State Farm Fire & Casualty Insurance v. Walker

459 N.W.2d 605, 157 Wis. 2d 459, 1990 Wisc. App. LEXIS 671
CourtCourt of Appeals of Wisconsin
DecidedJuly 25, 1990
Docket89-1272
StatusPublished
Cited by11 cases

This text of 459 N.W.2d 605 (State Farm Fire & Casualty Insurance v. Walker) 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
State Farm Fire & Casualty Insurance v. Walker, 459 N.W.2d 605, 157 Wis. 2d 459, 1990 Wisc. App. LEXIS 671 (Wis. Ct. App. 1990).

Opinion

BROWN, J.

The appellants in this fire insurance case challenge a summary judgment that declared their fire insurance null and void and dismissed their claims for punitive damages against the insurance company. We affirm.

The case presents two issues. The first issue is whether an insurance company may deny recovery to an innocent insured when a co-owner of the policy breaches a clause in the insurance contract barring recovery if there is concealment or fraud by one of the insureds. The second issue is whether an insured can justify refusing to answer all questions during an investigation of an insurance claim by invoking his fifth amendment privilege and objecting to the questions as immaterial.

Joan Mosby and Jimmy Walker were joint owners of a fire insurance policy on their home. On September 1, 1987, two fires occurred at the house. The second fire began a few hours after firefighters had extinguished the first fire, and the second fire completely destroyed the house and its contents.

During an investigation of the fires, the state fire marshall discovered an outstanding Colorado warrant for Walker's arrest on homicide charges. Walker was incarcerated during the extradition proceedings. As part of the investigation of Walker's and Mosby's fire insurance claims, State Farm's attorney questioned Walker under oath in jail.

Walker refused to answer several questions, some of which concerned when he began using the name Jimmy Walker rather than his birth name, Glénn Joe Martini. *464 Walker claimed that he did not have to answer the questions because they were immaterial to the insurance policy and because the fifth amendment protected his refusal to answer possibly incriminating questions. State Farm denied both Mosby's and Walker's fire insurance claims for recovery because it concluded that Walker had set the fire, had engaged in fraud and false swearing, and had violated the terms of the insurance contract by concealment.

State Farm sought a declaratory judgment affirming its denial of recovery. Mosby and Walker counterclaimed for both compensatory and punitive damages. Walker alleged that State Farm had exercised bad faith in denying him recovery because State Farm exploited his position as a suspect of a homicide by asking him questions that were not material to the insurance policy and by ignoring his fifth amendment objections to the questions. Mosby alleged that State Farm had exercised bad faith in denying her recovery because she was innocent of any wrongdoing or breach of contract imputed to Walker.

The circuit court granted summary judgment to State Farm on both the punitive damages and compensatory damages claims. The court decided that there was sufficient circumstantial evidence for a jury to conclude that Walker had committed arson. Furthermore, the court concluded that the questions asked of Walker in jail were material to the insurance contract and did not violate Walker's constitutional right to avoid self-incrimination. The court also concluded that Walker had breached the concealment clause of the insurance contract by refusing to answer material questions of the insurance investigator. Finally, the court held that Mosby was not entitled to recovery, even though she was an innocent insured, because the clear and unambiguous *465 language of the concealment clause prevents both a guilty and an innocent insured from recovering when any insured breaches the contract by concealment or fraud.

The court of appeals reviews decisions on summary judgment de novo. Vultaggio v. General Motors Corp., 145 Wis. 2d 874, 881, 429 N.W.2d 93, 95 (Ct. App. 1988). The appeals court will reverse a summary judgment only if the record shows that material facts are in dispute or if the trial court incorrectly applied the law. Garvey v. Buhler, 146 Wis. 2d 281, 287-88, 430 N.W.2d 616, 619 (Ct. App. 1988). Neither appellant has maintained that there is a dispute regarding material facts, nor do we find such a dispute on the record. Where the facts are undisputed it is purely a question of law.

BAD FAITH ISSUES

The trial court correctly dismissed Walker's and Mosby's claims for bad faith and the consequent punitive damages claim. An insurance company cannot commit the tort of bad faith if its obligation to indemnify the insured is "fairly debatable." Mowry v. Badger State Mut. Casualty Co., 129 Wis. 2d 496, 516, 385 N.W.2d 171, 180 (1986). Moreover, even where bad faith can be proved, punitive damages are not always appropriate. Anderson v. Continental Ins. Co., 85 Wis. 2d 675, 697, 271 N.W.2d 368, 379 (1978). For punitive damages to be awarded, there must be a showing of an evil intent deserving of punishment, or special ill-will, or wanton disregard of duty, or gross or outrageous conduct. Id. State Farm's obligation to indemnify Walker and Mosby for their fire loss was "fairly debatable," and there is no evidence that State Farm acted with an evil intent or in *466 an outrageous manner when it denied Walker's and Mosby's insurance claims.

An insurance company's denial of benefits is "fairly debatable" when there is a reasonable basis for the company's action. See id. at 691, 271 N.W.2d at 376. State Farm's denial of Walker's claim was reasonable because circumstantial evidence indicated that at least the second fire had been intentionally caused by Walker. The fire investigators concluded that the fires had been set with accelerants. The firefighters who extinguished the first fire reported that Walker made remarks raising the inference that he intended to finish the burning of the house later in the night. Walker was alone at the house between the two fires, and he could not describe his actions in that time period. Moreover, Walker would not cooperate with the state fire marshall's investigation of the fire. Circumstantial evidence such as this is sufficient for an insurance company to invoke the arson exclusion clause and deny recovery to the insured. See Gregory's Continental Coiffures & Boutique, Inc. v. St. Paul Fire & Marine Ins. Co., 536 F.2d 1187, 1191-92 (7th Cir. 1976).

As to Mosby, State Farm focuses upon the policy's concealment clause in arguing that there existed a reasonable basis for denying her claim. The clause states:

2. Concealment or Fraud. If you or any other insured under this policy has intentionally concealed or misrepresented any material fact or circumstance relating to this insurance, whether before or after a loss, then this policy is void as to you and any other insured. [Emphasis added.]

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Jane Doe 1 v. Jay E. Link
Court of Appeals of Wisconsin, 2022
Kemper Independence Insurance Company v. Ismet Islami
2021 WI 53 (Wisconsin Supreme Court, 2021)
Kemper Independence Insurance Company v. Ismet Islami
2020 WI App 38 (Court of Appeals of Wisconsin, 2020)
Texas Farmers Insurance Co. v. Murphy
996 S.W.2d 873 (Texas Supreme Court, 1999)
Noland v. Farmers Ins. Co., Inc.
892 S.W.2d 271 (Supreme Court of Arkansas, 1995)
Dolcy v. Rhode Island Joint Reinsurance Ass'n
589 A.2d 313 (Supreme Court of Rhode Island, 1991)
Barber v. Nylund
461 N.W.2d 809 (Court of Appeals of Wisconsin, 1990)

Cite This Page — Counsel Stack

Bluebook (online)
459 N.W.2d 605, 157 Wis. 2d 459, 1990 Wisc. App. LEXIS 671, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-fire-casualty-insurance-v-walker-wisctapp-1990.