of driving with no driver’s license.”

The graduated licensing statute provides conditions for the operation of a motor vehicle by a graduated license holder. The provisions in the graduated licensing statute are mandatory. The Court of Appeal concluded that the graduated licensing statute is a limited license that gives graduated license holders the right to drive, but only under the conditions outlined in the statute.

Since Robinson-Dock did not provide any factual support from which it could be determined that it would have been reasonable for Baker to believe that he could operate the vehicle at the time of the accident. Although Baker had a graduated license when Baker drove in violation of the conditions of his graduated driver’s license, he could not have had a reasonable belief that he was entitled to operate the vehicle.

The public policy at issue is explicitly set out by the Illinois legislature in the Graduated Licensing statute. Specifically, that “[t]he purpose of the Graduated Licensing Program is to develop safe and mature driving habits in young, inexperienced drivers and reduce or prevent motor vehicle accidents, fatalities, and injuries…” The graduated licensing program is intended to prevent young, graduated license holders from operating motor vehicles under conditions that increase the risk of accidents, like the one that occurred here. Had sixteen-year-old Baker complied with the statute the injuries would not have happened and, at best only he and one other would have been in the car when it hit a pole, proving the wisdom of the graduated license statute.

In sum, Baker held a graduated driver’s license, which provides conditions for the operation of a motor vehicle by a graduated license holder and he was operating the vehicle in violation of those conditions. Summary judgment was properly granted, and the policy’s reasonable belief exclusion barred coverage.
ZALMA OPINION

Illinois allowed Baker to have a limited license to operate an automobile in the graduated license statute. He knew, or should have known, that the license limited the right to drive an automobile. Since he was only entitled to move one passenger, not five, he could not reasonably believe he had a right to drive with five passengers. Six teenagers in a large vehicle are a priori unsafe as the public policy of the state. UEI did not agree to take such a major risk and that is why it wrote the exclusion into its policy.

(c) 2022 Barry Zalma & ClaimSchool, Inc.

Barry Zalma, Esq., CFE, now limits his practice to service as an insurance consultant specializing in insurance coverage, insurance claims handling, insurance bad faith and insurance fraud almost equally for insurers and policyholders. He also serves as an arbitrator or mediator for insurance related disputes. He practiced law in California for more than 44 years as an insurance coverage and claims handling lawyer and more than 54 years in the insurance business. He is available at http://www.zalma.com and [email protected].

Over the last 54 years Barry Zalma has dedicated his life to insurance, insurance claims and the need to defeat insurance fraud. He has created a library of books and other materials to make it possible for insurers and their claims staff to become insurance claims professionals.

Subscribe to Zalma on Insurance at locals.com https://zalmaoninsurance.local.com/subscribe. Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome. Write to Mr. Zalma at [email protected]; http://www.zalma.com; http://zalma.com/blog; I publish daily articles at https://zalma.substack.com.

Go to the podcast Zalma On Insurance at https://anchor.fm/barry-zalma; Follow Mr. Zalma on Twitter at https://twitter.com/bzalma; Go to Barry Zalma videos at Rumble.com at https://rumble.com/c/c-262921; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg; Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/ Read posts from Barry Zalma at Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/

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When I finished my three year enlistment in the US Army as a Special Agent of US Army Intelligence in 1967, I sought employment where I could use the investigative skills I learned in the Army. After some searching I was hired as a claims trainee by the Fireman’s Fund American Insurance Company. For five years, while attending law school at night while working full time as an insurance adjuster I became familiar with every aspect of the commercial insurance industry.

On January 2, 1972 I was admitted to the California Bar. I practiced law, specializing in insurance claims, insurance coverage and defense of claims against people insured and defense of insurance companies sued for breach of contract and breach of the implied covenant of good faith and fair dealing. After 45 years as an active lawyer, I asked that my license to practice law be declared inactive ...

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