Marotz v. Hallman

2007 WI 89, 734 N.W.2d 411, 302 Wis. 2d 428, 2007 Wisc. LEXIS 420
CourtWisconsin Supreme Court
DecidedJuly 10, 2007
Docket2005AP1579
StatusPublished
Cited by44 cases

This text of 2007 WI 89 (Marotz v. Hallman) 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
Marotz v. Hallman, 2007 WI 89, 734 N.W.2d 411, 302 Wis. 2d 428, 2007 Wisc. LEXIS 420 (Wis. 2007).

Opinions

JON E WILCOX, J.

¶ 1. This is a review of an unpublished court of appeals decision,1 which affirmed the judgment of Waupaca County Circuit Court, John E Hoffmann, Judge. Judge Hoffman denied the motion for declaratory judgment of Jeffery E. Marotz (Marotz) and dismissed his claim against Rural Mutual Insurance Company (Rural).

¶ 2. Two issues are before this court.2 First, does Wis. Stat. § 632.32(5)(i)1. (2005-06),3 which allows an [435]*435insurer to reduce the limit of underinsured motorist (UIM) coverage by "[a]mounts paid [to an insured] by or on behalf of any person or organization that may be legally responsible for the bodily injury or death for which the payment is made," permit an insurer to reduce the UIM limit by the amount paid to an insured by a non-UIM tortfeasor? We hold that § 632.32(5)(i)l. does allow an insurer to reduce the limit of UIM liability by the amount paid to an insured by a non-UIM tortfeasor. Second, does the reducing clause in the policy issued by Rural unambiguously comply with § 632.32(5)(i)l.? We hold that the language does unambiguously comply with § 632.32(5)(i)l. Accordingly, we affirm the court of appeals.

I

¶ 3. On December 21, 2002, Marotz rode as a passenger in the vehicle of Arthur E. Hallman, Jr. (Hallman) as Hallman drove southbound on County-Highway J in Shawano County. Hallman entered the intersection of County Highway J and State Highway 29 without stopping at the posted stop sign. Donald J. [436]*436Hilgemann (Hilgemann), who was driving eastbound on State Highway 29, struck Hallman's vehicle. As a result of the collision, Marotz sustained injuries. The injuries resulted in more than $250,000 in medical bills.

¶ 4. Hallman's vehicle was insured by a liability insurance policy, which ACUITY, a mutual insurance company (ACUITY), issued with a limit of $25,000 per person. Hilgemann's vehicle was also insured by a liability insurance policy, which IMT Insurance Company (Mutual) (IMT) issued with a limit of $250,000.

¶ 5. Marotz's parents, Joann K. and Orland O. Marotz, had a policy issued by Rural in effect at the time of the accident. Their policy provided UIM coverage for any "family member," such as Marotz.4 The UIM coverage provided a limit of liability of $100,000 per person.

¶ 6. The personal auto policy declarations provided the limits of liability for the various coverages included in the policy, as well as the premium for each. Before listing the limit of liability for the uninsured motorist (UM) coverage and UIM coverage, the following statement appeared: "THE LIMITS OF LIABILITY FOR THE FOLLOWING COVERAGES ARE PER POLICY LIMITS AND SHALL BE REDUCED AS A RESULT OF YOUR RECEIVING AMOUNTS FROM OTHER SOURCES BECAUSE OF YOUR 'BODILY INJURY.'"

¶ 7. The policy included an endorsement pertaining to UIM coverage in Wisconsin. The endorsement began by noting that "[w]ith respect to the coverage [437]*437provided by this endorsement, the provisions of the policy apply unless modified by the endorsement." Under an "INSURING AGREEMENT" heading, the endorsement stated the following:

We will pay compensatory damages which an "insured" is legally entitled to recover from the owner or operator of an "underinsured motor vehicle" because of "bodily injury":
1. Sustained by an "insured"; and
2. Caused by the accident.
The owner's or operator's liability for these damages must arise out of the ownership, maintenance or use of the "underinsured motor vehicle."
We will pay under this coverage only if 1. or 2. below applies:
1. The limits of liability under any bodily injury liability bonds or policies applicable to the "un-derinsured motor vehicle" have been exhausted by payment of judgments or settlements; or
2. A tentative settlement has been made between an "insured" and the insurer of the "underin-sured motor vehicle" which would exhaust the limits of liability under any applicable bodily injury liability bonds or policies and we:
a. Have been given prompt written notice of such tentative settlement; and
b. Advance payment to the "insured" in an amount equal to the tentative settlement within 30 days after the receipt of notification.

The endorsement also stated that" 'Underinsured motor vehicle' means a land motor vehicle or trailer of any [438]*438type to which a bodily injury liability bond or policy applies at the time of the accident but its limit for bodily injury liability is less than the limit of liability for this coverage." Because Hallman's vehicle had a liability coverage limit less than $100,000 (i.e., the limit of UIM liability in Marotz's policy), it constituted an "underin-sured motor vehicle."

¶ 8. Under a "LIMIT OF LIABILITY" heading, the endorsement included a reducing clause. It stated the following:

The limit of liability shall be reduced by all of sums:
1. 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 Part A; and
2. Paid or payable because of the "bodily injury" under any of the following or similar law:
a. Workers' compensation law; or
b. Disability benefits law.

Under the same "LIMIT OF LIABILITY" heading, the following appeared: "We will not make a duplicate payment under this coverage for any element of loss for which payment has been made by or on behalf of persons or organizations who may be legally responsible."

¶ 9. Marotz filed a UIM claim with Rural. Rural denied the claim. It asserted that the policy's reducing clause applied to the payments made by ACUITY (i.e., $25,000 on behalf of Hallman) and IMT (i.e., $90,000 on behalf of Hilgemann), and therefore the payments Marotz received exceeded the $100,000 limit of UIM [439]*439liability. Conversely, Marotz argued only ACUITY'S payment on behalf of Hallman was subject to the reducing clause, meaning Rural needed to pay Marotz at least $75,000 in UIM benefits.

¶ 10. Marotz commenced litigation and moved for declaratory judgment with regard to the insurance policy issued by Rural. He requested that the circuit court declare that (1) Rural was not entitled to reduce the limit of the UIM liability by the $90,000 that IMT paid on behalf of Hilgemann and (2) the policy's reducing clause was ambiguous when considered in the context of the entire policy and could not be enforced with regard to payments made by ACUITY and IMT.

¶ 11. The circuit court ruled that the reducing clause complied with § 632.32(5)(i)l., that the reducing clause was not ambiguous and was thus enforceable, and that Rural was entitled to reduce the $100,000 limit of UIM liability by ACUITY'S $25,000 payment and IMT's $90,000 payment. The court entered a judgment dismissing Marotz's complaint against Rural.

¶ 12.

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Cite This Page — Counsel Stack

Bluebook (online)
2007 WI 89, 734 N.W.2d 411, 302 Wis. 2d 428, 2007 Wisc. LEXIS 420, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marotz-v-hallman-wis-2007.