Fischer v. Steffen

2011 WI 34, 797 N.W.2d 501, 333 Wis. 2d 503, 2011 Wisc. LEXIS 327
Wisconsin Supreme Court·Decided May 24, 2011·No. No. 2009AP1669·Published·Cited by 12 cases

Opinions

SHIRLEY S. ABRAHAMSON, C.J.

¶ 1. This is a review of a published decision of the court of appeals,1 which affirmed the judgment of the circuit court of Sheboygan County, L. Edward Stengel, Judge.

[506] ¶ 2. This review arises from an automobile accident. Roger H. Fischer, Sr. and Sandra J. Fischer, the injured plaintiffs, seek $10,000 from Pamela A. Steffen, the driver defendant; the defendant's insurer is Wilson Mutual Insurance Co. The $10,000 is the amount received by the plaintiffs from the plaintiffs' insurer, American Family Insurance Company, for medical expenses. The policy maximum for no-fault medical expenses was $10,000.

¶ 3. The jury found the defendant 100% liable for the plaintiffs' injuries. The jury awarded the plaintiffs $21,000 for pain and suffering and loss of consortium from the defendant. The parties stipulated that $12,157.14 was the reasonable value of past medical expenses; the circuit court entered this amount in the jury verdict.

¶ 4. The plaintiffs moved for judgment on the verdict, and the defendant filed a motion for partial judgment, asking the circuit court to reduce the award for medical expenses from $12,157.14 to $2,157.14 because the plaintiffs had already recovered $10,000 of the medical expenses from their insurer, American Family. American Family did not recover its subrogation claim for $10,000 against the defendant or her insurer because prior to the plaintiffs' lawsuit an arbitration panel found that the defendant was not negligent and need not pay American Family. The circuit court granted the defendant's motion, ruling that the plaintiffs were not entitled to the disputed $10,000 from the defendant.

¶ 5. The dispute before this court focuses on whether the circuit court erred in denying the plaintiffs a judgment of $10,000 against the defendant when the defendant did not pay the plaintiffs' insurer $10,000, a sum that represents the insurer's subrogation claim.

[507] ¶ 6. With regard to the plaintiffs' past medical expenses, the following are undisputed:

• The reasonable value of plaintiffs' past medical expenses was $12,157.14.
• The plaintiffs' insurer paid the plaintiffs $10,000 (the maximum under the policy) for no-fault medical expenses.
• The plaintiffs' insurer acquired a subrogation claim for $10,000 against the tortfeasor under the subrogation provision in the automobile insurance policy.
• Prior to trial, the plaintiffs' and the defendant's insurers arbitrated the plaintiffs' insurer's subrogation claim. The plaintiffs received no notice of the arbitration and did not participate in the arbitration.
• The arbitration panel determined that the defendant was not causally negligent and that the plaintiffs' insurer had no subrogation claim against the defendant.
• The jury determined that the defendant was 100% causally negligent.
• After trial, the defendant, upon order of the circuit court, paid the plaintiffs $2,157.14 ($12,157.14-$10,000) as reimbursement for medical expenses.
• Neither the defendant nor her insurer reimbursed the plaintiffs' insurer or the plaintiffs $10,000, the sum the plaintiffs' insurer paid the plaintiffs as reimbursement for medical expenses.

¶ 7. The plaintiffs argue that the defendant has paid $10,000 less than the full damages the defendant caused. The plaintiffs assert that the collateral source [508] rule applies: the defendant should not benefit from the plaintiffs' insurance policy. The plaintiffs contend that American Family's subrogation claim should revert to them, not the defendant, upon application of the collateral source rule.

¶ 8. In contrast, the defendant's position is that the plaintiffs should not obtain a double recovery, that is, the plaintiffs should not recover an additional $10,000 to compensate them for $10,000 in medical expenses already paid to the plaintiffs by their insurer, American Family.

¶ 9. The circuit court denied the plaintiffs judgment for the $10,000 in question, relying on Paulson v. Allstate Ins. Co., 2003 WI 99, 263 Wis. 2d 520, 665 N.W.2d 744. Similarly, the court of appeals, relying on Paulson, affirmed the circuit court's judgment that the plaintiff cannot recover the $10,000 in question from the defendant.

¶ 10. In Paulson, the court determined that under the facts of that case the injured party's recovery from the tortfeasor was not affected by the subrogated insurer's settlement of its subrogation claim with the tortfeasor for 70% of the full value.2 The injured party could not recover the subrogated insurer's claim for 30%, which the subrogated insurer did not recover from the tortfeasor.3

¶ 11. The Paulson court evaluated the interaction of the made whole doctrine, the collateral source rule and subrogation rules.

¶ 12. The Paulson court declared that the made whole doctrine was not applicable to the facts of the [509] case inasmuch as no assertion was made that there was an insufficient pool of money to pay damages.4 "The specter of an insurer competing with the insured for a limited amount of funds is simply not raised by the facts of this case."5

¶ 13. With regard to the collateral source rule and subrogation, the Paulson court concluded that subrogation trumped the collateral source rule under the facts of that case.6 To reach this conclusion, the court balanced three equitable considerations at play in the case: placing the full responsibility of the loss on the tortfeasor; discouraging double recovery for the injured party; and encouraging settlement agreements between parties.7

¶ 14. The Paulson court declared that the settlement agreement relating to the subrogation claim did not reduce the recovery of the injured party.8

¶ 15. The Paulson court rested its conclusion on the following:

• The injured party's insurer was not competing with the injured party for the same funds.9

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Fischer v. Steffen, 2011 WI 34, 797 N.W.2d 501, 333 Wis. 2d 503, 2011 Wisc. LEXIS 327 (Wis. 2011).

2011 WI 34 (Fischer v. Steffen) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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