State Farm Mutual Automobile Insurance v. Hunt
State Farm Mutual Automobile Insurance v. Hunt
Opinion of the Court
¶ 1. This case arises from a collision between a vehicle driven by Barry Hunt and a snow plow owned by Dane County and operated by a county employee. Barry Hunt and his wife, Ashley Hunt, had a motor vehicle liability policy with State Farm Mutual Insurance Co. at the time of the collision. The damages recoverable from the county and its employee are capped by statute at $250,000, Wis. Stat. § 345.05(3) (2011-12), and the Hunts claimed damages greater than that amount. The issue presented is whether the Hunts can rely on their policy, as affected by the underinsured motorist coverage provisions found at Wis. Stat. § 632.32(2) and (4) (2009-10),
¶ 2. The circuit court granted summary judgment to State Farm, concluding that the Hunts could not recover damages in excess of $250,000 under their policy as affected by the underinsured motorist coverage law for two reasons: (1) the Hunts are not "legally entitled to recover" damages, within the meaning of Wis. Stat. § 632.32(2)(d), beyond the $250,000 statutory liability cap applicable to a claim against a municipality
¶ 3. We conclude that the Hunts are "legally entitled to recover" damages within the meaning of Wis. Stat. § 632.32(2)(d) and that, assuming that the definition of underinsured motor vehicle in the Hunts' policy included an exclusion for government-owned vehicles, this exclusion is void under § 632.32. Therefore, we reverse the decision of the circuit court granting summary judgment to State Farm.
BACKGROUND
¶ 4. The following facts or allegations are undisputed for the purposes of this appeal. Barry Hunt sustained serious injuries as a result of a collision between his vehicle and a Dane County snow plow in January 2012. These injuries were caused by a county employee's negligence. The Hunts filed a notice of claim, in accordance with Wis. Stat. § 893.80(ld) (2011-12), claiming $5,850,000 in damages against the county and its employee.
¶ 5. Pursuant to Wis. Stat. § 345.05(3) (2011-12), the damages recoverable from the county and its employee are capped at $250,000.
¶ 6. At the time of the collision, the Hunts had a motor vehicle liability insurance policy with State Farm, which had been issued on October 10, 2011. The date matters because at that time Wis. Stat. § 632.32, which sets forth requirements for motor vehicle insurance, required all motor vehicle liability policies to provide underinsured motorist coverage. See § 632.32(1),
coverage for the protection of persons insured under that coverage who are legally entitled to recover damages for bodily injury, death, sickness, or disease from owners or operators of underinsured motor vehicles.
Sec. 632.32(2)(d). This statute further defined an underinsured motor vehicle as a motor vehicle to which the following subsections apply, as pertinent to the issues raised in this appeal:
2. At the time of the accident, a bodily injury liability insurance policy applies to the motor vehicle!,] or the owner or operator of the motor vehicle has furnished proof of financial responsibility... or is a self-insurer....
3. The limits under the bodily injury liability insurance policy or with respect to the proof of financial responsibility or self-insurance are less than the amount needed to fully compensate the insured for his or her damages.
Sec. 632.32(2)(e).
¶ 7. Pursuant to Wis. Stat. § 632.32(4)(a)2m., the Hunts' State Farm policy provided underinsured motorist coverage in the amount of $100,000 per person or $300,000 per accident. The insuring agreement provided that State Farm "will pay compensatory damages for bodily injury an insured is legally entitled to recover from the owner or driver of an underinsured
¶ 8. The Hunts sought recovery pursuant to their underinsured motorist coverage. State Farm filed a complaint for declaratory judgment and a motion for summary judgment seeking a declaration that the Hunts' policy, as affected by Wis. Stat. § 632.32, does not provide underinsured motorist coverage for the collision. State Farm argued that the only damages the Hunts are "legally entitled to recover" from the county and its employee are capped by statute at $250,000, and that there is no dispute that damages up to that amount are otherwise fully covered. State Farm also argued that the snow plow was not an underinsured motor vehicle because it was owned by a governmental unit.
¶ 9. The circuit court granted State Farm's motion for summary judgment, concluding that State Farm was not required to provide underinsured motor vehicle coverage for both of the reasons offered by State Farm. Relying on State Farm Mutual Auto Insurance Co. v. Gillette, 2002 WI 31, 251 Wis. 2d 561, 641 N.W.2d 662, the court interpreted the phrase "legally entitled to recover" to refer to the amount of damages the Hunts could actually recover from the county and its employee. Because the Hunts could recover only $250,000 under the cap established by statute, the court determined that the Hunts were not "legally entitled to recover" sums in excess of that and their State Farm underinsured motorist coverage did not apply. As a separate ground for granting summary judgment, the
DISCUSSION
¶ 10. The Hunts argue that the circuit court erred in granting summary judgment in favor of State Farm for two reasons. First, the Hunts argue that the phrase "legally entitled to recover" in Wis. Stat. § 632.32(2)(d) means that the Hunts' underinsured motorist coverage applies whenever the insured demonstrates a valid tort claim for damages against the operator of an underinsured motor vehicle. Second, the Hunts argue that the endorsement to their State Farm policy did not exclude government vehicles from the definition of an underinsured motor vehicle and, even if it did, that this exclusion is invalid under § 632.32. For the reasons explained below, we agree with the Hunts on the interpretation of § 632.32(2)(d) and agree that an exclusion for government vehicles is invalid under § 632.32.
¶ 11. This court reviews a grant of summary judgment de novo, applying the same methodology as the circuit court. See Wis. Stat. § 802.08; Green Spring Farms v. Kersten, 136 Wis. 2d 304, 315, 401 N.W.2d 816 (1987). A party is entitled to summary judgment where "the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law." Sec. 802.08(2).
¶ 12. The decision to grant or deny a declaratory judgment rests within the circuit court's sound discre
¶ 13. We note at the outset that the parties agree that State Farm was required to provide underinsured motorist coverage to the Hunts as mandated by Wis. Stat. § 632.32(4)(a)2m., and that the policy could not provide less coverage than required by statute. See Blazekovic v. City of Milwaukee, 2000 WI 41, ¶ 37, 234 Wis. 2d 587, 610 N.W.2d 467 ("[A]n insured may not receive less coverage than that mandated by the statute."); Trampf v. Prudential Prop. & Cas. Co., 199 Wis. 2d 380, 386, 544 N.W.2d 596 (Ct. App. 1996) ("An insurance policy may expand but not reduce the coverage required by [law]."). Thus, the parties frame their arguments in terms of the requirements for underinsured motorist coverage mandated by statute, and we have no reason to interpret policy language.
¶ 14. Statutory interpretation " 'begins with the language of the statute.'" State ex rel. Kalal v. Circuit Court for Dane Cnty., 2004 WI 58, ¶ 45, 271 Wis. 2d 633, 681 N.W.2d 110 (quoted source omitted). "Statutory language is given its common, ordinary, and accepted meaning, except that technical or specially-defined words or phrases are given their technical or special definitional meaning." Id. We interpret the language of the statute "in the context in which it is used; not in isolation but as part of a whole; in relation to the language of surrounding or closely-related statutes; and
¶ 15. If, however, the language of the statute is ambiguous, we turn to "interpretive resources outside the statutory text," most commonly legislative history, in order to ascertain its meaning. Id., ¶¶ 48-50. A statute is ambiguous where "it is capable of being understood by reasonably well-informed persons in two or more senses." Id., ¶ 47.
¶ 16. "The purpose of [Wis. Stat.] § 632.32 ... is to assure insurance coverage to accident victims. Thus, [it] must be broadly construed so as to increase rather than limit coverage." Kettner v. Wausau Ins. Cos., 191 Wis. 2d 723, 742, 530 N.W.2d 399 (Ct. App. 1995).
I. Legally Entitled to Recover Damages
¶ 17. The parties first dispute whether the Hunts may recover damages in excess of $250,000 and up to the limits of their policy's underinsured motorist coverage, as affected by Wis. Stat. § 632.32. To repeat, underinsured motorist coverage "means coverage for the protection of persons insured under that coverage who are legally entitled to recover damages . .. from owners or operators of underinsured motor vehicles."
¶ 18. Neither party argues that the phrase "legally entitled to recover" is ambiguous but, rather, each party argues that a plain meaning interpretation of that phrase supports its position. The Hunts contend that the meaning of this phrase is that the insured seeking underinsured motorist coverage must demonstrate a valid tort claim for damages against the underinsured motorist, but need not show that all alleged damages sustained by the insured are recoverable from the tortfeasor. State Farm argues, to the contrary, that the meaning of "legally entitled to recover" is that the insured has coverage only "up to the amount for which the tortfeasor is liable under applicable tort law," an amount that, here, is limited by the statutory cap. Therefore, State Farm argues, because the Hunts cannot recover damages in excess of $250,000 from the county or its employee due to the statutory limit on governmental liability, their underinsured motorist coverage does not apply here.
¶ 19. We turn first to the language of the statute.
¶ 20. Further, Wis. Stat. § 632.32(2)(e) defines an underinsured motor vehicle as a vehicle with policy limits that are "less than the amount needed to fully compensate the insured for his or her damages." Sec. 632.32(2)(e)3. (emphasis added). This language addresses the amount needed to compensate the insured, and does not address the tortfeasor's situation. Thus, this language is consistent with an insured's ability to invoke his or her underinsured motorist coverage up to the statutorily required policy limits where the amount actually recoverable against the tortfeasor is less than the damages claimed, as for example when a statutory cap is lower than the insured's damages.
¶ 22. The statutory language regarding uninsured motorist coverage also sheds light on the meaning of the phrase "legally entitled to recover." The legislature employed the same phrase in the definition of uninsured motorist coverage. See Wis. Stat. § 632.32(2)(f). The legislature went on to define an uninsured motor vehicle to include vehicles that are involved in "hit-and-run[s]" or that are otherwise "unidentified," or whose owners are "insolvent." Sec. 632.32(2)(g)l.-3. These provisions require uninsured motorist coverage where insureds cannot recover any alleged damages from negligent tortfeasors. It follows that the legislature used the phrase
¶ 23. Moreover, even if we were to conclude that the phrase "legally entitled to recover" is ambiguous, we would still resolve this ambiguity in favor of the Hunts based on the legislative history of Wis. Stat. § 632.32. See Kalal, 271 Wis. 2d 633, ¶¶ 48-50. In signing into law 2009 Wis. Act 28, which created the mandate of underinsured motorist coverage in § 632.32, the governor explained that the purpose behind the amendments to § 632.32 was "to ensure that policy holders obtained the full benefit of the coverage they have purchased . . .." Governor's Veto Message of 2009 A.B. 75, 2009 Wis. Act 28 at 39 (June 29, 2009). This statement reflects the legislature's intent that insureds seeking underinsured motorist coverage should receive coverage up to their policy limits. See Landwehr v. Landwehr, 2006 WI 64, ¶ 25, 291 Wis. 2d 49, 715 N.W.2d 180 (a governor's veto message is part of a statute's legislative history). Additionally, in 2010, the legislature specifically rejected a provision excluding motor vehicles owned by governmental units from the definition of underinsured motor vehicles. Assembly Amendment 1 to 2009 A.B. 701 (March 5, 2010); see also Wisconsin Legislative Council Amendment Memo, 2009 A.B. 701 (March 15, 2010). In so doing, the legislature demonstrated its intent to retain underinsured motorist coverage up to the policy limits in instances where the underinsured motor vehicle is a government vehicle and the damages recoverable against the driver are capped by statute.
¶ 24. Based on the above, we agree with the Hunts that the phrase "legally entitled to recover" does not thwart underinsured motorist coverage for an insured
¶ 25. State Farm makes three arguments for its contrary interpretation of the phrase "legally entitled to recover." First, State Farm argues that our interpretation conflicts with our supreme court's interpretation of a similar phrase in Gillette. See Gillette, 251 Wis. 2d 561. Second, State Farm argues that our interpretation of the statute is unreasonable because it would "improperly shift responsibility from the tortfeasor to the underinsured motorist insurer." Third, State Farm argues that our interpretation would produce absurd results when applied to other areas of tort law. We reject each of these arguments for the following reasons.
¶ 26. We turn first to State Farm's argument that the court's decision in Gillette controls here. State Farm argues that, under Gillette, the phrase "legally entitled to recover" is limited to those damages actually recoverable from the tortfeasor. In Gillette, two Wisconsin residents sought underinsured motorist coverage under a Wisconsin automobile liability policy issued by State Farm for noneconomic damages for pain and suffering arising out of a vehicle collision. Id., ¶¶ 11-14. The policy at issue contained language providing that State Farm would pay " 'damages for bodily injury an insured is legally entitled to collect from the owner or driver of an underinsured motor vehicle.'" Id., ¶¶ 16-17 (quoting the insurance policy). The court interpreted the phrase "legally entitled to collect"
*396 an insurance company will compensate an insured for damages for bodily injury that the insured actually incurs up to the amount of damages for which a driver of an underinsured motor vehicle is liable under the applicable law up to the policy's liability limits.
Id,., ¶ 48 (emphasis added).
¶ 27. State Farm asserts that the court's conclusion in Gillette applies equally in the instant case and compels the conclusion that the phrase "legally entitled to recover" refers to the amount of damages that the insured can actually recover under applicable law against a negligent tortfeasor. We disagree.
¶ 28. In Gillette, the court explained:
The interpretation of the phrase "legally entitled to collect" arises in a variety of issues, including statutes of limitations; a tortfeasor's immunity from liability, such as governmental immunity; comparative negligence; and a statutory limitation on the amount of damages. We conclude that each issue as presented by a particular case must be analyzed separately to determine whether the insurance company should be treated the same as or different than an underinsured motorist. Different considerations may apply to each issue.
Id., ¶ 40 (footnotes omitted).
¶ 29. In the language of Gillette, "[different considerations" apply here than in Gillette. When Gillette was decided, the mandatory underinsured motorist coverage provision in Wis. Stat. § 632.32 was not yet in effect. The court's decision turned, in part, on its determination that, while underinsured motorist coverage is intended to both "put an insurance company in the shoes of an underinsured motorist and to compensate an insured fully for damages incurred up to the policy liability limits," "a policy need not necessarily provide coverage to fulfill both these purposes." Id.,
¶ 30. Here, unlike in Gillette, we are asked to interpret the phrase "legally entitled to recover" in a statute that mandates underinsured motorist coverage and defines that coverage in terms of whether the tortfeasor's policy limits are less than the amount necessary to "fully compensate" the insured. See Wis. Stat. § 632.32(2)(d) and (e). In this context, the phrase "legally entitled to recover" is not limited to damages that are actually recoverable against the tortfeasor.
¶ 31. We turn next to State Farm's second argument, that our interpretation of the phrase "legally entitled to recover" would "improperly shift responsibility from the tortfeasor to the underinsured motorist insurer." State Farm's argument here is premised on Wis. Stat. § 632.32(4)(c), which provides that:
Unless an insurer waives the right to subrogation, insurers making payment under any of the coverages under this subsection shall, to the extent of the payment, be subrogated to the rights of their insured.
State Farm argues that this provision conflicts with our interpretation of § 632.32(2)(d) because an insurer cannot pursue subrogation for sums in excess of $250,000 from the county or its employee.
¶ 32. This argument fails for at least the following two reasons. First, from our review of the record, it appears that State Farm did not make this argument before the circuit court. "Arguments raised for the first time on appeal are generally deemed forfeited," and we first reject this argument on this basis. Northbrook
¶ 33. Second, if we were to turn to the merits, there are many circumstances in which an insurer might be foreclosed from subrogation for payments made to an insured pursuant to underinsured motorist coverage. For example, in Sahloff v. Western Casualty & Surety Co., 45 Wis. 2d 60, 171 N.W.2d 914 (1969), the court held that an insured could claim uninsured motorist coverage against his insurer even though the tort action against the uninsured driver was barred by the statute of limitations.
¶ 34. We turn to State Farm's third argument, that our interpretation of "legally entitled to recover" would produce absurd results when applied to other areas of tort law. State Farm asserts that our interpretation
would enable an insured, whose contributory negligence was equal to the causal negligence of the tortfeasor, to recover one-half of the insured's total damages from the tortfeasor (or the tortfeasor's liability insurer) and, in addition, to recover the other half (the portion the insured never had a legal right to recover) as underinsured motorist benefits.
State Farm also asserts that our interpretation would allow an insured to recover in excess of the $350,000 statutory cap for loss of society and companionship
¶ 35. The problem with State Farm's argument is that it ignores the language from Gillette, discussed above, that "the phrase 'legally entitled to collect' arises in a variety of issues," and that "each issue as presented by a particular case must be analyzed separately to determine whether the insurance company should be treated the same as or different than an underinsured motorist." See Gillette, 251 Wis. 2d 561, ¶ 40. The Gillette court further opined that
an insurance company does not, for all purposes, stand in the shoes of the tortfeasor in a lawsuit between an insurance company and the insured. The insurance company cannot take advantage of all the defenses available to an underinsured motorist.
Id., ¶ 36.
¶ 36. Thus, whether the phrase "legally entitled to recover" will require that an insurer retain all the defenses available to a tortfeasor will depend on the particulars. In the case of governmental liability caps, the purpose of such caps supports our application of the phrase "legally entitled to recover." The purpose behind governmental immunity statutes is plainly to protect the public purse, and not to reduce payouts by insurers to those injured through the negligence of government employees. See Pries v. McMillon, 2010 WI 63, ¶ 20, 326 Wis. 2d 37, 784 N.W.2d 648. The purpose of the cap bears no relation to an insured's underinsured motorist
¶ 37. Thus, in the context of a case involving the statutory municipal liability cap, we conclude that an insured is "legally entitled to recover" damages where he or she can demonstrate a claim for damages against a tortfeasor for which the insured is not fully compensated, despite the fact that all of these damages are not recoverable due to the statutory cap.
II. Exclusion for Government Vehicles
¶ 38. State Farm argues that a separate, independent basis for affirming the circuit court's grant of summary judgment is that the Hunts' policy explicitly excluded government vehicles from the definition of an underinsured motor vehicle. The Hunts disagree for
¶ 39. State Farm argues that pursuant to Wis. Stat. § 632.32(5)(e), an exclusion to the definition of an underinsured motor vehicle for any government owned vehicle is not prohibited. This subsection states:
A policy may provide for exclusions not prohibited by sub. (6) or other applicable law. Such exclusions are effective even if incidentally to their main purpose they exclude persons, uses or coverages that could not be directly excluded under sub. (6)(b).
State Farm argues that because the exclusion for government vehicles is not prohibited by § 632.32(6) and does not violate applicable law, it is valid.
¶ 40. We agree with State Farm that the exclusion for government vehicles is not explicitly prohibited by Wis. Stat. § 632.32(6). However, we disagree that it does not violate other applicable law.
¶ 41. This court previously rejected an argument similar to State Farm's in Trampf, addressing the validity of an uninsured motorist policy limiting recovery to an insured who is "hit" or "struck" by an uninsured motor vehicle. See Trampf, 199 Wis. 2d at 384-85. The version of Wis. Stat. § 632.32 in place at the time the court decided Trampf mandated coverage for uninsured vehicles. See Wis. Stat. § 632.32(4) (1995-96). As here, the
¶ 42. As in Trampf, the exclusion here in fact violates other applicable law, namely, Wis. Stat. § 632.32(4), which requires, in pertinent part, underinsured motorist coverage for "every policy of insurance ... with respect to any owned motor vehicle registered ... in this state against loss resulting from liability imposed by law for bodily injury." See § 632.32(4)(a), (a)2m. (emphasis added). This subsection requires that underinsured motorist coverage applies in all cases, and excluding coverage for government vehicles violates that applicable law.
¶ 43. State Farm does not attempt to distinguish Trampf. Instead, State Farm cites to Progressive Northern Insurance Co. v. Hall, 2006 WI 13, 288 Wis. 2d 282, 709 N.W.2d 46, and Mau v. North Dakota Insurance Reserve Fund, 2001 WI 134, 248 Wis. 2d 1031, 637 N.W.2d 45, to support its assertion that the government vehicle exclusion "is valid under [Wis. Stat. § 632.32] (5) (e) because it is not prohibited by any other statute." State Farm's reliance on these cases is mis
CONCLUSION
¶ 44. For the reasons explained above, we reverse the circuit court's grant of summary judgment in favor of State Farm.
By the Court. — Order reversed.
Because the policy at issue in this appeal is based on the 2009-10 version of Wis. Stat. § 632.32, all future references to the Wisconsin Statutes are to the 2009-10 version unless otherwise noted.
This law was amended in 2011 to repeal the underinsured motorist coverage requirement. 2011 Wis. Act 14, §§ 15c, 17m, 19m. Policies effective after November 1, 2011, are not required to include underinsured motorist coverage, although insurers are required to notify policyholders of the availability of underinsured motorist coverage. Wis. Stat. § 632.32(4m)(a) (2011-12).
In interpreting Wis. Stat. § 632.32(2)(d), we are assisted by the unpublished decision Cordie v. American Family Mutual Insurance Co., No. 2013AP1772, unpublished slip op. (WI App April 9, 2014), for its persuasive value. See Wis. Stat. Rule 809.23(3)(b). The Cordie court addressed the issue presented here.
State Farm argues that the Hunts improperly rely on Wis. Stat. § 632.32(2)(e) to "alter the definition of underinsured motorist coverage in" § 632.32(2)(d) and that this is "not a proper use of sub. (2)(e)3. because that subsection served an entirely different purpose." State Farm contends that the sole purpose of § 632.32(2)(e) is to establish that underinsured motorist coverage must be applied using the "separate fund" approach, and not the "limits-to-limits" approach. Assuming without deciding that this was one legislative purpose, we fail to see how this undermines the Hunts' interpretation based on § 632.32(2)(e). State Farm fails to come to terms with the rule that, as explained above, we interpret statutory language "in the context in which it is used" and as part of the whole statutory
The court in State Farm Mutual Insurance Co. v. Gillette, 2002 WI 31, 251 Wis. 2d 56, 641 N.W.2d 662, explained that "cases do not seem to differentiate between the phrases 'legally entitled to recover' and 'legally entitled to collect.'" Id., ¶ 29 n.19.
Case law applicable to uninsured motorist coverage is also generally applicable to underinsured motorist coverage. Gillette, 251 Wis. 2d 561, ¶ 29 n.19.
We observe that courts from a number of other jurisdictions have addressed similar underinsured motorist coverage statutes and insurance policies providing underinsured motorist coverage and have determined that an insured is "legally entitled to recover" damages up to his or her policy limits through his or her underinsured motorist coverage where the damages recoverable from a tortfeasor are capped by statute. See, e.g., Cincinnati Ins. Co. v. Trosky, 918 N.E.2d 1, 9 (Ind. Ct. App. 2009) ("[T]he sovereign immunity defense is not available to UIM carriers who argue that once the statutory cap has been paid by the governmental unit, the insured is no longer 'legally entitled to recover.' "); Speer v. Farm Bureau Mut. Ins. Co., 226 P.3d 558 (Kan. Ct. App. 2010); West Am. Ins. Co. v. Popa, 723 A.2d 1 (Md. 1998); Boradiansky v. State Farm Mut. Auto. Ins. Co., 156 P.3d 25 (N.M. 2007); but see Kendall v. United Servs. Auto. Ass'n, 23 So.3d 1119 (Ala. 2009); Matarese v. New Hampshire Mun. Ass'n Prop. Liab. Ins. Trust, Inc., 791 A.2d 175 (N.H. 2002).
Although in Trampf v. Prudential Property & Casualty Co., 199 Wis. 2d 380, 544 N.W.2d 596, the court interpreted an earlier version of Wis. Stat. § 632.32(5)(e), the language at issue was the same as the language at issue here.
Reference
- Full Case Name
- State Farm Mutual Automobile Insurance Company, Plaintiff-Respondent v. Barry E. Hunt and Ashley M. Hunt, Richard Loeper
- Cited By
- 34 cases
- Status
- Published