Bradley Clark v. American Family Mutual Insurance Company

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SUPREME COURT OF WISCONSIN Case No.: 97-0970 Complete Title of Case: Bradley Clark, Barnes A. Clark, Plaintiffs-Respondents, ABC Insurance Company, Plaintiff, v. American Family Mutual Insurance Company, Defendant-Appellant. ON CERTIFICATION FROM THE COURT OF APPEALS Opinion Filed: Submitted on Briefs: Oral Argument: Source of APPEAL COURT: COUNTY: JUDGE: May 21, 1998 March 5, 1998 Circuit Dane Robert DeChambeau JUSTICES: Concurred: Dissented: Not Participating: ATTORNEYS: For the defendant-appellant there were briefs by John M. Moore, David J. Pliner and Bell, Metzner, Gierhart & Moore, S.C., Madison and oral argument by David J. Pliner. For the plaintiffs-respondents there was a brief by John M. Riley and Atterbury, Riley & Luebke, S.C., Madison and oral argument by John M. Riley. No. 97-0970 NOTICE This opinion is subject to further editing and modification. The final version will appear in the bound volume of the official reports. No. 97-0970 STATE OF WISCONSIN : IN SUPREME COURT FILED Bradley Clark, Barnes A. Clark, MAY 21, 1998 Plaintiffs-Respondents, Marilyn L. Graves Clerk of Supreme Court Madison, WI ABC Insurance Company, Plaintiff, v. American Family Mutual Insurance Company, Defendant-Appellant. APPEAL from an order of the Circuit Court for Dane County, Robert A. DeChambeau, Judge. ¶1 WILLIAM A. Reversed. BABLITCH, J. American Family Mutual Insurance Company appeals from an order of the circuit court which determined that a territorial exclusion contained in an insurance policy for uninsured motorist coverage was not valid under Wisconsin law. Bradley Clark (Clark) was injured on an island off the coast of Greece when the brakes failed on a moped that he claimed had rented uninsured automobile policy exclusion in the occurring outside from an uninsured motorist coverage with American policy the States 1 under Family. excluded United Greek his The coverage and citizen. Clark father s territorial for accidents Canada. Because No. Wisconsin Statutes expressly allow exclusions not 97-0970 otherwise prohibited by law, and because an exclusion such as the one provided in this insurance policy is not prohibited by law, we reverse the order of the circuit court. ¶2 The facts relevant to the determination of this appeal are not in dispute. In 1991, Clark, then 22 years old, was injured while driving a rented moped on an island off the coast of Greece. The brakes failed on the moped, and he was thrown. The owner of the moped was an uninsured Greek citizen. ¶3 Because the Greek citizen was uninsured, Clark sought recovery under the uninsured motorist provisions of his father s three automobile insurance policies with American Family Insurance. American Family denied coverage because each policy contains general a territorial exclusion which provides as follows: "This policy covers only accidents, occurrences, and losses which occur: a. Within the United States of America, its territories or possessions, or Canada, or between their ports . . . ." the This territorial exclusion is included in the section of policy titled "General Provisions" and applies to all sections of the policy. ¶4 filed Clark suit and against his father, American the Family, insurance claiming policy-holder, that Clark was entitled to uninsured motorist coverage from American Family for the injuries he sustained in the accident. American Family filed a motion for summary judgment on several grounds including its assertion barred Clark's that the recovery. territorial The 2 exclusion circuit court in the denied policy summary No. judgment on exclusion, all grounds. the court With respect reasoned that to the although 97-0970 territorial Wis. Stat. § 632.32(5)(e) (1989-90)1 allows insurance companies to create exceptions from coverage motorist coverage, case uninsured motorist for law both has protection. liability not upheld Therefore, and uninsured exceptions the circuit from court determined that the territorial exclusion in American Family's policy did not apply to uninsured motorist coverage and, accordingly, Clark s claim for uninsured motorist benefits was covered. ¶5 The case proceeded to trial. The jury found the Greek citizen to be 65 percent negligent for failing to maintain the moped and found Clark to be 35 percent contributorily negligent for the accident. Clark s After imposing the 35 percent reduction for contributory negligence, damages were assessed at $314,726. Clark's motion for judgment on Wis. see Stat. § 895.045, The circuit court granted the verdict for damages of $314,726 together with costs of $8,913. ¶6 certified American the Family case to appealed, this court, and the court pursuant to of appeals Wis. Stat. § (Rule) 809.61, to determine whether a territorial exclusion included in an insurance policy for uninsured motorist coverage is valid. § 632.32, This question requires that we interpret Wis. Stat. governing uninsured motorist 1 coverage. Statutory References to Wisconsin Statutes is to the 1989-90 version unless otherwise noted. 3 No. 97-0970 interpretation is a question of law which we review de novo. See Stockbridge School Dist. v. DPI, 202 Wis. 2d 214, 219, 550 N.W.2d 96 (1996). The main goal of statutory interpretation is to discern the intent of the legislature. of Milwaukee, 208 Wis. 2d (citations omitted). statute. to See id. extrinsic 18, as purpose of the intent. N.W.2d 563 (1997) If the plain language is ambiguous, we turn such and 559 We first look to the plain language of the aids context 25, See Anderson v. City the legislative determine legislative Wisconsin Stat. § 632.32 applies to all motor vehicle insurance policies § 632.32(1). automobile include to scope, See id. ¶7 statute history, issued or delivered in Wisconsin. See Wisconsin Stat. § 632.32(4)(a) requires that every liability uninsured insurance motorist policy issued coverage. The in this statute state requires uninsured motorist coverage in limits of at least $25,000 per person and $50,000 per accident. ¶8 Wisconsin Stat. See § 632.32(4)(a). § 632.32 also allows insurance companies to provide exclusions in automobile policies. Wis. Stat. § 632.32(5)(e). not prohibited § 632.32(5)(e). by legislature's intent unambiguous A policy may provide for exclusions sub. This statutory (6) or subsection is See clear. We language to other is not need applicable ambiguous, not discern and look beyond the law. the this legislature s intent: the intent is to provide that an insurance contract may include exclusions not specifically listed in § 632.32(6) or prohibited by other applicable law. 4 Wis. Stat. No. ¶9 Therefore, the present case is 97-0970 resolved by considering: 1) whether the territorial exclusion in American Family's policy is prohibited by Wis. Stat. § 632.32(6); if not, then 2) whether the territorial exclusion is prohibited by other applicable law. If the answer to both questions is no, the territorial exclusion included in American Family s automobile insurance contract is valid and bars Clark's claim for uninsured motorist coverage. ¶10 prohibits 2 Nothing in Wis. Stat. § 632.32(6) (reprinted below)2 a territorial exclusion for uninsured motorist Wis. Stat. § 632.32(6) provides in full: (a) No policy issued to a motor vehicle handler may exclude coverage upon any of its officers, agents or employes when any of them are using motor vehicles owned by customers doing business with the motor vehicle handler. (b) No policy may exclude from the coverage afforded or benefits provided: 1. Persons related by blood or marriage to the insured. 2. a. Any person who is a named insured or passenger in or on the insured vehicle, with respect to bodily injury, sickness or disease, including death resulting therefrom, to that person. b. This subdivision, as it relates to passengers, does not apply to a policy of insurance for a motorcycle as defined in s. 340.01(32) or a moped as defined in s. 340.01(29m) if the motorcycle or moped is designed to carry only one person and does not have a seat for any passenger. 3. Any person while using the motor vehicle, solely for reasons of age, if the person is of an age authorized to drive a motor vehicle. 4. Any use of the motor vehicle for unlawful purposes, or for transportation of liquor in violation of law, or while the driver is under the influence of an intoxicant or a controlled substance under ch. 161 or a combination thereof, under the influence of any 5 No. coverage. 97-0970 There is no possible way to construe § 632.32(6) on its face as prohibiting a territorial exclusion for uninsured motorist coverage. Therefore, the answer to the first question, whether the territorial exclusion in American Family s policy is prohibited by § 632.32(6), is "no." ¶11 prohibits The second question is whether other applicable law an insurance company from imposing a territorial exclusion on uninsured motorist insurance coverage. not pointed to any statute which expressly Clark has prohibits a territorial exclusion for uninsured motorist coverage, and we can find none. However, Clark points to language in Wis. Stat. § 344.33(2) which requires that liability insurance extend to damages arising out of the maintenance or use of the motor vehicle within the United States of America or the Dominion of Canada . . . . similar language legislative intent § 344.33(2). in Wis. to not uninsured motorist coverage. argument. He argues that the absence of Stat. apply a § 632.32(4)(a) territorial shows a exclusion to We are not persuaded by Clark s Section 344.33(2) does not mandate that § 632.32(4) provide coverage for the entire world as Clark invites us to other drug to a degree which renders him or her incapable of safely driving, or under the combined influence of an intoxicant and any other drug to a degree which renders him or her incapable of safely driving, or any use of the motor vehicle in a reckless manner. In this subdivision, drug has the meaning specified in s. 450.01(10). (c) No policy may limit the time for giving notice of any accident or casualty covered by the policy to less than 20 days. (d) 6 No. read these statutes. ceiling. 97-0970 Section 344.33(2) sets a floor, not a Section 344.33(2) says that liability policies must provide coverage in the United States and Canada; it does not preclude an insurance company from providing coverage outside the United States and Canada. Accordingly, the absence of a similar mandated minimal coverage area in § 632.32(4) cannot be read as implying a legislative mandate to cover the entire world. ¶12 We territorial also discern exclusions no for case law prohibits motorist uninsured which coverage. Although the exact question presented by this case is one of first impression, this court and the court of appeals have, on several occasions, been faced with clauses in insurance policies which limited or excluded uninsured motorist coverage in certain situations. Clark argues that the courts have consistently invalidated attempts to restrict the scope of uninsured motorist coverage. However, legislative intent in as each instance, expressed in the a court relied specific on statutory provision to hold the limiting or exclusionary clause void and invalid. ¶13 A survey of Wisconsin case law cited to us by the plaintiff shows that in several cases, the courts relied on Wis. Stat. § 631.43(1), allowing stacking of uninsured motorist coverage, to invalidate insurance policy clauses which limited uninsured motorist coverage. Mutual Automobile Ins. Co., See, e.g., Welch v. State Farm 122 Wis. 2d 172, 361 N.W.2d 680 (1985); Carrington v. St. Paul Fire & Marine Ins., 164 Wis. 2d 7 No. 97-0970 148, 473 N.W.2d 591 (Ct. App. 1991); Hulsey v. American Family Mutual Ins. Co., 142 Wis. 2d 639, 419 N.W.2d 288 (Ct. App. 1987); Parks v. Waffle, 138 Wis. 2d 70, 405 N.W.2d 690 (Ct. App. 1987).3 In the other cases cited by the plaintiff, the courts relied on Wis. Stat. § 632.32(4)(a), requiring that uninsured motorist coverage invalidate be insurance motorist coverage. included policy in clauses insurance which policies, limit to uninsured See, e.g., St. Paul Mercury Ins. Co. v. Zastrow, 166 Wis. 2d 423, 480 N.W.2d 8 (1992); Nicholson v. Home Ins. Co., 137 Wis. 2d 581, 405 N.W.2d 327 (1987); Niemann v. Badger Mutual Ins. Co., 143 Wis. 2d 73, 420 N.W.2d 378 (Ct. App. 1988); Hulsey, 142 Wis. 2d at 639.4 However, neither § 631.43(1) nor § 632.32(4)(a) is applicable to territorial exclusions. ¶14 A further distinguishing factor is that all of the cases cited by the plaintiff occurred within the United States. None of these cases raised or decided the issue of territorial exclusions. 3 We note that the Wisconsin legislature overturned this series of cases when it enacted 1995 Wis. Act 21 which, among other things, created Wis. Stat. § 632.32(5)(f). Section 632.32(5)(f) allows insurance policies to prohibit stacking of coverage. However, this statute was first effective on July 15, 1995, see 1995 Wis. Act 21, § 5-6, long after the accident involving Clark occurred. 4 We note that when the Wisconsin legislature enacted 1995 Wis. Act 21, it also overturned this series of cases with the creation of Wis. Stat. §§ 632.32(g), (i), and (j). See 1995 Wis. Act 21, § 4. Again, this statute was first effective on July 15, 1995, see 1995 Wis. Act 21, § 5-6, long after the accident involving Clark occurred. 8 No. ¶15 97-0970 Clark also points to language in Welch in which this court stated that uninsured motorist coverage is personal and portable coverage which protects motorists in all instances. the insured from uninsured Welch, 122 Wis. 2d at 179. We agree with respondent s argument that the description in Welch of uninsured motorist coverage as personal and portable coverage which protects the insured from uninsured motorists in all instances refers generally to uninsured motorist coverage and is not tied to Wis. Stat. § 631.43(1), the stacking statute. ¶16 Nevertheless, we conclude that this description of uninsured motorist coverage does not bar an insurance company from excluding uninsured motorist coverage outside the United States and Canada. ¶17 In prior cases this court has viewed the statutorily required uninsured motorist coverage provision as if it were the liability coverage of the tortfeasor. The purpose of uninsured motorist coverage is to compensate an insured who is the victim of an uninsured motorist s negligence to the same extent as if Nicholson, 137 Wis. 2d at the uninsured motorist were insured. 591-92. The purpose of uninsured motorist coverage is not to compensate available the if victim the to a tortfeasor extent were greater insured. than would be Thus uninsured motorist coverage essentially substitutes for insurance that the tortfeasor should have had. ¶18 Stated another way, by purchasing uninsured motorist coverage, the plaintiffs purchased liability coverage for the uninsured Greek citizen, subject 9 however to the territorial No. exclusions within the United States and Canada. 97-0970 See, e.g., Wis. Stat. § 344.33(2) (requiring liability insurance coverage within the United States and Canada). It is in keeping with prior cases to and Wis. Stat. § 632.32 construe the territorial limitations on coverage the same for both liability coverage and uninsured motorist coverage. ¶19 In unambiguously Stat. conclusion, expressed § 632.32(5)(e) the its to legislature intent allow through insurance clearly enactment companies exclusions not otherwise prohibited by law. of to and Wis. provide Wisconsin Stat. § 632.32(6) expressly prohibits certain exclusions but does not prohibit territorial exclusions. Wisconsin Stat. § 631.43 expressly prohibits provisions which have the effect of reducing aggregate protection; that is, provisions which do not allow stacking of uninsured motorist coverage but that statute is not relevant to this case. Wisconsin Stat. § 632.32(4)(a) expressly mandates that automobile motorist coverage Therefore, but neither insurance is statutes also nor policies not case include relevant law to uninsured this expressly case. prohibit territorial limitations such as that included in the American Family policy at issue in this case. the territorial contained in exclusion this policy for is Accordingly, we hold that uninsured valid. motorist Because we coverage reach this conclusion, we need not address the other issues raised by this case. By the Court. The order of the circuit court is reversed. 10 No. 11 97-0970 1

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