Kemper Independence Insurance Company v. Ismet Islami

2020 WI App 38, 946 N.W.2d 231, 392 Wis. 2d 866
CourtCourt of Appeals of Wisconsin
DecidedMay 27, 2020
Docket2019AP000488
StatusPublished
Cited by2 cases

This text of 2020 WI App 38 (Kemper Independence Insurance Company v. Ismet Islami) 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
Kemper Independence Insurance Company v. Ismet Islami, 2020 WI App 38, 946 N.W.2d 231, 392 Wis. 2d 866 (Wis. Ct. App. 2020).

Opinion

2020 WI App 38

COURT OF APPEALS OF WISCONSIN PUBLISHED OPINION

Case No.: 2019AP488

†Petition for Review Filed

Complete Title of Case:

KEMPER INDEPENDENCE INSURANCE COMPANY,

PLAINTIFF-RESPONDENT,

V.

ISMET ISLAMI,

DEFENDANT-APPELLANT.†

Opinion Filed: May 27, 2020 Submitted on Briefs: January 22, 2020

JUDGES: Reilly, P.J., Gundrum and Davis, JJ. Concurred: Dissented:

Appellant ATTORNEYS: On behalf of the defendant-appellant, the cause was submitted on the briefs of Joseph F. Owens of Law Offices of Joseph F. Owens, LLC, and Debra K. Reidel of Debra K. Reidel Law Offices, New Berlin.

Respondent ATTORNEYS: On behalf of the plaintfiff-respondent, the cause was submitted on the brief of James M. Fredericks and Allison E. Kliner of Borgelt, Powell, Peterson & Frauen, S.C., Milwaukee. 2020 WI App 38

COURT OF APPEALS DECISION NOTICE DATED AND FILED This opinion is subject to further editing. If published, the official version will appear in the bound volume of the Official Reports. May 27, 2020 A party may file with the Supreme Court a Sheila T. Reiff petition to review an adverse decision by the Clerk of Court of Appeals Court of Appeals. See WIS. STAT. § 808.10 and RULE 809.62.

Appeal No. 2019AP488 Cir. Ct. No. 2013CV2875

STATE OF WISCONSIN IN COURT OF APPEALS

DEFENDANT-APPELLANT.

APPEAL from an order of the circuit court for Waukesha County: WILLIAM DOMINA, Judge. Affirmed.

Before Reilly, P.J., Gundrum and Davis, JJ.

¶1 DAVIS, J. Ismet Islami (Ismet) appeals a summary judgment order in favor of Kemper Insurance Company (Kemper) denying coverage for loss of her home stemming from a fire intentionally set by Ydbi Islami (Ydbi), from whom Ismet is legally separated. The trial court ruled that coverage to Ismet was barred No. 2019AP488

under a “concealment or fraud” condition of her policy, which provides that “no” insured has coverage if “an” insured, whether before or after the loss, conceals or misrepresents any fact upon which the insurer relies or which contributes to the loss.

¶2 The above policy provision is in play because Ydbi, in addition to setting the fire, lied about his misdeeds in sworn post-loss statements to Kemper. Ismet, who indisputably had nothing to do with the arson or Ydbi’s false denial, seeks to avoid what would otherwise be the coverage-defeating consequences of Ydbi’s lies, on three grounds. These are: (1) WIS. STAT. § 631.95 (2017-18)1 prevents denial of coverage to a domestic abuse victim based on acts of the abuser that cause, or instill fear of causing, physical harm to the victim; (2) because of their legal separation, Ydbi is not Ismet’s “spouse,” and therefore is not an “insured” to whom the “concealment or fraud” provision applies; (3) the policy is “several,” so under the principles articulated in Hedtcke v. Sentry Insurance Co., 109 Wis. 2d 461, 326 N.W.2d 727 (1982), Ydbi’s violation of the “concealment or fraud” condition cannot be imputed to an “innocent insured” such as Ismet. The trial court rejected these arguments and granted summary judgment in favor of Kemper. We affirm.

FACTUAL BACKGROUND

¶3 Ismet and Ydbi married in 1978.2 In 1998, Ismet obtained a legal separation from Ydbi. See WIS. STAT. § 737.35. As part of the separation, the

1 All references to the Wisconsin Statutes are to the 2017-18 version. 2 The facts relevant to this appeal are taken from joint stipulations and other undisputed summary judgment submissions.

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parties entered into a Marital Settlement Agreement, in which they agreed that Ismet would have sole title to the home. Nonetheless, Ismet and Ydbi continued to live in the home together.3

¶4 For the one-year period beginning July 25, 2012, Kemper insured Ismet’s home, as well as listed automobiles and typical homeowner liability risks, through a “Package Plus” combination home and automobile policy issued to Ismet. The policy lists Ismet as the “Named Insured” in the declarations but also states:

Throughout the policy, “you” and “your” means the person shown as the “Named Insured” in the Declarations. It also means the spouse if a resident of the same household.

¶5 On June 10, 2013, a fire destroyed Ismet’s home while she was vacationing in Europe. Kemper began an investigation to adjust the loss. Pursuant to a provision in the policy, Kemper conducted an Examination Under Oath (EUO) of both Ydbi and Ismet. Ismet and Ydbi also signed a document titled “Sworn Statement in Proof of Loss,” in which they attested that the fire was of “unknown” origin. Kemper then denied coverage for the loss, citing among other reasons a

3 Ismet submitted an affidavit and gave sworn testimony in an Examination Under Oath conducted by Kemper’s attorney, in which she stated that she initially sought a divorce from Ydbi after his 1988 conviction for sexual assault but that he would not consent to the divorce. According to Ismet, for religious reasons this prevented her from obtaining a divorce, and she ultimately pursued the alternative path of legal separation. Since Ismet and Ydbi continued to live in the same residence, the separation may have been a financial decision (and some of Ismet’s statements indicate that this was the primary consideration). Resolving the purpose behind the separation is not relevant to the issues on this appeal, however, and we express no opinion on this point.

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violation of the following provision, which is set forth in the “Conditions” section of Ismet’s policy:4

2. Concealment or Fraud.

a. Under Section I—Property Coverages, with respect to all “insureds” covered under this policy, we provide coverage to no “insureds” for loss under Section I— Property Coverages if, whether before or after a loss, an “insured” has:

1) Concealed or misrepresented any fact upon which we rely, and that concealment or misrepresentation is material and made with intent to deceive; or

2) Concealed or misrepresented any fact and the fact misrepresented contributes to the loss.

Kemper also sued, seeking a declaration of no coverage; Ismet counterclaimed.

¶6 A lengthy procedural path, which need not be recounted here, ensued. Both parties ultimately filed motions for summary judgment on stipulated facts. The parties agreed that Ydbi set the fire (by that point Ydbi had been criminally prosecuted for the arson). The parties further stipulated that Ydbi knowingly lied in his earlier statements as to his involvement in and knowledge of the cause of the fire, that he did so with the intent to deceive Kemper, and that Kemper relied on his concealment and fraud to its detriment. The parties also agreed that Ismet did not conspire with Ydbi, knew nothing about Ydbi’s actions, and did not engage in fraud or concealment in any statements to Kemper. In three separate summary judgment

4 Ismet’s policy contains two “concealment or fraud” provisions, one in the main policy and the second in the Wisconsin Endorsement. The trial court determined that the provision in the Wisconsin Endorsement controls. Although Ismet notes the differences between the two provisions, claiming that Kemper “without amending its Complaint … strategically switched from reliance” from the main policy version to the version in the Wisconsin Endorsement, she develops no argument as to why the trial court might have erred in ruling that the Wisconsin Endorsement was controlling. Therefore, our decision rests only on an analysis of the “concealment or fraud” provision in the Wisconsin Endorsement, which is quoted above.

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Related

Kemper Independence Insurance Company v. Ismet Islami
2021 WI 53 (Wisconsin Supreme Court, 2021)

Cite This Page — Counsel Stack

Bluebook (online)
2020 WI App 38, 946 N.W.2d 231, 392 Wis. 2d 866, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kemper-independence-insurance-company-v-ismet-islami-wisctapp-2020.