Balz v. Heritage Mutual Insurance

2006 WI App 131, 720 N.W.2d 704, 294 Wis. 2d 700, 2006 Wisc. App. LEXIS 490
CourtCourt of Appeals of Wisconsin
DecidedJune 6, 2006
Docket2004AP1626
StatusPublished
Cited by4 cases

This text of 2006 WI App 131 (Balz v. Heritage Mutual Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Balz v. Heritage Mutual Insurance, 2006 WI App 131, 720 N.W.2d 704, 294 Wis. 2d 700, 2006 Wisc. App. LEXIS 490 (Wis. Ct. App. 2006).

Opinion

CANE, C.J.

¶ 1. Heritage Mutual Insurance Company appeals a circuit court judgment, arguing the court erred when it: (1) failed to use the language of *708 an insurance policy in a special verdict, preventing the jury from properly deciding insurance coverage; (2) excluded evidence of practice, routine or habit; and (3) denied a request for a new trial due to the cumulative effect of the alleged errors. Heritage also argues the jury's award for future loss of earning capacity was excessive. We affirm the judgment and hold respectively: (1) the language used in the special verdict was appropriate; (2) the court properly excluded improper character evidence; and (3) no errors were present that required a curative instruction or a new trial. We further hold that the jury’s award was supported by credible evidence and was not excessive.

¶ 2. Scott and Connie Balz cross-appeal a circuit court judgment arguing the court erred when it: (1) refused to award Scott Balz interest and costs based upon his statutory offer of settlement; and (2) erroneously exercised its discretion by reducing the jury award for future medical expenses. We affirm the judgment and hold respectively: (1) the court properly refused to award interest and costs because Scott's judgment was not more favorable than the offer of settlement; and (2) credible evidence supported the court's reduction in the jury award for future medical expenses.

I. Appeal

Background

¶ 3. On September 20, 2000, Xia Tou Lo a/k/a Tou Xiong Lor, collided his vehicle with a vehicle driven by Scott Balz after Lo failed to stop for a stop sign. Lo was killed in the accident, and Balz was seriously injured. Balz and his wife Connie filed suit against several parties including Lo, the Wausau Area Hmong Mutual Association (the Association), Heritage Mutual Insur- *709 anee Corporation (the Association's liability carrier), Continental Insurance Company (Lo's liability carrier), and MSI Insurance Company (the Baizes' underinsured motorist carrier).

¶ 4. The Baizes alleged "that at the time of the accident, Lo was in the course and scope of his employment for the Wausau Area Hmong Mutual Association." Heritage denied any liability and moved for bifurcation of the coverage issue from the liability and damages issue, arguing that there was evidence Lo was conducting personal business at the time of the accident. Thus, Heritage asserted under the language of the policy it did not cover the claims of the Baizes.

¶ 5. At trial, the Baizes' proposed jury instructions included Wis JI — Civil 4035 — Servant: Scope of Employment (1997) and Wis JI — Civil 4045 Servant: Scope of Employment While Traveling (1994). The parties also proposed several special verdict questions. The trial court ultimately ruled that the Heritage policy language was equivalent to course and scope of employment and gave Wis JI — Civil 4035 and 4045 and provided a special verdict question with course and scope of employment language. The jury's verdict found that Lo was in the scope of his employment, and the court found that there was coverage under the Heritage policy. MSI was dismissed from the case.

¶ 6. Heritage filed a motion after verdict and a motion for a new trial, and the trial court denied both. After our decision in Aasen-Robles v. Lac Courtes Orielles Band of Superior Chippewa Indians, 2003 WI App 224, 267 Wis. 2d 333, 671 N.W.2d 709, Heritage renewed its motions for a new trial based on the Aasen-Robles holding, which the court again denied. A jury trial was held to determine liability and damages, and the jury returned a verdict in favor of the Baizes.

*710 A. Language Used in the Special Verdict

¶ 7. Heritage argues that the trial court's failure to use language present in the insurance policy in the special verdict prevented "the jury from properly deciding the facts for the court to determine the insurance coverage." The special verdict stated:

Was Xia Tou Lo, at the time of the accident causing his death, using his automobile while in the course and scope of his employment with the Wausau Area Hmong Association?

The court provided jury instructions based on Wis JI— Civil 4035 — Servant: Scope of Employment and 4045— Servant: Scope of Employment While Traveling. The insurance policy language stated that Heritage must provide coverage for an employee's use of a non-owned automobile "while used in your business or your personal affairs." Because the special verdict used scope of employment language, Heritage insists "the jury was not asked to determine whether the employee was using the vehicle at the time of the accident in the business of his employer, but the much broader question of whether the driver was in the scope of employment."

¶ 8. "A trial court has wide discretion in framing the special verdict." Runjo v. St. Paul Fire & Marine Ins. Co., 197 Wis. 2d 594, 602, 541 N.W.2d 173 (Ct. App. 1995). The special verdict presented must fully and fairly inform the jury regarding the applicable principles of law. Id. We will not interfere with the form of a special verdict unless the question, taken with the applicable instruction, does not fairly present the material issues of fact to the jury for determination. In re AM., 163 Wis. 2d 270, 276, 471 N.W.2d 519 (Ct. App. 1991).

*711 ¶ 9. The court's special verdict language was proper. Generally, language present in an insurance policy must be interpreted to mean what a reasonable person in the position of the insured would understand that language to mean. General Cas. Co. v. Hills, 209 Wis. 2d 167, 175, 561 N.W.2d 718 (1977). Any ambiguity in a policy should be interpreted in favor of coverage and against the insurer because the insurance company that provided the policy chose the ambiguous provisions. Kopp v. Home Mut. Ins. Co., 6 Wis. 2d 53, 57, 94 N.W.2d 224 (1959).

¶ 10. Here, the insurance policy itself fails to fully define the term, "while used in your business or your personal affairs." Specifically, the policy does not address the meaning of "personal affairs." It is at least arguable that personal affairs could include virtually any action taken by an employee, even those actions not taken in the scope of business. Considering this ambiguity in the policy's language, it was not improper for the court to provide a special verdict regarding course and scope of employment and a jury instruction that further assisted the jury.

¶ 11. Heritage argues that the trial court incorrectly broadened the policy's coverage when the special verdict used scope of employment, a term often associated with worker's compensation law. Heritage relies on Aasen-Robles, where we were asked to determine whether the trial court erred when it used worker's compensation case law precedent to decide whether an employer's liability policy covered an employee.

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Bluebook (online)
2006 WI App 131, 720 N.W.2d 704, 294 Wis. 2d 700, 2006 Wisc. App. LEXIS 490, Counsel Stack Legal Research, https://law.counselstack.com/opinion/balz-v-heritage-mutual-insurance-wisctapp-2006.