Kolbeck v. Rural Mutual Insurance

235 N.W.2d 466, 70 Wis. 2d 655, 1975 Wisc. LEXIS 1355
CourtWisconsin Supreme Court
DecidedNovember 25, 1975
Docket516 (1974)
StatusPublished
Cited by13 cases

This text of 235 N.W.2d 466 (Kolbeck v. Rural Mutual Insurance) is published on Counsel Stack Legal Research, covering Wisconsin Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kolbeck v. Rural Mutual Insurance, 235 N.W.2d 466, 70 Wis. 2d 655, 1975 Wisc. LEXIS 1355 (Wis. 1975).

Opinion

Hanley, J.

The following issues are raised on this appeal:

1. Did Kolbeck comply with a policy provision regarding notice to the insurer and to law enforcement agencies of an occurrence which may give rise to a claim for theft?

2. Was it error for the trial court to consider testimony on the discovery of the calf carcass?

3. Was there sufficient proof under the policy requirements to sustain judgment for the insured?

4. Was the measure of damages proper and supported by the evidence?

Notice of theft.

The applicable policy section covering theft of livestock included the following provision:

“Upon knowledge of loss under this peril [theft] or of an occurrence which may give rise to a claim for such loss, the named insured shall give notice as soon as *659 practicable to the Company or any of its authorized agents and also report all pertinent facts to the nearest law enforcement officer as a condition precedent to making a claim under this peril. . . .”

Defendant contends that Kolbeek unreasonably delayed giving notice throughout the summer when he had knowledge of occurrences which may give rise to a claim for theft. ;

Where an automobile liability policy required notice in the event of an “accident, occurrence, or loss,” this court noted that the obligation of notice was not limited to those instances where the insured knew that there might be an injury and a claim for damages. Resseguie v. American Mut. Liability Ins. Co. (1971), 51 Wis. 2d 92, 98, 186 N. W. 2d 236. The “occurrence” in that case was an impact between the assured’s automobile and the plaintiff pedestrian. The law in Wisconsin, established in Vande Leest v. Basten (1942), 241 Wis. 509, 512, 513, 6 N. W. 2d 667, remains:

“The requirement in the policy that notice be given to [the] insurer as soon as practicable must receive a reasonable construction. It is not the duty of the insured to make a report unless he has reasonable grounds to believe that he is a participant in an accident.”

The fact of an occurrence rather than belief as to its coverage under the policy is the determinative element that gives rise to the duty to report. The purpose of timely notice is to afford the insurer an opportunity to investigate possible claims against it or its insured while the witnesses are available and their memories are fresh. Buss v. Clements (1963), 18 Wis. 2d 407, 412, 118 N. W. 2d 928; Allen v. Ross (1968), 38 Wis. 2d 209, 215, 156 N. W. 2d 434.

In this policy notice is required upon knowledge of “loss under this peril” or upon knowledge of “an occurrence which may give rise to a claim.” The first *660 situation clearly refers to known thefts; the latter circumstance described intends situations where theft is not yet determined as being the cause of the loss. A duty to report here would thus arise only under the latter provision, as the insurer bases its defense on the known lessened herd counts throughout the summer. No argument is made that the company did not have timely notice after the discovery of the carcass.

How much lesser than a known theft must the occurrence be before the duty to give notice arises? The insurer interprets the duty to coincide with any absence of property. Such language, however, was not in the policy. Kolbeck acknowledged a “suspicion” that some animals were not present. The occurrence had to be one that may give rise to a claim. In defining the claimable peril, the insurer excluded two situations:

“This section does not apply as respects this peril [theft] to loss . . . (e) by mysterious disappearance; or (f) by escape.”

Throughout the summer the number of visible cattle was lessened, but Kolbeck had no knowledge that either a theft or an escape had occurred, although both were possible. Lacking definite proof as to whether any cattle were gone rather than in the wooded areas, and lacking any proof as to how they were gone, both of which would require a time-consuming search which he testified he could not afford to make, the situation was best characterized as a mysterious disappearance which would not give rise to a claim. The presumption arising from mysterious disappearance was not just excluded; the occurrence of such was specifically barred as a ground for a claim.

Since indications of the more usual ways in which the herd could decrease was not evident, and since the absences increasingly could not be explained by the dispersion throughout the woods, the absences were mysterious disappearances prior to the finding of evidence of *661 theft. There being a condition clearly stated as not qualifying for a claim, no duty to report existed.

The trial court found that the duty to report arose and was timely satisfied in October. We agree with the trial court’s finding.

Admission of evidence.

Error is claimed for the consideration by the trial court of testimony on the discovery of the various cattle carcasses. This evidence was claimed to be barred by the following section of the policy:

“With respect to any livestock insured under this section, this peril [theft] covers certain direct losses of livestock provided that . . . (c) any physical facts relating to entry upon or exit from the described premises, in order to constitute evidence of theft hereunder, shall be reported in writing by the named insured to the Home Office of the Company at Madison, Wisconsin within 10 days of said discovery of said theft, and any physical facts not so reported shall not be considered as evidence of theft.”

It is undisputed that no written formal notice was sent by Kolbeek to the home office of the Rural Mutual Insurance Company in Madison, Wisconsin. However, it is also undisputed that Kolbeek advised the local office of Rural Insurance Company of the theft within one week from the time he discovered the carcass. He was told by them that the matter would be taken care of. Thereafter, Kolbeek talked to his agent, Mr. Traeger, and was again advised that the matter would be taken care of. A claims investigator visited Kolbeek in December, apparently because Kolbeek called again; testimony established that the first agent never reported the loss further.

Kolbeck’s failure to send the notice of evidence apparently stems from his lack of awareness as to the policy provision. According to Kolbeck’s testimony, his policy was in the hands of a local financial institution and had *662 been misplaced by them. He asked for the policy back in the first week in October. He also asked for a copy of the policy from Rural Insurance Company and did not get any response.

The law is well established in this state that an insurance company cannot induce a claimant to suspend action or omit technical formal procedures and then hold that result against the claimant. Dishno v. Home Mut. Ins. Co. (1950), 256 Wis. 448, 41 N. W. 2d 375.

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Bluebook (online)
235 N.W.2d 466, 70 Wis. 2d 655, 1975 Wisc. LEXIS 1355, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kolbeck-v-rural-mutual-insurance-wis-1975.