The latest Illinois federal court docket resolution McDonald’s Company, et al., v. Homeland Insurance coverage Firm Of New York illustrates the perils that policyholders could face in the event that they fail to grasp the contours of key outlined phrases of their insurance coverage insurance policies. 2025 WL 2614665, at *1 (N.D. Unwell. Sept. 10, 2025). In McDonald’s, the court docket agreed that an insurer who offered a normal legal responsibility coverage didn’t have an obligation to defend its insured in opposition to claims alleging concern and emotional misery as a result of that hurt didn’t meet the definition of bodily damage within the insurance coverage coverage.
McDonald’s entails a dispute between an insured-employer and its insurer over protection for an underlying lawsuit in opposition to the insured by one in every of its workers. The worker alleged, amongst different issues, that she was “usually uncovered to violent and legal conduct by prospects” at work, “witnessed prospects throw espresso at co-workers,” “suffered bodily and psychological hurt from the violence,” and feared that she too would “face violence sooner or later.” Id. at 4. The insured-employer sought protection protection for the lawsuit on the premise that the bodily accidents of others prompted the worker emotional misery. Following the four-corners rule, the court docket examined the particular allegations of the underlying grievance with the protection of the insurance coverage coverage and decided that the worker’s bodily damage allegations didn’t meet the bodily damage definition of the coverage. Particularly, the court docket held that the underlying allegations didn’t set up (because it should) that the worker had suffered an “precise bodily damage,” because the insurance coverage coverage required. Id.
In related half, the coverage coated bodily damage that came about through the coverage interval and outlined bodily damage as “bodily damage, illness or illness sustained by an individual, together with demise ensuing from any of those at any time.” Id. at 1. The court docket famous that the gist of the worker’s declare was that witnessing bodily damage inflicted on others resulted in psychological hurt to the worker. The court docket, nevertheless, discovered that “there may be ample precedent below Illinois legislation rejecting the rivalry that ‘precise bodily damage’ could be construed so broadly as to embody what are primarily emotional accidents.” Id. at 4. And, whereas an incident was alleged throughout which the worker was pepper sprayed, it was undisputed that the incident came about exterior of the coverage interval.
Counting on that precedent, the court docket concluded that the worker’s grievance was “devoid of info establishing that [the employee] sought damages for a coated bodily damage that occurred through the coverage interval.” Id. The court docket decided that, below Illinois legislation, second-hand accidents corresponding to concern and emotional misery attributable to viewing one other particular person’s bodily accidents weren’t coated below the coverage at difficulty. Thus, the court docket held that the insurer didn’t have an obligation to defend the insured in opposition to the worker’s lawsuit. Id. at 5.
McDonald’s is a vital reminder for policyholders that the breadth of the obligation to defend does have its limitations. Policyholders should fastidiously assessment and perceive the wording of their insurance coverage insurance policies, and particularly how the definition of key phrases could have an effect on the scope of protection. The choice additionally highlights the necessity to consider insurance policies not solely on the preliminary procurement but additionally midterm or throughout renewal to determine potential gaps in protection or methods to increase current coverage language to keep away from such gaps. For instance, related to McDonald’s, policyholders could inquire about whether or not there are methods to broaden the bodily damage definition of their normal legal responsibility insurance policies to incorporate harms corresponding to emotional misery or psychological anguish as a part of the bodily damage definition. In the end, having a whole and knowledgeable understanding of the scope of protection below their insurance policies and what’s obtainable within the insurance coverage market is important to making sure policyholders are adequately defending their pursuits. Policyholders could keep away from pricey errors and be ready to navigate the nuanced nature of insurance coverage insurance policies by contacting protection counsel who will help them higher perceive their insurance coverage insurance policies.
