Commercial Union Midwest Insurance v. Vorbeck

2004 WI App 11, 674 N.W.2d 665, 269 Wis. 2d 204, 2003 Wisc. App. LEXIS 1143
CourtCourt of Appeals of Wisconsin
DecidedDecember 10, 2003
Docket03-100
StatusPublished
Cited by25 cases

This text of 2004 WI App 11 (Commercial Union Midwest Insurance v. Vorbeck) 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
Commercial Union Midwest Insurance v. Vorbeck, 2004 WI App 11, 674 N.W.2d 665, 269 Wis. 2d 204, 2003 Wisc. App. LEXIS 1143 (Wis. Ct. App. 2003).

Opinions

NETTESHEIM, J.

¶ 1. In Badger Mutual Insurance Co. v. Schmitz, 2002 WI 98, ¶ 75, 255 Wis. 2d 61, 647 N.W.2d 223, the supreme court considered whether an underinsurance reducing clause in a motor vehicle [208]*208insurance policy was ambiguous, thereby rendering the underinsured motorist (UIM) coverage illusory. As part of the analysis, the Schmitz court said, "[R] educing clauses must be crystal clear in the context of the whole policy. Otherwise, insureds are not likely to understand what they are purchasing." Id., ¶ 46. Following Schmitz, the court of appeals issued a number of opinions applying the Schmitz methodology, including the "crystal clear" test. See Hanson v. Prudential Prop. & Cas. Ins. Co., 2002 WI App 275, ¶ 18, 258 Wis. 2d 709, 653 N.W.2d 915; Dowhower ex rel. Rosenberg v. Marquez, 2003 WI App 23, ¶ 1, 260 Wis. 2d 192, 659 N.W.2d 57, vacated, 2003 WI 127, 265 Wis. 2d 410, 668 N.W.2d 735 (Wis. Sep. 12, 2003) (No. 01-1347); Van Erden v. Sobczak, 2003 WI App 57, ¶ 21 n.3, 260 Wis. 2d 881, 659 N.W.2d 896, vacated, 2003 WI 129, 265 Wis. 2d 414, 668 N.W.2d 735 (Wis. Sep. 12, 2003) (No. 02-1595); Gohde v. MSI Ins. Co., 2003 WI App 69, ¶ 17, 261 Wis. 2d 710, 661 N.W.2d 470, vacated, 2003 WI 128, 265 Wis. 2d 412, 668 N.W.2d 556 (Wis. Sep. 12, 2003) (No. 01-2121).

¶ 2. Recently, the supreme court revisited this question in Folkman v. Quamme, 2003 WI 116, 264 Wis. 2d 617, 665 N.W.2d 857. The Folkman court stated that its "crystal clear" language in Schmitz had produced "an unintended effect." Folkman, 264 Wis. 2d 617, ¶ 30 ("A series of court of appeals decisions decided post-Schmitz reveals that our admonition of 'crystal clarity' has been used to alter the analytical focus."). Having clarified Schmitz, the Folkman court then conducted its analysis without using the "crystal clear" test.

[209]*209¶ 3. With the benefit of Folkman, we now address the instant appeal.1 Lynn K. Vorbeck, in her personal capacity and as personal representative of the estate of her husband, Alan G. Vorbeck, appeals from a declaratory judgment limiting the liability of Commercial Union Midwest Insurance Company (Commercial) to $250,000 after application of the UIM reducing clause recited in the Commercial policy. Based on Folkman, we affirm the judgment.2

[210]*210FACTS AND PROCEDURAL HISTORY

¶ 4. The facts of this case are undisputed. On June 11, 2001, a vehicle driven by Peter Scimeca collided with a vehicle driven by Alan G. Vorbeck. Alan was critically injured in the accident and died the same day. At the time of the accident, Scimeca was insured by Liberty Mutual Insurance Company (Liberty Mutual). The Liberty Mutual policy carried $250,000 per person limits of liability for bodily injuries. Lynn made a claim against Liberty Mutual for the policy limits. Liberty Mutual honored the claim and paid the policy limits of $250,000.

¶ 5. At the time of the accident, Alan was insured under an insurance policy issued by Commercial. In addition to other coverage, the Commercial policy provided UIM "split limits" coverage in the amount of "$500,000 each person. .. $500,000 each accident."3 Lynn made a claim against Commercial for the full UIM policy limits of $500,000. Commercial rejected the claim, relying on the policy's reducing clause, which stated that the limit of liability shown in the declarations page for each person "shall be reduced by all sums: 1. Paid because of the 'bodily injury' by or on behalf of persons or organizations who may be legally responsible."4 Based on Liberty Mutual's prior payment [211]*211of $250,000, Commercial paid Lynn $250,000, not the maximum UIM policy limits of $500,000 as demanded.

¶ 6. Following its payment, Commercial instituted the instant declaratory judgment action and moved for summary judgment, seeking judicial confirmation that its $250,000 payment fully satisfied and discharged its obligations to Lynn. After briefing and oral argument from the parties, the trial court ruled in favor of Commercial. Acknowledging that the reading of the policy was "cumbersome," the court nonetheless concluded that such difficulty did not render the policy ambiguous. Although the court made its ruling without the benefit of Folkman, we conclude that the court essentially applied a Folkman analysis. Lynn appeals.

STANDARD OF REVIEW

¶ 7. The grant or denial of a declaratory judgment is addressed to the trial court's discretion. Jones v. Secura Ins. Co., 2002 WI 11, ¶ 19, 249 Wis. 2d 623, 638 N.W.2d 575. However, when the exercise of such discretion turns upon a question of law, we review the question de novo, benefiting from the trial court's analysis. Id. Here, the issue turns upon the construction of an insurance contract, an exercise that presents a question of law. Folkman, 264 Wis. 2d 617, ¶ 12. Similarly, summary judgment presents a question of law that we review de novo. Hofflander v. St. Catherine's Hosp., Inc., 2003 WI 77, ¶ 26, 262 Wis. 2d [212]*212539, 664 N.W.2d 545. Summary judgment is commonly used to resolve issues of insurance policy coverage. See Kendziora v. Church Mut. Ins. Co., 2003 WI App 83, ¶ 6, 263 Wis. 2d 274, 661 N.W.2d 456.

DISCUSSION

¶ 8. We begin by addressing the principles of insurance policy construction set out in Folkman. Next, we address the supreme court's application of those principles to the insurance policy at issue in Folkman. Finally, with the assistance of Folkman, we analyze the Commercial policy at issue in this case.

1. The Folkman Principles of Insurance Policy Construction

¶ 9. The Folkman court began its discussion with a recital of the well-established black-letter principles governing the interpretation and construction of an insurance policy.

Insurance contract interpretation presents a question of law that is reviewed de novo. The same rules of construction that govern general contracts are applied to the language in insurance policies. An insurance policy is construed to give effect to the intent of the parties as expressed in the language of the policy.
Therefore, the first issue in construing an insurance policy is to determine whether an ambiguity exists regarding the disputed coverage issue. Insurance policy language is ambiguous "if it is susceptible to more than one reasonable interpretation." If there is no ambiguity in the language of an insurance policy, it is enforced as written, without resort to rules of construction or applicable principles of case law. If there is an ambigu[213]*213ous clause in an insurance policy, we will construe that clause in favor of the insured.
Our goal in interpreting insurance contracts is to discern and give effect to the intent of the parties. Insurers have the advantage over insureds because they draft the contracts. Thus, courts construe ambiguities in coverage in favor of the insureds and narrowly construe exclusions against insurers.

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Commercial Union Midwest Insurance v. Vorbeck
2004 WI App 11 (Court of Appeals of Wisconsin, 2003)

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Bluebook (online)
2004 WI App 11, 674 N.W.2d 665, 269 Wis. 2d 204, 2003 Wisc. App. LEXIS 1143, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commercial-union-midwest-insurance-v-vorbeck-wisctapp-2003.