Casper ex rel. Casper v. American International South Insurance Co.

2017 WI App 36, 897 N.W.2d 429, 376 Wis. 2d 381, 2017 WL 2131306, 2017 Wisc. App. LEXIS 342
CourtCourt of Appeals of Wisconsin
DecidedMay 16, 2017
DocketNo. 2015AP2412
StatusPublished
Cited by6 cases

This text of 2017 WI App 36 (Casper ex rel. Casper v. American International South Insurance Co.) 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
Casper ex rel. Casper v. American International South Insurance Co., 2017 WI App 36, 897 N.W.2d 429, 376 Wis. 2d 381, 2017 WL 2131306, 2017 Wisc. App. LEXIS 342 (Wis. Ct. App. 2017).

Opinion

¶ 1.

BRENNAN, P.J.

American International South Insurance Company (AISIC) appeals an order granting plaintiffs' summary judgment motion and ordering AISIC to pay $684,499.14 in interest on its delayed payment on the underlying claim in this case. Wisconsin Stat. § 628.46(1) (2015-16)1 requires an insurer given proper notice to pay such interest when it does not timely pay claims unless "the insurer has reasonable proof to establish that the insurer is not responsible for the payment[.]" The requirement applies to claims by insureds and claims by third parties who satisfy certain conditions as set forth in Kontowicz v. American Standard Insurance Co. of Wisconsin.2 The trial court concluded that plaintiffs, who are third-party claimants, were entitled to such interest [387]*387because in 2007 they satisfied the Kontowicz conditions as to the underlying claim and because AISIC was unable to provide "reasonable proof to establish" that it was not responsible for the payment.

f 2. AISIC argues that both these conclusions are incorrect. AISIC also argues that Wis. Stat. § 628.46 does not apply where an insurer has contractual duties to multiple insureds, as AISIC does here, because those legal obligations make it impossible for AISIC to satisfy the statute. Plaintiffs cross-appeal, arguing that in 2005 they satisfied § 628.46's requirements as interpreted in Kontowicz and accordingly they are entitled to more interest than the trial court awarded them. We reject those arguments and affirm the order.

BACKGROUND

f 3. Plaintiffs are Bryan Casper ("Casper"), Susan Casper, Michael Casper, Thomas Casper, Sara Janey and Sharon Janey (collectively, "the Caspers").3 In May 2003, the Casper family's minivan, which had stopped at an intersection for a red light, was rear-ended by AISIC's insured, Mark Wearing, who was driving a tractor-trailer. Casper v. American Int'l S. Ins. Co. (Casper II), 2011 WI 81, ¶ 12, 336 Wis. 2d 267, 800 N.W.2d 880. All five occupants of the minivan were injured, some catastrophically — Sara Janey suffered injuries including a traumatic brain injury, and Michael Casper suffered a spinal injury that rendered [388]*388him quadriplegic at age fifteen. Past itemized special damages in medical payments for the five exceeded $643,000 on September 12, 2005; and future special damages for Michael Casper alone were estimated at seven to twelve million dollars.

¶ 4. At the time of the crash, Wearing was an employee of two firms and was making a delivery on behalf of AIT, a customer of one of his employers. Id., ¶¶ 15, 17. Wearing was driving while under the influence of several prescription drugs, id., ¶ 14, in violation of federal trucking safety regulations. The route he was driving was a 536-mile overnight route that was longer than federal trucking safety regulations permit, id., ¶¶ 17, 18. Wearing testified at a deposition that he did not see the minivan prior to the collision. An off-duty officer who witnessed the collision testified at a deposition that just before the collision the minivan driven by Casper had not accelerated normally from the intersection when the light turned green, and an accident reconstruction expert retained by defendants concluded based on that testimony that the accident "would likely have been avoided" if Casper had accelerated immediately when the light turned green.

¶ 5. The Caspers brought the underlying suit against seven named defendants and their insurers, alleging negligence. With the exception of AIT, the individuals and companies named as defendants were all insureds of AISIC. AISIC's policy limit was one million dollars, and AISIC's policy had a provision stating that "the most [AISIC] will pay for the total of all damages resulting from any one 'accident' is the Limit of Insurance for Liability Coverage found in the Declarations."

[389]*389¶ 6. From 2004 through 2012, the case proceeded through extensive litigation, appeals,4 a remand to the trial court, and mediation. Notwithstanding the accident reconstruction expert's opinion, AISIC's internal claim evaluations and litigation plan reflected the expectation that this was a policy limits case. This expectation was based on the high damages and the fact that five of the six defendants were AISIC's insureds. The possibility of some level of contributory negligence on Casper's part was assumed. The initial AISIC claims adjuster concluded that liability was "unfavorable," that the damages would far exceed the policy limits, and that this was a "policy limits case," and in their depositions the three subsequent AISIC claims adjusters did not dispute his assessment.

¶ 7. AISIC offered to settle for the policy limits in return for a release, but plaintiffs declined the settlement on those terms. The parties ultimately settled for the policy limits, which AISIC paid on November 22, 2012. The settlement released all defendants.

¶ 8. Following settlement, the sole issue that remained unresolved was the question of whether the Caspers were entitled to Wis. Stat. § 628.46 interest. After further discovery and briefing, the Caspers moved for summary judgment on that question. The parties agreed "that there are no genuine issues of material fact to prevent [the trial court] from determining whether AISIC is liable for Wis. Stat. § 628.46 interest."

¶ 9. The trial court granted the summary judgment motion, holding that the Caspers had satisfied [390]*390the conditions set forth in Kontowicz for third-party claimants. It held that the condition that there is no question of the insured's liability was satisfied because, given the fact that Wearing was driving while under the influence of prescription drugs, no reasonable jury would find that he did not bear the majority of the liability for the accident. It held that the sum certain condition was satisfied by the Caspers' Itemization of Special Damages, submitted September 12, 2005, which included medical expenses and other damages for each plaintiff. And it held that the written notice condition was met on February 7, 2007, the date on which plaintiffs sent a letter demanding payment of AISIC's one million dollar policy limit and noting that "the damages sustained by the Plaintiffs . . . well exceed the policy limit [.]"

¶ 10. Having determined that plaintiffs had satisfied the Kontowicz conditions as third-party claimants, the trial court turned to the question of whether AISIC had reasonable proof that it was not responsible for the payment. The trial court rejected AISIC's argument "that an insurer has reasonable proof of non-responsibility any time insurers can mount a non-frivolous defense." It concluded that the defenses AISIC argued would not have "convinced a reasonable insurer that it may not be responsible for the payment," applying the standard set forth in Kontowicz. It concluded that in light of the "excessive damages" present in this case, even if defending the claim resulted in an apportionment of liabilities among the parties, no "reasonable apportionment" would bring the claims below the policy limit.

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Bluebook (online)
2017 WI App 36, 897 N.W.2d 429, 376 Wis. 2d 381, 2017 WL 2131306, 2017 Wisc. App. LEXIS 342, Counsel Stack Legal Research, https://law.counselstack.com/opinion/casper-ex-rel-casper-v-american-international-south-insurance-co-wisctapp-2017.