Gohde v. MSI Insurance

2004 WI App 69, 679 N.W.2d 835, 272 Wis. 2d 313, 2004 Wisc. App. LEXIS 252
CourtCourt of Appeals of Wisconsin
DecidedMarch 23, 2004
Docket01-2121
StatusPublished
Cited by9 cases

This text of 2004 WI App 69 (Gohde v. MSI 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
Gohde v. MSI Insurance, 2004 WI App 69, 679 N.W.2d 835, 272 Wis. 2d 313, 2004 Wisc. App. LEXIS 252 (Wis. Ct. App. 2004).

Opinions

PETERSON, J.

¶ 1. This appeal comes to us on remand from our supreme court. Bobbie and Rick Gohde appealed a summary judgment granted in favor of MSI Insurance Company. The circuit court determined the reducing clause in the Gohdes' underinsured motorist (UIM) policy, issued by MSI, was unambiguous. We summarily affirmed. Gohde v. MSI Ins. Co., No. 01-2121, unpublished slip op. (WI App March 26, 2002) (Gohde I).

The supreme court summarily reversed and ordered the parties to rebrief in light of its decision in Badger [315]*315Mut. Ins. Co. v. Schmitz, 2002 WI 98, 255 Wis. 2d 61, 647 N.W.2d 223. We then concluded the policy language was ambiguous and reversed. Gohde v. MSI Ins. Co., 2003 WI App 69, 261 Wis. 2d 710, 661 N.W.2d 470 (Gohde II). The supreme court again summarily reversed and remanded for further consideration in light of its decision in Folkman v. Quamme, 2003 WI 116, 264 Wis. 2d 617, 665 N.W.2d 857.1 We now conclude the policy is unambiguous when read as a whole and we affirm.

BACKGROUND

¶ 2. In November 1996, the Gohdes were injured in an automobile accident in Chetek when Jamie Lemke lost control of her vehicle and struck the Gohdes' automobile. Several passengers in Lemke's vehicle were also injured. The Gohdes sued Lemke, and the parties agreed Lemke was 100% causally negligent. Lemke's two State Farm liability policies had limits of $50,000 per person and $100,000 per accident. State Farm paid these limits in varying amounts to the injured parties. Bobbie received $100,000 and Rick, $35,000. Bobbie's stipulated damages, however, were $200,000 and Rick's were $135,000.

¶ 3. The Gohdes sought to recover the difference between their recovery from Lemke and their actual damages under their UIM policy. The UIM policy provides limits of $100,000 per person and $300,000 per accident. Prior to summary judgment, MSI paid Rick $65,000. MSI claimed it owed no more to Rick and nothing to Bobbie because of a reducing clause in the [316]*316UIM policy. The parties filed cross-motions for summary judgment. The Gohdes maintained the reducing clause was ambiguous and unenforceable and, therefore, MSI should pay Bobbie $100,000 and Rick an additional $35,000. MSI argued the reducing clause was unambiguous and claimed it had paid all it was obligated to pay under the policy.

¶ 4. The trial court agreed with MSI and the Gohdes appealed. We affirmed based on our decision in Sukala v. Heritage Mut. Ins. Co., 2000 WI App 266, 240 Wis. 2d 65, 622 N.W.2d 457. In Sukala, we held a reducing clause that complied with Wis. Stat. § 632.32(5)(i) was valid, enforceable and could not be deemed illusory. See id., ¶¶ 16-19. We concluded the MSI policy was not illusory because the reducing clause complied with this statute. Gohde I, No. 01-2121, unpublished slip op. at 2. We also concluded the policy was not ambiguous. Id.

¶ 5. After we affirmed, the supreme court decided Schmitz. There, the court determined it was not enough for a reducing clause to comply with Wis. Stat. § 632.32(5)(i), but rather the clause's effects must be "crystal clear in the context of the whole policy." Schmitz, 255 Wis. 2d 61, ¶¶ 46-49. Subsequently, the supreme court granted the Gohdes' petition for review, summarily reversed and remanded for further consideration in light of Schmitz.

¶ 6. On remand, we determined the policy's language was not "crystal clear" because "MSI's reducing clause conflicts with the limit of liability language . .. and with the declarations." Gohde II, 261 Wis. 2d 710, ¶ 21. Thus, we concluded the policy was ambiguous.

¶ 7. The supreme court subsequently decided Folkman, where it clarified the "crystal clear" standard. The court stated that it did not intend Schmitz to alter [317]*317the standard of review for whether an automobile insurance policy is ambiguous. "Schmitz and its predecessors do not demand perfection in policy draftsmanship. These decisions advise insurers to draft policies in a clear manner .. . ." Folkman, 264 Wis. 2d 617, ¶ 31. Thus, "crystal clear" is not the standard for ambiguity. The supreme court then reversed our decision in Gohde II and remanded for reconsideration in light of Folk-man.

DISCUSSION

¶ 8. In determining whether an insurance policy is ambiguous, we must read the policy as a whole: "There is a complementary principle to contextual ambiguity. Sometimes it is necessary to look beyond a single clause or sentence to capture the essence of an insurance agreement." Folkman, 264 Wis. 2d 617, ¶ 21. Furthermore, "The language of a policy should not be made ambiguous by isolating a small part from the context of the whole." Id.

¶ 9. The Gohdes' policy is nineteen pages. The UIM coverage begins on page eight. The UIM limits of liability and the reducing clause are on page nine:

The limit of liability shown in the Declarations for "each person" is our maximum limit of liability for all damages for bodily injury to any one person. The limit of liability shown for "each accident" is our maximum limit for all damages to two or more persons in the same accident.
This is the most we will pay regardless of the number of insureds, claims made, vehicles or premiums shown in the Declarations, or vehicles involved in the accident.
The limit of liability shall be reduced by:
[318]*3181. all sums paid because of the bodily injury by or on behalf of persons or organizations who may be legally responsible. This includes all sums paid under the Liability Coverage of this policy, and
2. all sums paid or payable because of the bodily injury under any workers' compensation, disability benefits or any similar law.
Any payment under this coverage to or for an insured will reduce any amount that person is entitled to recover under the Liability Coverage of this policy.
In no event will an insured be entitled to recover duplicate payment for the same element of loss.

¶ 10. In Gohde II, the Gohdes argued the language in the policy's limit of liability conflicted with the language in the reducing clause. They contended that the limit of liability, described as "the most we will pay," gave the impression that the maximum amount is attainable. However, they argued, the reducing clause made that maximum amount impossible to attain. We agreed. Following Schmitz we concluded the policy's liability limit was not "crystal clear" because of the conflicting language. Gohde II, 261 Wis. 2d 710, ¶ 21. Accordingly, we held the policy was ambiguous.

¶ 11. As we have noted, the supreme court clarified the "crystal clear" language from Schmitz when it decided Folkman. Folkman warns that we cannot conclude a is policy ambiguous "by isolating a small part from the context of the whole." Folkman, 264 Wis. 2d 617, ¶ 21. In light of Folkman,

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Bluebook (online)
2004 WI App 69, 679 N.W.2d 835, 272 Wis. 2d 313, 2004 Wisc. App. LEXIS 252, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gohde-v-msi-insurance-wisctapp-2004.