Secura Supreme Insurance Company v. The Estate of Daniel Keith Huck

2023 WI 21
Wisconsin Supreme Court·Decided March 22, 2023·No. 2020AP001078-FT·Published·Cited by 5 cases

Opinion

2023 WI 21

SUPREME COURT OF WISCONSIN CASE NO.: 2020AP1078-FT

COMPLETE TITLE: Secura Supreme Insurance Company, Plaintiff-Appellant-Petitioner, v.

The Estate of Daniel Keith Huck, Defendant-Respondent.

REVIEW OF DECISION OF THE COURT OF APPEALS Reported at 399 Wis. 2d 542, 966 N.W.2d 124 PDC No: 2021 WI App 69 - Published

OPINION FILED: March 22, 2023 SUBMITTED ON BRIEFS: ORAL ARGUMENT: November 7, 2022

SOURCE OF APPEAL:

COURT: Circuit COUNTY: Racine JUDGE: Eugene A. Gasiorkiewicz

JUSTICES: ROGGENSACK, J., delivered the majority opinion of the Court with respect to ¶¶1-2, 4-16, and 29, in which ZIEGLER, C.J., ANN WALSH BRADLEY, DALLET, HAGEDORN, and KAROFSKY, JJ., joined, and an opinion, in which ZIEGLER, C.J., joined. DALLET, J., filed a concurring opinion, in which ANN WALSH BRADLEY, HAGEDORN, and KAROFSKY, JJ., joined. REBECCA GRASSL BRADLEY, J., filed a dissenting opinion. NOT PARTICIPATING:

ATTORNEYS:

For the plaintiff-appellant-petitioner, there were briefs filed by Barbara A. O’Brien, Erik M. Gustafson, and Borgelt, Powell, Peterson & Frauen, S.C., Milwaukee. There was an oral argument by Patryk Silver.

For the defendant-respondent, there was a brief filed by Susan R. Tyndall, Tony M. Dunn, Angela Komp, and Habush, Habush

& Rottier, S.C., Racine. There was an oral argument by Tony M. Dunn.

An amicus curiae brief was filed by Edward E. Robinson and Cannon & Dunphy, S.C., Brookfield, for the Wisconsin Association for Justice. There was an oral argument by Edward E. Robinson.

An amicus curiae brief was filed by James A. Friedman, Daniel C.W. Narvey, and Godfrey & Kahn, S.C., Madison, for the Wisconsin Insurance Alliance, the American Property Casualty Insurance Association, and the Wisconsin Defense Counsel.

2023 WI 21

NOTICE

This opinion is subject to further editing and modification. The final version will appear in the bound volume of the official reports.

No. 2020AP1078-FT (L.C. No. 2019CV1847)

STATE OF WISCONSIN : IN SUPREME COURT Secura Supreme Insurance Company,

Plaintiff-Appellant-Petitioner, FILED

v. MAR 22, 2023

The Estate of Daniel Keith Huck, Sheila T. Reiff Clerk of Supreme Court

Defendant-Respondent.

ROGGENSACK, J., delivered the majority opinion of the Court with respect to ¶¶1-2, 4-16, and 29, in which ZIEGLER, C.J., ANN WALSH BRADLEY, DALLET, HAGEDORN, and KAROFSKY, JJ., joined, and an opinion, in which ZIEGLER, C.J., joined. DALLET, J., filed a concurring opinion, in which ANN WALSH BRADLEY, HAGEDORN, and KAROFSKY, JJ., joined. REBECCA GRASSL BRADLEY, J., filed a dissenting opinion.

REVIEW of a decision of the Court of Appeals. Affirmed.

¶1 PATIENCE DRAKE ROGGENSACK, J. Petitioner Secura Supreme Insurance Company (Secura), which insured Daniel Keith Huck, seeks review of a published court of appeals decision1 that

1Secura Supreme Ins. Co. v. Est. of Huck, 2021 WI App 69, 399 Wis. 2d 542, 966 N.W.2d 124.

No. 2020AP1078-FT

affirmed an order granting judgment to the Estate of Daniel Keith Huck (Estate).2 We affirm the court of appeals.

¶2 We interpret Secura's policy as precluding Secura from reducing its liability to the Estate by the total amount of payments the Estate initially received. The Estate first received worker's compensation from Huck's employer's worker's compensation insurer (WC insurer), and then a settlement from the tortfeasor's insurer. Wisconsin Stat. § 102.29(1)(b)(2021- 22)3 obligated the Estate to reimburse the WC insurer with a portion of the settlement it received from the tortfeasor. Secura's underinsured motorist (UIM) policy contemplated payments made in accordance with worker's compensation law in its reducing clause, and obligated the Estate to reimburse the WC insurer. The policy also required the Estate to exhaust any other bodily injury liability bonds or policies and to receive payment from them before Secura would pay UIM benefits. Accordingly, we conclude the policy's plain language required

its payment of UIM benefits based on the Estate's recovery after reimbursements to the WC insurer and collection of the

tortfeasor's liability payment had occurred.

¶3 However, Secura argues its policy "substantially incorporates" the statutory language of Wis. Stat. § 632.32(5)(i), which permits it to reduce payment by the amount

2 The Honorable Eugene A. Gasiorkiewicz of Racine County presided.

3 All subsequent references to the Wisconsin Statutes are to the 2021-22 version unless otherwise indicated.

No. 2020AP1078-FT

the Estate initially received. We conclude the plain language of § 632.32(5)(i) establishes that an insurer may reduce its liability by the recovery of the insured at the time the insurer enforces its reducing clause. The Estate's obligatory reimbursement was made pursuant to "worker's compensation law," which § 632.32(5)(i)2. recognizes. For these reasons, we conclude that Secura is not statutorily authorized to reduce its liability limits by the total worker's compensation and tortfeasor settlement payments the Estate initially received but was obligated to reimburse in part. Accordingly, Secura's policy and § 632.32(5)(i) require Secura to provide an additional $9,718.73 to the Estate.

I. BACKGROUND

¶4 The facts are undisputed. Mr. Huck was struck and killed by a motorist while he performed his job duties for the Village of Mount Pleasant. Since the fatal accident occurred in the course of Mr. Huck's employment, the Village's WC insurer

initially provided $35,798.04 to the Estate.

¶5 The motorist that struck Mr. Huck was insured for

$25,000 in liability coverage, which also was provided to Mr. Huck's Estate. However, by receiving the $25,000 settlement from the tortfeasor, the Estate was obligated to reimburse the WC insurer from the settlement based on Wis. Stat. § 102.29(1)(b). As required, the Estate reimbursed the WC insurer $9,718.73 so that the Estate ultimately retained

$26,079.31 from worker's compensation. This dispute centers on the importance of the $9,718.73 reimbursement (the "Disputed

No. 2020AP1078-FT

Amount") that the Estate was required to return to the WC insurer.

¶6 Mr. Huck had purchased an automobile insurance policy from Secura that included UIM coverage with a liability limit of $250,000 for "each person." The Estate's recovery from worker's compensation and the tortfeasor were insufficient to cover Mr. Huck's damages, which exceeded $250,000. The Estate submitted a claim under the Secura UIM policy. The policy's reducing clause allowed Secura to reduce its UIM liability limits by the amounts paid by a tortfeasor, and by "amounts paid or payable under any worker's compensation law."4 Therefore, Secura reduced its liability limit to the Estate by the $25,000 settlement with the tortfeasor. Secura also reduced its liability limit by the total worker's compensation benefit of $35,798.04, "even [though] some of that money (the Disputed Amount) return[ed] to the [worker's compensation] Payor." Based on these reductions, Secura tendered $189,201.96 to the Estate.5

¶7 Secura filed a declaratory judgment complaint and moved for judgment on the pleadings pursuant to Wis. Stat.

§ 802.06(3). Secura sought a declaration that its UIM reducing

4 A reducing clause "permits a setoff from the insured's UIM coverage the amount paid to the insured by the underinsured tortfeasor," or by other enumerated sources. Dowhower ex rel. Rosenberg v. W. Bend Mut. Ins. Co., 2000 WI 73, ¶1, 236 Wis. 2d 113, 613 N.W.2d 557.

5 Secura explained in its declaratory judgment complaint that: ($250,000)-($25,000 tortfeasor settlement)-($35,798.04 in worker's compensation) = $189,201.96.

No. 2020AP1078-FT

clause applies to the total "amount paid" pursuant to the worker's compensation payment, notwithstanding any reimbursement under Wis. Stat. § 102.29. The circuit court denied Secura's motion and granted the Estate judgment on its counterclaim, ordering Secura to tender the Disputed Amount to the Estate. Secura appealed.

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