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Nature of Suit Code: 110
Nature of Suit: Insurance
Cause of Action: 

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In the 

United States Court of Appeals 

For the Seventh Circuit ____________________

No. 15‐3417

HARTFORD CASUALTY INSURANCE CO.,

Plaintiff‐Appellee,

v.

KARLIN, FLEISHER & FALKENBERG, LLC, et al.,

Defendants‐Appellants.

Appeal from the United States District Court

for the Northern District of Illinois, Eastern Division.

No. 14 C 2883 — John Robert Blakey, Judge.

____________________

ARGUED APRIL 19, 2016 — DECIDED MAY 16, 2016

__________________

        Before BAUER, POSNER, and FLAUM, Circuit Judges.

POSNER, Circuit Judge. Ronald G. Fleisher, a lawyer, had

worked for two affiliated law firms that together with their

principals (some of whom appear from their names to be

relatives of his, though he was not one of the principals) are

the defendants in this litigation and in the state court litiga‐

tion from which it arises.

In March 2013 Fleisher had filed a written demand with

the defendants claiming that when he retired, in 2011, he

had accrued more than 90 weeks of unused vacation time

Case: 15-3417 Document: 36 Filed: 05/16/2016 Pages: 6
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and more than 322 days of unused sick leave, and that the

firms and their principals were contractually required, and

also required by the Illinois Wage Payment and Collection

Act, 825 ILCS 115/1 et seq., to pay him for those accruals at

the same rate of pay for the vacation time, and at 75 percent

of the rate for the unused sick time, that he’d been receiving

on the eve of his retirement. He estimated that he was owed

about $950,000 for the accruals. He wasn’t paid, and in Au‐

gust 2013, five months after making his demand, he sued in

a state court in Illinois, claiming that the defendants had “in

breach of their employment agreement” failed to pay him

“the compensation owed to him for his unused but accrued

sick and vacation time under the parties’ agreement.”

The following month the defendants sent a copy of

Fleisher’s complaint to the Hartford Casualty Insurance

Company, seeking coverage of their potential debt to Fleish‐

er and of the associated litigation costs under the “Employee

Benefits Liability Provision” of the Business Owners Policy

that Hartford had issued to the defendants and that was still

in force. It took five months for Hartford to reply to the de‐

fendants, and the reply when finally sent said only that the

matter was under consideration. Two months later Hartford

replied again—this time denying coverage. Days before

sending that reply Hartford sued the defendants in federal

district court under the diversity jurisdiction, seeking a dec‐

laration that the insurance policy did not cover Fleisher’s

claim. Hartford offered a variety of reasons, of which the

most important was that the defendants’ failure to pay

Fleisher had not been the result of any negligent act, error, or

omission in the administration of the employee benefits pro‐

gram, which was all that the policy covered.

Case: 15-3417 Document: 36 Filed: 05/16/2016 Pages: 6
No. 15‐3417    3

The state court suit has been settled. The question pre‐

sented by this case is whether Hartford had a duty to defend

the defendants in that suit, in which event they presumably

would be entitled to reimbursement by Hartford for the le‐

gal fees they incurred in that litigation. The district judge

ruled that Hartford had no such duty under Illinois law (the

applicable substantive law in this diversity suit), and he

therefore granted summary judgment in favor of Hartford,

precipitating this appeal.

The insurance policy limits coverage to an “injury that

arises out of any negligent act, error or omission in the ‘ad‐

ministration’ of [the insured’s] ‘employee benefits pro‐

gram,’” “administration” being defined to include “handling

records in connection with ‘employee benefits programs.’”

There is no coverage, however, for “failure ... to perform

any obligation or to fulfill any guarantee with respect to:

(a) The payment of benefits under ‘employee benefits pro‐

grams’; or (b) The providing, handling or investing of funds

related thereto.” The key term in the policy, as far as the pre‐

sent case is concerned, is “negligent act,” quoted in the sec‐

ond line of this paragraph. Insurance law fixes a “line of

demarcation between negligent acts and breaches of con‐

tract.” Baylor Heating & Air Conditioning, Inc. v. Federated Mu‐

tual Ins. Co., 987 F.2d 415, 420 (7th Cir. 1993) (Indiana law).

“[I]nsurance policies are presumed not to insure against lia‐

bility for breach of contract. The reason is the severe ‘moral

hazard’ problem to which such insurance would often give

rise. The term refers to the incentive that insurance can cre‐

ate to commit the act insured against, since the cost is shifted

to the insurance company. An example is the incentive to

burn down one’s house if the house is insured for more than

its value to the owner.” Krueger Int’l, Inc. v. Royal Indemnity

Case: 15-3417 Document: 36 Filed: 05/16/2016 Pages: 6
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Co., 481 F.3d 993, 996 (7th Cir. 2007) (citations omitted) (Wis‐

consin law). It would be absurd for an insurance company to

insure against a breach of a contract to, say, buy a car, for

then the insured could take delivery of the car, refuse to pay

for it, and require the insurer to reimburse the seller for the

car’s sale price and the cost of litigation.

This case is similar. Fleisher had a contractual claim to

compensation for unpaid vacation time and sick leave, and

contended that the defendants had refused to honor the

claim, thus breaking the contract. But the defendants were

not insured against a breach of contract. Hartford therefore

had no duty to defend the defendants from having to com‐

pensate Fleisher for the breach. Nor was it obligated to pay

the defendants’ litigation expenses.

The defendants have another string to their bow, how‐

ever—an argument that Fleisher’s claim was based not only

(or mainly) on a breach of contract but also or instead on the

defendants’ having violated the Illinois Wage Payment and

Collection Act. But the only violation of the Act that they al‐

leged is the breach of contract.  

In an attempt to get around the fact that the Hartford

policy did not insure against the consequences of a breach of

contract, the defendants point out that Fleisher was in

charge of maintaining the records of employees’ accrual and

use of vacation time and sick leave, and they argue that

through negligence he failed to maintain accurate records for

himself. His claim for almost a million dollars in uncompen‐

sated accruals was therefore, the defendants contend, the re‐

sult of negligence in the administration of employee benefits,

a form of misconduct that Hartford’s insurance policy did

cover. As the defendants put it in their reply brief, where the

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No. 15‐3417    5

argument is stated most clearly, “The precipitating acts

which were negligent in the present case are Defendants’

failure to maintain the records which would have allowed

them to calculate the benefits, if any, due Ronald Fleisher

and Defendants’ failure to monitor Ronald’s maintenance of

those records.”

The defendants are mistaken. The basis of Fleisher’s

claim was not that he had been underpaid as the result of a

negligent act, as would have been the case had the company,

for example, through carelessness mailed the money due

him to a different person and the money had never been re‐

covered because the recipient had fled with it to North Ko‐

rea. Rather, Fleisher’s claim was that the money he sought

was indeed owed to him by virtue of his employment con‐

tract and thus that the defendants had refused to pay him

what they were contractually obligated to pay him. But, to

repeat, the consequences of a breach of contract were not

covered by the defendants’ insurance policy. This is the

norm in the insurance industry: “responsibility to make

payments according to a contract is not the sort of duty that

will support an action in negligence.” Baylor Heating & Air

Conditioning, Inc. v. Federated Mutual Ins. Co., supra, 987 F.2d

at 420 n. 8. Otherwise contracting parties would have an in‐

centive not to keep track of their payment obligations, so

that insurers would be responsible for all the “forgotten”

payments.

What is true is that Hartford should not have taken seven

months to respond to the defendants’ request for coverage,

but a delay in such a response can’t create coverage when

there clearly was no duty to defend. Employers Ins. of Wausau

v. Ehlco Liquidating Trust, 708 N.E.2d 1122, 1135 (Ill. 1999);

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Lyerla v. AMCO Ins. Co., 536 F.3d 684, 692–93 (7th Cir. 2008)

(Illinois law). The defendants should have realized from the

outset that their breach of their contractual obligation to

Ronald Fleisher was not covered by their insurance policy.

The delay was not a valid ground for estopping Hartford to

deny coverage or a duty to defend.

AFFIRMED

   

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