Mashallah, Inc v. West Bend Mutual Insurance Com
Citation20 F.4th 311
Date Filed2021-12-09
Docket21-1507
JudgeManion
Cited84 times
StatusPublished
Full Opinion (html_with_citations)
In the
United States Court of Appeals
For the Seventh Circuit
____________________
No. 21-1507
MASHALLAH, INC., and RANALLIāS PARK RIDGE, LLC,
Plaintiffs-Appellants,
v.
WEST BEND MUTUAL INSURANCE COMPANY,
Defendant-Appellee.
____________________
Appeal from the United States District Court for the
Northern District of Illinois, Eastern Division.
No. 1:20-cv-05472 ā Charles P. Kocoras, Judge.
____________________
ARGUED SEPTEMBER 10, 2021 ā DECIDED DECEMBER 9, 2021
____________________
Before MANION, WOOD, and HAMILTON, Circuit Judges.
MANION, Circuit Judge. In this case, as in several others
decided today, businesses seek insurance coverage for losses
and expenses they allegedly sustained as a result of the
COVID-19 pandemic and government orders issued in
response to it. Mashallah, Inc., and Ranalliās Park Ridge, LLC,
ļ¬led claims under the property insurance policies they had
with West Bend Mutual Insurance Company. But those
policies, presciently for purposes of this litigation, contained
2 No. 21-1507
express exclusions for losses and expenses caused by viruses.
Based on these exclusions, West Bend denied the claims.
The businesses sued, alleging breach of contract or, if that
should fail, entitlement to rebate of premiums. The district
court granted West Bendās motion to dismiss the suit in its en-
tirety under Rule 12(b)(6) for failure to state a claim, and the
businesses appeal.
Because the district court properly determined that the vi-
rus exclusions barred coverage for the policyholdersā pur-
ported losses and expenses and that the businesses failed to
allege viable legal bases for rebate of premiums, we aļ¬rm.
I. Background
In an appeal from an order granting a motion to dismiss,
we must accept all well-pleaded facts as true and draw all rea-
sonable inferences therefrom in the plaintiļ¬sā favor. White v.
United Airlines, Inc., 987 F.3d 616, 620 (7th Cir. 2021).
Mashallah sells handcrafted jewelry at its store in Chicago.
Ranalliās operates a bar and restaurant known as Holtās in
Park Ridge, Illinois. Both purchased all-risk commercial prop-
erty insurance policies from West Bend, a mutual insurance
company organized under the laws of Wisconsin. Mashallahās
coverage ran from August 1, 2019, to August 1, 2020; Ranalliās
coverage ran from October 8, 2019, to October 8, 2020. At the
end of these terms, both Mashallah and Ranalliās renewed
their policies.
The businesses operated successfully until the arrival of
COVID-19. After emerging in China āin early 2020ā and mak-
ing its ļ¬rst conļ¬rmed appearance in the United States on Jan-
uary 20, 2020, a novel coronavirus spread across the nation,
causing the COVID-19 pandemic.
No. 21-1507 3
Beginning in March 2020, Illinois Governor J.B. Pritzker
and other government oļ¬cials issued several orders aimed at
stopping or slowing the virusās spread. In particular, on
March 20, 2020, Governor Pritzker ordered all individuals liv-
ing in Illinois to stay at home except to perform speciļ¬ed āes-
sential activitiesā and ordered ānon-essentialā businesses to
cease all but minimum basic operations. Exec. Order No.
2020-10 (Mar. 20, 2020). Restaurants were considered essential
businesses and permitted to continue selling food but solely
for oļ¬-premises consumption. That meant Ranalliās opera-
tions were restricted to ļ¬lling takeout and delivery orders.
Mashallah, a jeweler, was not classiļ¬ed as an essential busi-
ness and had to cease its retail activities. As a result, both busi-
nesses sustained heavy ļ¬nancial losses.
They ļ¬led insurance claims with West Bend. The two pol-
iciesā coverage provisions are materially identical. As relevant
here, West Bend agreed to pay for actual business income lost
and necessary extra expenses incurred if they were caused by
ādirect physical loss of or damage toā the businessesā proper-
ties.
Both policies also contain virus exclusions, worded
slightly diļ¬erently. In Mashallahās policy, West Bend stated it
would ānot pay for loss or damage caused directly or indi-
rectlyā by ā[a]ny virus ⦠that induces or is capable of induc-
ing physical distress, illness or disease.ā Ranalliās exclusion
reads: āWe will not pay for loss or damage caused by or re-
sulting from any virus ⦠that induces or is capable of induc-
ing physical distress, illness or disease.ā
Finally, the policies address the issue of premium rebates.
āIn return for the payment of the premium, and subject to all
the terms of this policy,ā West Bend agreed āto provide the
4 No. 21-1507
insurance as stated in this policy.ā If a premium was desig-
nated as an āadvance premium,ā and if an audit showed that
the premium paid in advance was greater than the āearned
premiumā for the policy period, West Bend committed to āre-
turn the excess.ā
West Bend denied the claims in April and May 2020, citing
among other things the policiesā virus exclusions. The
businesses sued. Count I of the complaint seeks a declaratory
judgment that West Bend is obligated to pay the claims under
the terms of the policies. Count II alleges breach of contract
and Count III asserts bad-faith denial of insurance claims in
violation of 215 ILCS 5/155. If West Bendās denials of coverage
are upheld, the complaint seeks alternative relief on behalf of
a class. Count IV alleges that West Bendās retention of full
premiumsādespite decreased risks occasioned by the
government-ordered reduction in insuredsā business
operationsāconstitutes unjust enrichment, requiring rebate.
Count V further asserts that West Bendās retention of
premiums in these circumstances violates the Illinois
Consumer Fraud and Deceptive Business Practices Act
(ICFA).
West Bend moved to dismiss under Rule 12(b)(6) for fail-
ure to state a claim. In addition to arguing that the businesses
hadnāt alleged ādirect physical loss of or damage toā property
necessary to invoke coverage, West Bend contended that the
plain language of the virus exclusions precluded coverage. It
further asserted that the unjust enrichment theory failed in
the face of a valid contract and that the plaintiļ¬s had not al-
leged any deceptive or unfair practice on West Bendās part.
The district court granted West Bendās motion. It bypassed
the question of whether the businesses alleged direct physical
No. 21-1507 5
damage or loss and instead concluded that the policiesā virus
exclusions foreclosed any potential coverage. The district
court also determined that the unjust enrichment and ICFA
claims failed as matters of law. And because it concluded that
any attempt to amend the complaint would be futile, the dis-
trict court dismissed the case with prejudice. This appeal fol-
lowed.
II. Analysis
We review a district courtās grant of a motion to dismiss
on the pleadings de novo. Chaidez v. Ford Motor Co., 937 F.3d
998, 1004(7th Cir. 2019). āTo avoid dismissal, the complaint must āstate a claim to relief that is plausible on its face.āā Ban- corpSouth, Inc. v. Fed. Ins. Co.,873 F.3d 582, 586
(7th Cir. 2017) (quoting Ashcroft v. Iqbal,556 U.S. 662, 678
(2009)). A federal court hearing a case under diversity jurisdiction āmust attempt to resolve issues in the same manner as would the highest court of the state that provides the applicable law,āid.,
and the parties agree that Illinois law applies. āIn the absence of Illinois Supreme Court precedent, we must use our best judgment to determine how that court would construe its own law,ā and we āmay consider the decisions of the Illinois appellate courts.ā Neth. Ins. Co. v. Phusion Projects, Inc.,737 F.3d 1174, 1177
(7th Cir. 2013) (quotation marks omitted).
Under Illinois law, the interpretation of an insurance pol-
icy, like any other contract, is a question of law. Sanders v. Ill.
Union Ins. Co., 157 N.E.3d 463, 467 (Ill. 2019). A courtās āpri- mary functionā in that interpretation āis to ascertain and give eļ¬ect to the intention of the parties, as expressed in the policy language.āId.
Policy terms that are āclear and unambiguousā must be given their āplain and ordinary meaning.āId.
6 No. 21-1507
A.
Before resolving the substantive legal issues presented in
this appeal, we address two of the businessesā preliminary
criticisms with the district courtās analysis. First, they contend
that the district court improperly skipped the threshold ques-
tion of whether coverage under the policies was established
and proceeded directly to the eļ¬ects of the virus exclusions.
This, the businesses assert, contributed to the district courtās
second misstep, namely, failing to use the proper standard to
determine whether the exclusions apply. We see no merit to
either contention.
The businesses cite no authority for the proposition that
Illinois law requires a court to resolve the scope of an insur-
ance policyās coverage before addressing the applicability of
a potentially relevant exclusion. Cf. Cohen Furniture Co. v. St.
Paul Ins. Co., 573 N.E.2d 851, 854ā55 (Ill. App. Ct. 1991) (āWe
need not address the defendantās argument concerning the
scope of replacement cost insurance, since in any event we
would ļ¬nd coverage excluded by the building laws exclu-
sion.ā).
Nor, as a general legal matter, do we discern a problem
with the district courtās approach here. Itās true that if an
insured adequately alleges coverage under a policy, the
burden shifts to the insurer to show that an exclusion applies.
Addison Ins. Co. v. Fay, 905 N.E.2d 747, 752(Ill. 2009). But this burden-shifting approach does not demand a rigidly sequential order of analysis. For example, in the burden- shifting McDonnell Douglas framework for analyzing disparate-treatment employment-discrimination claims, this No. 21-1507 7 court has sometimes left unresolved the initial inquiry into whether a plaintiļ¬ has made a prima facie showing of discrimination and, assuming arguendo that the burden has been met, resolved an appeal based on the employerās successful rebuttal of any purported discrimination. See, e.g., Ptasznik v. St. Joseph Hosp.,464 F.3d 691, 697
(7th Cir. 2006); see also Fuhr v. Hazel Park Sch. Dist.,710 F.3d 668
, 676ā77 (6th Cir.
2013).
When the success of a claim turns on resolution in a plain-
tiļ¬ās favor of multiple independent issues, a district court
may resolve the claim based on what it deems the simplest
dispositive issue. In doing so, however, the court must take
care to observe the proper allocation of burdens between the
parties.
The businesses assert that the district court failed to ob-
serve that here. An insurer bears not only the burden of show-
ing that an exclusion from coverage applies but that its ap-
plicability is āclear and free from doubt.ā 4220 Kildare, LLC v.
Regent Ins. Co., 171 N.E.3d 957, 966 (Ill. App. Ct. 2020); accord Country Mut. Ins. Co. v. Oehler's Home Care, Inc.,160 N.E.3d 977
, 986 (Ill. App. Ct. 2019). Yet that exact phrase, the busi-
nesses note, is absent from the district courtās opinion.
Although the district court did not incant those speciļ¬c
words, we are conļ¬dent that the right standard was applied.
The court recognized that West Bend bore the burden of af-
ļ¬rmatively establishing that the virus exclusions apply and
concluded that the exclusions were āclear and free from any
ambiguity.ā Mashallah, Inc. v. W. Bend Mut. Ins. Co., No. 20 C
5472, 2021 U.S. Dist. LEXIS 31816, at *6 (N.D. Ill. Feb. 22, 2021). We discern no material diļ¬erence in this context between a āclear and free from doubtā standard and a āclear and free 8 No. 21-1507 from any ambiguityā standard, and at oral argument, the businesses couldnāt articulate one. In any event, the district court cited its decision in another COVID-19 insurance case where it determined that virus-exclusion language similar to that involved here was āclear and free from doubt.āId.
(citing Riverwalk Seafood Grill Inc. v. Travelers Cas. Ins. Co. of Am., No. 20 C 3768,2021 U.S. Dist. LEXIS 5899
, at *6 (N.D. Ill. Jan. 7,
2021)).
In short, we see no error in the form of the district courtās
analysis or the standard of persuasion it applied.
B.
Turning to the virus exclusions, the legal question is
whether āthe average, ordinary, normal, reasonable person
for whom these policies were written would understand that
the exclusion applies.ā Founders Ins. Co. v. Munoz, 930 N.E.2d
999, 1006 (Ill. 2010) (quotation marks and citation omitted).
We agree with the district court that the virus exclusions
clearly and without doubt preclude coverage for the losses
and expenses alleged by the businesses.
Recall that the virus exclusion in Ranalliās policy states
that West Bend would ānot pay for loss or damage caused by
or resulting from any virus ⦠that induces or is capable of
inducing physical distress, illness or disease.ā Mashallahās ex-
clusion is the same, save that it precludes payment more
broadly for āloss or damage caused directly or indirectlyā by
such a virus. There is no dispute that the coronavirus at the
heart of the COVID-19 pandemic can induce physical distress,
illness, and disease.
Nor do we think it can reasonably be argued that the
coronavirus did not cause the losses and expenses alleged by
No. 21-1507 9
the businesses. Generally, āit appears that Illinois favors the
eļ¬cient-or-dominant-proximate-cause rule in the absence of
contrary language in the policy.ā 1 Bozek v. Erie Ins. Grp.,
46 N.E.3d 362, 368ā69 (Ill. App. Ct. 2015); see also 7 STEVEN
PLITT ET. AL., COUCH ON INSURANCE § 101:43 (3d ed. 2021)
(āMost courts deļ¬ne the concept [of proximate cause] relative
to the ādominantā or āmoving ā cause, even if that cause was
accompanied by, or followed by, other causes of a relatively
minor nature.ā); 5 JEFFREY E. THOMAS, NEW APPLEMAN ON
INSURANCE LAW LIBRARY EDITION § 44.03[6] (LexisNexis 2021)
(noting that āmost jurisdictionsā apply āthe most signiļ¬cant,
or āeļ¬cient,ā cause or āthe dominant and eļ¬cient causeāā
standards in commercial property insurance cases).
A risk is an eļ¬cient or dominant cause if it āsets in motion,
in an unbroken causal sequence, the events that cause the ul-
timate loss.ā Bozek, 46 N.E.3d at 368; accord 7 COUCH ON INSURANCE § 101:45; see also Denham v. La Salle-Madison Hotel Co.,168 F.2d 576, 580
(7th Cir. 1948) (āāThe proximate cause is the eļ¬cient cause, the one that necessarily sets the other causes in operation.āā (quoting Aetna Ins. Co. v. Boon,95 U.S. 117, 130
(1877))). And ā[a]lthough the issue of proximate
cause is ordinarily a question of fact determined by the trier
of fact, it is well settled that it may be determined as a matter
of law by the court where the facts as alleged show that the
1 One state court observed long ago that the Supreme Court of Illinois
āhas not passed on the āefficient and predominating causeā rule.ā Davis v.
Sheehan, 357 N.E.2d 690, 695(Ill. App. Ct. 1976). As far as we can tell, that is still the case. We nevertheless believe that the Illinois high court would adopt the analysis we set out today. In any event, the businesses do not dispute āthat Illinois follows the efficient or dominant proximate causa- tion rule.ā Appellantsā Br. at 25. 10 No. 21-1507 plaintiļ¬ would never be entitled to recover.ā Abrams v. City of Chicago,811 N.E.2d 670, 674
(Ill. 2004).
Here, the novel coronavirus causing the COVID-19 pan-
demic led directly to the issuance of the government orders,
which the complaint alleges as the cause of the losses and ex-
penses. As Governor Pritzker declared when issuing the exec-
utive order that limited the publicās activities and the busi-
nessesā operations: āI ļ¬nd it necessary to take additional
measures consistent with public health guidance to slow and
stop the spread of COVID-19.ā Exec. Order No. 2020-10. In
other words, the virus set in motion an unbroken causal chain
via the government orders to the purported losses and ex-
penses.
The complaintās attempt to decouple the government
COVID-19 orders from the COVID-19 virus itself are untena-
ble. Itās likely true, as the businesses assert, that the orders
were āpredicated on a myriad of considerations, not just the
existence of the virus.ā Appellantās Br. at 16ā17. Public oļ¬-
cials must weigh many factors in formulating the scope and
speciļ¬cs of orders that dramatically curtail societyās social
and commercial activities. But there can be no honest dispute
that the coronavirus was the reason these orders were prom-
ulgated. It was, so to speak, the prime mover. The causal rela-
tionship between the novel coronavirus, the COVID-19 pan-
demic, the government orders, and the alleged losses and ex-
penses āis not debatable.ā Mudpie, Inc. v. Travelers Cas. Ins. Co.
of Am., 15 F.4th 885, 894 (9th Cir. 2021) (rejecting a similar ar-
gumentās attempt to evade a virus exclusion).
Given this reality, taking the businessesā artful pleadings
at face value would allow them āto circumvent the terms and
intent of the policy and its exclusions,ā thereby rendering
No. 21-1507 11
them āessentially meaningless.ā Neth. Ins. Co., 737 F.3d at
1179. A creative complaint cannot evade the coverage limits
agreed to in an insurance contract. The district court properly
concluded that the novel coronavirus, in the exclusionsā lan-
guage, ācausedā the businessesā alleged losses and expenses. 2
The businesses also maintain that the language of the ex-
clusions is facially ambiguous as to whether a virus must be
present on an insuredās premises for the exclusions to apply.
Any ambiguity in an insurance policy, they remind us, must
be resolved in an insuredās favor.
While it is true that āambiguities in an insurance policy
will be construed against the insurer, courts will not distort
the language of a policy to create an ambiguity where none
exists.ā Dixon Distrib. Co. v. Hanover Ins. Co., 641 N.E.2d 395,
399 (Ill. 1994). The relevant exclusions here are broadly
worded and do not distinguish between purported losses and
expenses caused by a virus that is found on an insuredās
premises and a virus that is not. Instead, where policy exclu-
sions turn on whether the cause of purported loss or damage
originated āaway fromā or āat the ⦠premises,ā the policies
so distinguish. See Doc. 1-1 at 35; Doc. 1-2 at 58 (regarding loss
or damage resulting from failure of utility services). The only
reasonable interpretation of the virus exclusions is that their
applicability does not depend on whether a virus is actually
detected on the insuredsā properties.
2 Because we find that the language present in both policiesā virus ex-
clusions clearly removes coverage for losses or expenses ācausedā by the
COVID-19 pandemic, we need not resolve whether the addition of the
term ādirectly or indirectlyā in Mashallahās exclusionāa so-called āanti-
concurrent causationā clauseāis contrary to Illinois law.
12 No. 21-1507
Like the district court, we conclude that the virus exclu-
sions in the businessesā policies clearly preclude insurance
coverage for losses and expenses allegedly caused by the
COVID-19 pandemic and government orders issued to stem
its tide. Accordingly, the court below correctly dismissed
Counts I and II for declaratory judgment and breach of con-
tract. Count III was also properly dismissed because, where
no beneļ¬ts are owed under the terms of an insurance policy,
a claim of bad-faith denial under 215 ILCS 5/155 necessarily
fails. See First Ins. Funding Corp. v. Fed. Ins. Co., 284 F.3d 799,
807 (7th Cir. 2002).
C.
Having concluded that the businessesā policy-based
claims were properly dismissed, we turn to their alternative
pleadings. In Count V, they allege that West Bend violated Il-
linoisās consumer protection statute, the ICFA. See 815 ILCS
505/1ā505/12. āTo prevail on a claim under the ICFA, a plain-
tiļ¬ must plead ⦠that the defendant committed a deceptive
or unfair act with the intent that others rely on the deception,
that the act occurred in the course of trade or commerce, and
that it caused actual damages.ā Benson v. Fannie May Confec-
tions Brands, Inc., 944 F.3d 639, 646(7th Cir. 2019) (quotation marks omitted). Conduct is deceptive āif it creates a likeli- hood of deception or has the capacity to deceiveā a āreasona- ble consumer.āId.
It is unfair if it oļ¬ends public policy; is āim- moral, unethical, oppressive, or unscrupulousā; and causes substantial injury to consumers.Id. at 647
.
āA mere breach of contractā is insuļ¬cient to show a viola-
tion of the ICFA. Cmty. Bank of Trenton v. Schnuck Mkts., Inc.,
887 F.3d 803, 822(7th Cir. 2018). Rather, plaintiļ¬s must iden- tify āsome stand-alone ⦠fraudulent act or practiceā and No. 21-1507 13 āshow that the injury they seek to redress was proximately caused by the alleged consumer fraud.āId.
(quotation marks
omitted).
In their complaint, the businesses allege that West Bend
acted deceptively and unfairly when it collected and retained
full premiums from businesses aļ¬ected by government
COVID-19 orders even though the risks justifying those pre-
miums went down when the orders scaled back the busi-
nessesā commercial operations. Per the businesses, West Bend
āmisrepresented and omitted factsā concerning premium
rates, actual risk assumed, and scope of coverage with respect
to business interruptions already occurring because of gov-
ernment COVID-19 orders.
But there are fatal chronological problems with the decep-
tion theory, which the district court well observed. The com-
plaint asserts that the novel coronavirus leading to the
COVID-19 pandemic ļ¬rst arose in early 2020. But the insur-
ance policies at issue here began months earlier, in August
and October 2019. West Bend could not have intended to in-
duce the businesses to sign contracts through reliance on mis-
representations or deceptions related to a pandemic of which
West Bend as yet had no knowledge.
And when the businesses renewed their policies in August
and October 2020, West Bend had already denied in the spring
of that year their claims for COVID-19-related coverage. The
terms of the policies beginning in 2020 were identical to those
beginning in 2019. Thus, at the time of renewal, West Bend
had already made clear that it did not think the businessesā
COVID-19-related claims were covered by the insurance pol-
icies. So, even if the policiesā terms might have left open the
possibility of recovering losses and expenses caused by the
14 No. 21-1507
novel coronavirusāand, to be clear, we do not think the terms
can be plausibly read that wayāWest Bendās denials of the
businessesā claims removed any doubt that virus-caused
losses and expenses were excluded from coverage. No reason-
able policyholder could have been deceived about the scope
of coverage.
While the businesses allege that they āpaid more pre-
mium[s] than ⦠they otherwise would have paid had they
known the truthāthat [West Bend] was not assuming risk
commensurate with those premiums chargedāāthey do not
assert that they would not have purchased (or renewed) their
policies if they had known about these issues. Without such
an assertion, the businesses fail to state a claim that West Bend
made a material omission under the ICFA. See Toulon v. Cont'l
Cas. Co., 877 F.3d 725, 740 (7th Cir. 2017).
Finally, as to unfairness, there are no plausibly alleged
facts in the businessesā complaint that West Bendās conduct
either violated public policy or was immoral, unethical, op-
pressive, or unscrupulous. āAs a general rule, in the absence
of a statutory provision or an express or implied agreement
to the contrary, an insured may not have any part of his or her
premium returned once the risk attaches, even if it eventually
turns out that the premium was in part unearned.ā 5 COUCH
ON INSURANCE § 79.7 (footnotes omitted) (noting that āthe in-
surer has, by taking upon itself the peril, become entitled to
the premiumā). The businessesā brief doesnāt identify any Illi-
nois public policy that West Bend purportedly transgressed.
Cf. Harris Trust & Sav. Bank v. Ill. Fair Plan Assān, 386 N.E.2d
341, 345 (Ill. App. Ct. 1979) (observing the āgeneral rule at
common lawā that, āif the policy is void from the beginning
so that the risk never attached, the premiums must be
No. 21-1507 15
tendered or returned by the insurer to the insured; but if the
risk attached, then the insured is not entitled to recover the
premiums paidā).
And since the exclusions were clear that the policies
would not cover any losses or expenses caused by a virus, the
businesses were free to reject West Bendās terms and look else-
where in the insurance marketplace. See Toulon, 877 F.3d at
741. An insurer, however, doesnāt act wrongfully by adhering to the agreement set forth in a policy. Seeid.
(ā[T]here is noth- ing oppressive or unscrupulous about giving a counterparty the choice to fulļ¬ll his contractual duties or be declared in de- fault for failing to do so.ā). In exchange for the insureds pay- ing premiums, West Bend agreed to insure them against risks that did not include, among other things, viruses. A āpolicy need not provide coverage against all possible liabilities; if it provides coverage against some, the policy is not illusory.ā Nicor, Inc. v. Associated Elec. & Gas Ins. Servs. Ltd.,841 N.E.2d 78, 86
(Ill. App. Ct. 2005), aļ¬'d,860 N.E.2d 280
(Ill. 2006). The ICFA āwas not intended to apply to every contract dis- pute or to supplement every breach of contract claim with a redundant remedy.ā Avery v. State Farm Mut. Auto. Ins. Co.,835 N.E.2d 801, 844
(Ill. 2005). A āādeceptive act or practiceā involves more than the mere fact that a defendant promised something and then failed to do it.āId.
At bottom, the busi-
nesses think that, because of the COVID-19 pandemic, West
Bend was fortuitously subjected to less risk than the parties
bargained for. Whether or not true, however, the businesses
have not adequately alleged that West Bend engaged in a de-
ceptive or unfair act or practice.
16 No. 21-1507
D.
Last, the businesses argue that, if the insurance policies do
not obligate West Bend in these circumstances to pay the
claims, then West Bend has unjustly enriched itself. Like
Count V, Count IV alleges that West Bend priced and charged
premiums based on the risks associated with fully operational
businesses. Because government orders reduced business op-
erations and (likewise) reduced risks, the insureds contend,
West Bend is obliged to rebate excessive premiums collected
contrary to āequity and good conscience,ā since its āmiscon-
ductā in this context was āwillful, wanton, and in bad faith.ā
The district court concluded that the unjust-enrichment
theory fails because no misconduct on West Bendās part has
been reasonably alleged and because a valid insurance con-
tract governs the partiesā relationships. We agree.
Unjust enrichment under Illinois law ādoes not constitute
an independent cause of action. Rather, it is a condition that
may be brought about by unlawful or improper conduct as
deļ¬ned by law, such as fraud, duress or undue inļ¬uence, or,
alternatively, it may be based on contracts which are implied
in law.ā Toulon, 877 F.3d at 741.
To the extent that the unjust enrichment claim is premised
on the ICFA or bad-faith denial claims, the unjust enrichment
claim cannot survive the proper dismissal of those matters.
See id.at 741ā42; Ass'n Ben. Servs. v. Caremark Rx, Inc.,493 F.3d 841, 855
(7th Cir. 2007) (ā[W]here the plaintiļ¬ās claim of unjust enrichment is predicated on the same allegations of fraudu- lent conduct that support an independent claim of fraud, No. 21-1507 17 resolution of the fraud claim against the plaintiļ¬ is dispositive of the unjust enrichment claim as well.ā). The valid insurance contracts between the businesses and West Bend are a further reason why the unjust enrichment theory fails. āA claim for unjust enrichment is ābased upon an implied contract; where there is a speciļ¬c contract that governs the relationship of the parties, the doctrine has no application.āā Blythe Holdings, Inc. v. DeAngelis,750 F.3d 653, 658
(7th Cir. 2014) (quoting People ex rel. Hartigan v. E&E Hauling, Inc.,607 N.E.2d 165, 177
(Ill. 1992)). That is, āno implied contract can exist where an express one governs because no equitable remedyāārestitution based on unjust enrichmentāācan lie where a legal oneāācontractual damagesāāis available.ā Cohen v. Am. Sec. Ins. Co.,735 F.3d 601, 615
(7th Cir. 2013). Although the businesses assert that
West Bend has breached the terms of their insurance
agreements, they have not alleged that the agreements are
invalid.
This last point is fatal to the businessesā suggestion that
they can successfully plead unjust enrichment as an alterna-
tive theory of recovery. As we have explained, a partyās op-
tion to plead inconsistent theories such as breach of contract
and unjust enrichment is ālimited.ā Id.āA plaintiļ¬ may plead as follows: (1) there is an express contract, and the defendant is liable for breach of it; and (2) if there is not an express con- tract, then the defendant is liable for unjustly enriching him- self at my expense.āId.
But what a plaintiļ¬ may not do is āin- clude allegations of an express contract which governs the re- lationship of the partiesā in the count for unjust enrichment.Id.
18 No. 21-1507
The complaint in this case contains just such impermissi-
ble pleading. The businesses premise their unjust enrichment
theory on the validity of their insurance contracts with West
Bend. āIf Defendant Insurerās denials of coverage for Plain-
tiļ¬sā claims for business interruption coverage are upheld,ā
Count IV reads, āthen Defendant has been unjustly enriched
in the amount of excess premium for business interruption
coverage it has charged and retained.ā
Peddinghaus v. Peddinghaus, 692 N.E.2d 1221(Ill. App. Ct. 1998), does not help the businesses. The Illinois Court of Ap- peals said there that, because the plaintiļ¬ās āunjust enrich- ment claim [was] based on tort, instead of quasi-contract, the existence of a speciļ¬c contract [did] not defeat his cause of ac- tion.āId. at 1225
. The businesses contend that this passage permits the sort of pleading found in their complaint. But the tort alleged by the Peddinghaus plaintiļ¬ was that the defend- ant fraudulently induced him to enter the speciļ¬c contract in question.Id.
Far from asserting the validity of the contract, the plaintiļ¬ was seeking its rescission.Id.
A successful showing of fraudulent inducement invalidates a contract, see Wilkinson v. Appleton,190 N.E.2d 727
, 729ā30 (Ill. 1963), clearing the way
for an unjust enrichment claim.
The businesses, in contrast, havenāt alleged that they were
induced by West Bend through fraud or misrepresentation to
enter (or renew) the insurance contracts. Nor are they trying
to invalidate those contracts. Instead, the businesses are rely-
ing on the validity of their insurance policies to buttress their
allegations of unjust enrichment. That they may not do.
Finally, to the extent that the insureds argue that a tort ba-
sis for rebate of premiums exists by virtue of West Bendās gen-
eral ļ¬duciary duty to them, the argument fails.
No. 21-1507 19
The businesses maintain that in Wisconsin, where West
Bend is based, a mutual insurance company has a ļ¬duciary
duty to its policyholders. See Noonan v. NW. Mut. Life. Ins. Co.,
687 N.W.2d 254, 260(Wis. 2004). But ā[w]hatever rights a member of a mutual company has are delineated by the terms of the contract, and come from it alone.ā Andrews v. Equitable Life Assurance Soc.,124 F.2d 788, 789
(7th Cir. 1941); see also Lubin v. Equitable Life Assurance Soc.,61 N.E.2d 753, 756
(Ill. App. Ct. 1945) (āthe rights and interests of policyholders in the assets of a mutual life insurance company are contractual in nature and are measured by their policies and by the stat- utes, charter and by-laws, if any, which comprise the terms of their contractsā). The complaint does not allege that the insur- ance policies oblige West Bend to issue the businesses pre- mium rebates in these circumstances. Indeed, the policiesā only mention of rebates concerns advance premiums, which the businesses do not contend are at issue here. Yet āthere is nothing inconsistent in the insurerās continuing to accept pre- miums, on the one hand, and relying on limitations on its lia- bility set forth in its policy on the other hand,ā since a āpre- mium is charged on the basis that there may or may not be a loss, not on a certainty that for each premium received there will be a covered loss.ā Harris Trust & Sav. Bank,386 N.E.2d at 345
.
Nor have the businesses explained why the general ļ¬du-
ciary duty of a mutual insurance company would entitle them
to rebate of premiums here. In Penn Mutual Life Insurance Co.
v. Lederer, 252 U.S. 523(1920), the United States Supreme Court explained the practical workings of such enterprises. It recognized that, although it is āof the essence of mutual in- surance that the excess in the premium over the actual cost as later ascertained shall be returned to the policyholder,ā the 20 No. 21-1507 excess is necessary because āthe redundancy in the premium furnishes the guaranty fund out of which extraordinary losses may be met.āId. at 525
. Yet, because ā[t]he percentage of the redundancy to the premium varies, from year to year, greatly, in the several ļ¬elds of insurance, and likewise in the same year in the several companies in the same ļ¬eld,ā a rebate āis rarely made within the calendar year in which the premium (of which it is supposed to be the unused surplus) was paid.āId. at 525
, 526 & n.2. Thus, absent āa clear contractual duty on the part of a mu- tual insurance company to spend its surplus when a speciļ¬c reserve has been achieved, ⦠such matters are typically left to the discretion of the companyās board of directors.ā Babbitt Municipalities, Inc. v. Health Care Serv. Corp.,64 N.E.3d 1178, 1188
(Ill. App. Ct. 2016). Other than a vague appeal to West
Bendās status as a mutual insurance company owing them a
ļ¬duciary duty, the businesses have not alleged a legal basis to
demand a rebate of premiums.
We conclude that Counts IV and V were properly dis-
missed. 3
III. Conclusion
The district courtās judgment is AFFIRMED.
3 The district court was correct that, as a result of the dismissal of the
businessesā claims, their class motion could not go forward. See Collins v.
Vill. of Palatine, 875 F.3d 839, 846(7th Cir. 2017).