Hulsey v. American Family Mutual Insurance

419 N.W.2d 288, 142 Wis. 2d 639, 1987 Wisc. App. LEXIS 4392
CourtCourt of Appeals of Wisconsin
DecidedDecember 16, 1987
Docket87-0552
StatusPublished
Cited by14 cases

This text of 419 N.W.2d 288 (Hulsey v. American Family 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
Hulsey v. American Family Mutual Insurance, 419 N.W.2d 288, 142 Wis. 2d 639, 1987 Wisc. App. LEXIS 4392 (Wis. Ct. App. 1987).

Opinion

BROWN, P.J.

This is an uninsured motorist benefit case where the insurer attempts to avoid coverage based on a policy provision excluding resident relatives who own their own car. We conclude that using the exclusionary provision for this purpose is contrary to public policy. We affirm the trial court as to this facet of the appeal.

The facts are stipulated. Jill Hulsey was a passenger on a motorcycle driven by Robert Amaya when it was involved in a single vehicle accident resulting *642 from Amaya’s negligence. Amaya had no liability insurance. Hulsey had in effect an insurance policy on an automobile she owned providing uninsured motorist coverage of $25,000 per person. The policy was issued by American Family Mutual Insurance Company which paid her the $25,000.

The parties have stipulated that Hulsey’s damages, however, exceed $125,000. She claims entitlement to additional benefits pursuant to a separate American Family policy issued to her father with uninsured motorist benefits of up to $100,000 per person.

American Family has denied payment on the father’s policy claiming that the daughter is not an insured under that policy. In the trial court, both parties moved for summary judgment, and Hulsey’s motion was granted while American Family’s was denied. American Family appeals.

The policy provisions relied upon by American Family state:

1. Insured person means:
a. You or a relative.
b. Anyone else occupying your insured car.
c. Anyone entitled to recover damages due to bodily injury to you, a relative, or another occupant of your insured car.
3. Relative means a person living in your household, related to you by blood, marriage or adoption. This includes a ward or foster child. It does not include any person who, or whose spouse, owns a car except while using your insured car.

*643 American Family underscores the fact that Jill Hul-sey, although a resident of her father’s household, owned her own car. American Family argues that before an insured’s resident relative can claim benefits from the uninsured motorist coverage of the insured’s policy, the relative must first show that he or she is protected for liability under that same policy. Because she owned her own car and was not using her father’s car when injured, American Family concludes that Jill Hulsey was not insured for liability under the clear terms of her father’s policy.

In support of its argument, American Family seizes upon language from Welch v. State Farm Mut. Auto. Ins. Co., 122 Wis. 2d 172, 361 N.W.2d 680 (1985), a landmark Wisconsin case on the subject of stacking uninsured motorist coverage. The supreme court wrote that "once uninsured motorist coverage is purchased, the insured, and his or her relatives insured for liability, have uninsured motorist protection under all circumstances.” Id. at 181, 361 N.W.2d at 684 (emphasis added).

The policy exclusion on its face prohibits Jill Hulsey from being insured for liability under her father’s policy. However, we must consider whether a provision prohibiting relatives who own their own cars from enjoying uninsured motor vehicle coverage on a resident relative’s policy is contrary to public policy.

In deciding the public policy question, we find it helpful to give a brief overview of what actions by the insurance industry are considered contrary to public policy by our legislature, and consequently by our courts.

First, we observe that uninsured motorist coverage is a type of indemnity insurance; that is, it *644 provides security against loss only after the person indemnified sustains a loss. Liability insurance, on the other hand, is not an indemnity against loss, but is designed to shield the insured from liability irrespective of whether the insured has suffered actual loss. See Landvatter v. Globe Sec. Ins. Co., 100 Wis. 2d 21, 26, 300 N.W.2d 875, 878 (Ct. App. 1980).

The distinction between indemnity insurance and liability insurance is significant here because it points out that within the four corners of one automobile policy may rest different forms of insurance.

Exclusions within a policy are designed to limit coverage so that insurers are not exposed to risks that they did not contract to undertake. See Tisdale v. Hasslinger, 79 Wis. 2d 194, 198, 255 N.W.2d 314, 316 (1977). In the absence of contrary authority, policy exclusions and limitations are valid as applied to most forms of insurance, 2 G. Couch, Cyclopedia of Insurance Law § 15.48 (2d ed. 1981), and can usually limit both the indemnity provisions and liability provisions that lie within the four corners of the policy.

Thus, in the normal situation, an insurer may write an exclusion applicable to any policy provision, no matter what its form, so as to prevent aggregation of benefits with another policy. 12A G. Couch, Cyclopedia of Insurance Law § 45:651. (2d ed. 1981); 15A G. Couch § 56:34. Reducing clauses are often written into an insurance contract to effect this exact purpose. Cf. id.

In Wisconsin, however, there is an exception to this rule regarding indemnity insurance in the form of uninsured motor vehicle coverage. The legislature has *645 promulgated sec. 632.32(4)(a), Stats., 2 which mandates uninsured motor vehicle coverage in every automobile policy. Of equal importance, the legislature has enacted sec. 631.43, Stats., 3 prohibiting insurers from eir- *646 cumscribing the aggregation of uninsured motorist benefits. Welch, 122 Wis. 2d at 177, 361 N.W.2d at 683.

Thus, in Wisconsin, exclusionary clauses that may otherwise be valid in limiting the aggregation of benefits in multiple policies, or within the same policy, are not valid when attempting to limit uninsured motorist coverage. Nicholson v. Home Ins. Cos., 137 Wis. 2d 581, 594, 405 N.W.2d 327, 332 (1987). It is a prohibited practice in Wisconsin for an insurer to deny, by policy limitation, the personal and portable nature of the indemnity insurance known as uninsured motorist protection. See Welch at 179, 361 N.W.2d at 684. The personal and portable nature of uninsured motorist protection is allowed by law to exist.

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Bluebook (online)
419 N.W.2d 288, 142 Wis. 2d 639, 1987 Wisc. App. LEXIS 4392, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hulsey-v-american-family-mutual-insurance-wisctapp-1987.