Justia U.S. 7th Circuit Court of Appeals Opinion Summaries

In September 2016, Legend’s Creek filed a claim with Travelers for hail and wind damage that had occurred in May 2016 to the north-facing sides of insured condominium buildings. Legend’s Creek retained Kassen to negotiate the claim with Travelers’ agent Knopp. The two initially agreed to repair the north-facing sides of the buildings. Travelers issued a $644,674.87 check. In January 2017, Kassen informed Knopp that the repairs were unacceptable. Travelers investigated and submitted additional checks of $238,766.88 and $28,438.02. Kassen told Knopp that the north-facing sides had to be completely replaced. Travelers agreed and, in February 2018, submitted an estimate. Less than three weeks before the contractual deadline to file suit Kassen demanded the replacement of all sides of the buildings because the new sides did not match to his satisfaction the undamaged ones. Knopp informed Kassen that Travelers would only replace the damaged north-facing sides and paint them to match.Legend’s Creek sued, alleging breach of contract and bad faith. Travelers argued that the lawsuit was brought outside the two-year contractual window and later moved to compel Travelers to submit to an appraisal. The magistrate compelled an appraisal for discovery purposes. The appraiser granted an “award” to Legend’s Creek based on the mismatched sides. The district court granted Travelers summary judgment. The Seventh Circuit affirmed, citing the limitations clause and rejecting claims of waiver. View "Legend's Creek Homeowners Associaton, Inc. v. Travelers Indemnity Co. of America" on Justia Law

Kithongo, born in Kenya, alleges he and his family endured hardships during his childhood there, including being harassed for political and religious reasons, and he watched a police officer murder his friend during political unrest. Kithongo assumed a new name and began working for a company of acrobats. At age 19, Kithongo was admitted into the U.S. on a P1 nonimmigrant performer visa and overstayed his period of authorization. He is 31 years old and married with children. Kithongo has been convicted of misdemeanors for battery, theft, and marijuana possession. Most recently, he was convicted in Indiana for conspiring with others to rob three victims, two of whom were children. Kithongo knowingly accompanied his co‐conspirators to the scene of the crime, likely aware that one of them was carrying a firearm. The robbery was violent.Kithongo was sentenced to one year in prison and charged with removability under 8 U.S.C. 1227(a)(1)(B), (a)(2)(A)(iii) for having an aggravated felony conviction. Kithongo applied for withholding of removal and relief under the Convention Against Torture (CAT). He denied that his conviction constituted an aggravated felony and applied for adjustment of status. The IJ ordered Kithongo removed; the BIA affirmed. The Seventh Circuit dismissed his appeals with respect to adjustment of status and withholding for lack of jurisdiction and denied the appeal concerning CAT relief on exhaustion grounds. View "Kithongo v. Garland" on Justia Law

The diversity-visa program makes as many as 55,000 visas available annually to citizens of countries with low rates of immigration to the United States, 8 U.S.C. 1151(e), 1153(c); the State Department holds a lottery to determine priority. Applicants who qualify, through random selection, for a diversity visa “shall remain eligible to receive such visa only through the end of the specific fiscal year for which they were selected.” The fiscal-year limit has caused many applications to fail; bureaucratic inertia or foul-ups have the same effect as affirmative decisions that applicants are ineligible. The Seventh Circuit held in 2002 held that the fiscal-year limit cannot be extended by judicial order.In March 2020, the State Department stopped processing routine visa applications, including diversity visas. High-priority applications, such as for diplomats, medical emergencies, and medical personnel, continued to be approved. Two presidential orders confirmed the Department’s approach. Fiscal Year 2020 expired.The Seventh Circuit affirmed the dismissal of a suit by applicants whose eligibility had expired. Section 1154(a)(1)(I)(ii)(II) applies regardless of the relief sought; it does not set a time limit for administrative action nor impose any duty on the State Department. It only specifies the consequence of delay: the applicant’s eligibility expires. A court is not authorized to substitute a different consequence. There is no statute authorizing monetary relief for the plaintiffs’ outlays that did not lead to visas. View "Shahi v. United States Department of State" on Justia Law

Illinois Insurance Guaranty Fund is a state-created insolvency insurer; when a member insurer becomes insolvent, the Fund pays covered claims. In cases involving insolvent health insurance, many claims are for patients who are eligible for both Medicare benefits and private health insurance. The Fund sought a determination that it is not subject to reporting requirements under section 111 of the 2007 Medicare, Medicaid, and SCHIP Extension Act, 42 U.S.C. 1395y(b)(7) & (b)(8), which is intended to cut Medicare spending by placing financial responsibility for medical costs with available primary plans first. Because time may be of the essence in medical treatment, the government may make conditionally cover medical expenses for Medicare beneficiaries insured by a primary plan, subject to later reimbursement from a primary plan. Section 111 imposes reporting requirements so that the government can identify the primary plan responsible for payment. The Fund believes that it is not an “applicable plan.”The district court dismissed for lack of subject-matter jurisdiction, reasoning the government had not made a final decision through its administrative processes. The Seventh Circuit affirmed. The Fund can obtain judicial review of its claim in a federal court only by channeling its appeal through the administrative process provided under 42 U.S.C. 405(g). The usually-waivable defense of failure to exhaust administrative remedies is a jurisdictional bar here. View "Illinois Insurance Guaranty Fund v. Becerra" on Justia Law

Glick, without a written agreement, provided home daycare for Clayton’s infant daughter, Kenzi, for $25 per day, paid in cash at the end of the week. On January 29, 2018, Kenzi died while in Glick’s care. The coroner’s office indicated that her death resulted from bedding asphyxia after being placed prone on a couch cushion covered with a blanket to nap. The Glicks’ Liberty Mutual insurance policy, covered personal liability for “bodily injury” except for liability “[a]rising out of or in connection with a ‘business’ engaged in by an insured.” A separate endorsement stated: If an “insured” regularly provides home daycare services to a person or persons other than “insureds” and receives monetary or other compensation for such services, that enterprise is a “business.” Mutual exchange of home daycare services, however, is not considered compensation. The rendering of home daycare services by an “insured” to a relative of an “insured” is not considered a “business.”Liberty Mutual denied coverage. In Clayton’s wrongful death lawsuit, the district court granted Liberty Mutual summary judgment and expressly declared Liberty Mutual has no duty to defend or indemnify Glick in the underlying lawsuit. The Seventh Circuit affirmed, stating that Clayton’s claim “did not even potentially fall within the scope of coverage.” View "Liberty Mutual Fire Insurance Co. v. Clayton" on Justia Law

Inmates who were housed by three Illinois Department of Corrections centers between April-July 2014, alleged that the prison-wide shakedowns conducted violated their constitutional and statutory rights, 42 U.S.C. 1983. The shakedowns involved uniformed tactical teams called “Orange Crush” that operated according to a uniform plan, which involved a loud entry, strip searches, handcuffing, and other procedures involving allegedly humiliating physical contact. The inmates allege that the planning and execution of the shakedowns violated the Eighth Amendment because it was designed to inflict pain and humiliation.The Seventh Circuit affirmed class certification. The plaintiffs satisfied the “commonality” requirement because they alleged that the defendants acted pursuant to a common policy and implemented the same or similar procedures at each institution and that the challenge was to the constitutionality of that common plan as enacted. The claims require resolution of key common factual and legal questions, specifically: “whether Defendants developed and carried out a uniform policy and practice that had the effect of depriving the putative class members of their Eighth Amendment right to be free from cruel and unusual punishment; whether the shakedowns were executed in the manner Defendants contend or as Plaintiffs claim; whether Defendants engaged in a conspiracy to deprive the putative class members of their constitutional rights through the shakedowns; and whether the Defendants knew of, approved, facilitated and/or turned a blind eye to the alleged unconstitutional shakedowns.” Those questions do not require individualized consideration. View "Ross v. Gossett" on Justia Law

RiverStone operates quarries in three midwestern states. Under a collective bargaining agreement (CBA), RiverStone contributed to the Fringe Benefit Funds for certain employees, based on hours worked by the members of the bargaining unit. The CBA expired in May 2016. Nothing in the agreement imposes on RiverStone an obligation to make contributions after the agreement. RiverStone sought a declaratory judgment that it had no obligation to make contributions to the employees’ pension fund on behalf of individuals hired after the CBA expired. The Funds filed a counterclaim.The district court granted RiverStone summary judgment, holding that RiverStone did not have a contractual duty to contribute to the Funds on behalf of the new employees and that it lacked jurisdiction to evaluate noncontractual sources of liability, such as the National Labor Relations Act (NLRA) so the dispute fell within the exclusive jurisdiction of the National Labor Relations Board. The Seventh Circuit affirmed. The dispute is over an obligation that does not arise under any contract. Once a CBA has expired, the Employee Retirement Income Security Act, 29 U.S.C. 1145, does not confer jurisdiction on the district court to determine whether the employer’s failure to make post-contract contributions violated the NLRA. View "RiverStone Group, Inc v. Midwest Operating Engineers Fringe Benefit Funds" on Justia Law

In March 2020, to prevent the spread of Covid-19, Illinois Governor Pritzker ordered all persons living in the state to stay at home except to perform specified “essential activities” and ordered “non-essential” businesses to cease all but minimum basic operations. Childcare providers were permitted to continue operating only with an emergency license to care for the children of essential workers. Michigan’s Governor Whitmer issued a similar order. Both states lifted those restrictions by June 2020. West Bend denied claims by childcare centers under their all-risk commercial property insurance policies.The policies cover the actual loss of income and expense due to the suspension of an insured’s operations “caused by direct physical loss of or damage to property”. The loss or damage must be caused by “[d]irect physical loss.” Lost income and extra expenses are covered when a civil authority prohibits access to insured premises because of damage at nearby property. The policies cover income lost and expenses incurred when an insured’s operations are temporarily suspended by government order "due to an outbreak of a ‘communicable disease’ … at the insured premises.”The district court concluded that the Centers had not plausibly alleged that COVID-19 caused physical loss of or damage to their property—or to nearby property— or that government shutdown orders were due to an outbreak at their premises. The Seventh Circuit affirmed, noting that other circuits have reached the same conclusion. View "Paradigm Care & Enrichment Center, L.L.C. v. West Bend Mutual Insurance Co." on Justia Law

Lumpkin was convicted of various drug crimes. Wisconsin courts denied his appeal and post-conviction petition. The Seventh Circuit affirmed the rejection of his federal habeas corpus petition, in which Lumpkin argued ineffective assistance of counsel. The Wisconsin court’s determination that he suffered no prejudice as a result of his trial counsel’s deficient performance in cross-examining a key witness was not an unreasonable application of Strickland v. Washington, Even if Lumpkin’s trial counsel had impeached the witness so thoroughly that she could be deemed completely unreliable and her testimony could be set aside entirely, there existed overwhelming other evidence incriminating Lumpkin. During his arrest, officers uncovered from Lumpkin’s pockets three different types of drugs, separated into nearly thirty individual plastic bags plus more than $1100 in cash, all in small bills. The testimony of another witness and text messages provided overwhelming evidence proving that Lumpkin possessed drugs with an intent to deliver them. View "Lumpkin v. Hermans" on Justia Law

Jennings, who was not a medical professional, ran Results Weight Loss Clinic in Lombard, Illinois. Jennings paid Mikaitis, who was working full‐time for a hospital in Lockport, Illinois cash to secure a Drug Enforcement Agency registration number for the clinic and to review patient charts. Over the next two years, Jennings ordered over 530,000 diet pills (controlled substances) for over $84,000 using Mikaitis’s credit card and DEA number. Mikaitis appeared at Results weekly to get $1,750 cash and review four to eight charts. Results also gave drugs—in person and by mail— to many patients whose charts he never reviewed. A nurse practitioner who worked at the clinic later testified she noticed almost immediately that Jennings was unlawfully distributing drugs. Jennings paid Mikaitis about $98,000 cash, in addition to reimbursement for drug costs.Mikaitis was tried on 17 counts. He denied knowing about illegal activity. The district judge issued a deliberate avoidance (ostrich) instruction. Convicted, Mikaitis was sentenced to 30 months. The Seventh Circuit affirmed. Ample evidence demonstrated that Mikaitis subjectively believed that there was a high probability he was participating in criminal activity and that he took specific, deliberate actions to avoid learning that fact. Mikaitis was a medical professional with corresponding duties. The jury was free to conclude the red flags were obvious to him. View "United States v. Mikaitis" on Justia Law