Opinion

Krause v. Massachusetts Bay Ins. Co.

  • 161 Wis. 2d 711
  • 468 N.W.2d 755
  • 1991 Wisc. App. LEXIS 306
Court
Court of Appeals of Wisconsin
Filed
Mar 12, 1991
Status
Published
Author
LaROCQUE
On the bench
Cane, LaROCQUE, LaRocque, Myse
Cited by
18 cases
Authority
More cited than 80.8%

contracting parties are presumed to know applicable statutory and case law in effect at time of contract formation

How later courts described this case

  • contracting parties are presumed to know applicable statutory and case law in effect at time of contract formation
  • “It must be assumed that parties 16 No. 2021AP1027 to a contract had knowledge of the law in effect at the time of the agreement. This presumption includes both statutes and case law.”
  • contract parties presumed to know law in effect at contract’s formation

Written by the judges who cited it.

The opinion

LaROCQUE, J.

Massachusetts Bay Insurance Company, the plaintiffs' automobile liability insurer, appeals a summary judgment allowing the plaintiffs to stack the underinsured motorist (UIM) benefits of their

*714

Mass Bay policy.

1

The circuit court reasoned that Mass Bay's insurance contract should be construed as two policies because the insured plaintiffs were charged two separate premiums for coverage of their vehicles, and any attempt by Mass Bay to avoid aggregate coverage through its "Limit of Liability" clause runs afoul of Wisconsin's stacking statute, sec. 631.43(1), Stats. We agree and affirm.

The relevant facts are undisputed; only a question of law is presented and thus partial summary judgment is appropriate.

Kane v. Employers Ins.,

142 Wis. 2d 702, 705 , 419 N.W.2d 324, 326 (Ct. App. 1987). The plaintiffs, Mary and Jack Krause, were involved in an auto accident and Mary was injured. It is stipulated that the other driver was solely at fault, and his insurer paid its $25,000 policy limits to the Krauses, an amount insufficient to cover the plaintiffs' losses. The Krauses have a single Mass Bay insurance contract covering two vehicles with separate UIM coverage for each in the amount of $300,000 and $1,000 for each for medical pay. The Krauses pay separate premiums for each coverage. The Mass Bay contract contains UIM limit of liability provisions that read:

The

limit of liability shown

... for this coverage

is our

maximum

limit

of liability for all damages resulting

from any one accident.

This is the most we will pay

regardless of

the

number of:

1. Covered persons;

2. Claims made;

*715

3. Vehicles or

premiums

shown in the Declarations; or

4. Vehicles involved in the accident. (Emphasis added.)

The Krauses seek to stack the UIM and medical payment coverages despite the preceding language. They rely on sec. 631.43(1), Stats.:

When 2 or more policies

promise to

indemnify an insured

against the same loss,

no "other insurance” provisions

of the policy

may reduce the aggregate protection

of the insured below the lesser of the insured loss suffered by the insured or the total indemnification promised by the policies if there were no "other insurance" provisions. (Emphasis added.)

Mass Bay, meanwhile, seeks to escape the confines of this statute through several routes: first, insisting that it issued one policy, not two; second, that the statute has reference only to mandatory insurance; and, third, that Mass Bay's limit of liability clause is not the "other insurance" clause voided by the statute.

Mass Bay's first route is blocked because this court previously ruled that where a single insurance contract incorporates indemnity coverage for two vehicles, charging separate unit premiums, the insurer has issued two policies within the meaning of sec. 631.43, Stats.

Burns v. Milwaukee Mut. Ins. Co.,

121 Wis. 2d 574, 576-79 , 360 N.W.2d 61, 63-64 (Ct. App. 1984). The

Burns

court adopted the reasoning of the Michigan Court of Appeals, holding that from the viewpoint of the insured, two separate premiums for two vehicles amounts to two policies of insurance despite the existence of a single physical document.

Id.

at 578 , 360 N.W.2d at 63-64 .

*716

Mass Bay also argues that

Burns'

"two-premiums — two policies" analysis is in error because it conflicts with a subsequent statement by the supreme court in

Tahtinen v. MSI Ins. Co.,

122 Wis. 2d 158 , 361 N.W.2d 673 (1985), that says:

When we look to the plain meaning of sec. 631.43(1), Stats., we find that the legislative intent is clearly and unambiguously set forth in the first sentence of the statute.

This sentence clearly refers to

policies,

without limitation or qualification, not to

companies.

We agree with the court of appeals that the common and accepted meaning of the term "policies" is more than one policy, regardless of whether the same or different insurers have issued them.

Id.

at 167 , 361 N.W.2d at 678 (emphasis in original). We see no conflict. The quoted excerpt from

Tahtinen

does not address the question answered in

Burns .

In

Tah-tinen,

the insurer had issued three separate insurance contracts (three tangible documents). The supreme court was merely rejecting the insurance company's suggestion that the "2 or more policies" language of the statute was intended to mean policies issued by different insurance companies and not to multiple policies from a single insurer.

Tahtinen

had no occasion to address the issue in

Burns ,

i.e., the payment of separate premiums for separate coverage but set forth in one physical document.

Burns

is therefore still good law.

Mass Bay next maintains that the provisions of sec. 631.43(1), Stats., apply only to insurance that the company is mandated to provide by statute. If this were so, because UIM coverage is not mandated, the anti-stack

*717

ing provisions of the policy here would not violate sec. 631.43(1). This argument was rejected in

Wood v. American Fam. Mut. Ins. Co.,

148 Wis. 2d 639 , 436 N.W.2d 594 (1989), and the plaintiff was permitted to stack UIM coverage.

Wood

held: "Section 631.43(1) has no reference, explicit or inferential, which limits the application of the statute, as [the insurer] suggests, to cases involving statutorily mandated insurance coverage."

Id.

at 647 , 436 N.W.2d at 597 . "This court will not read into sec. 631.43(1) a limitation which the legislature has not seen fit to include in the statute."

Id.

at 649 , 436 N.W.2d at 598 . A statement to the contrary, found in

Mills v. Wisconsin Mut. Ins. Co.,

145 Wis. 2d 472 , 427 N.W.2d 397 (Ct. App. 1988), was implicitly overruled by

Wood .

Insofar as Mass Bay's last argument is concerned, that its "Limit of Liability" clause is distinct from "other insurance" clauses voided by the statute,

Tah-tinen

suggests otherwise. The "other insurance" clause voided by the court in

Tahtinen

read as follows: "With respect to

any

occurrence,

accident,

or loss to which this and any other automobile insurance policy issued to the named insured by the Company also applies,

the total limit of the

Company's

liability under all such policies shall not exceed

the highest applicable limit of liability under any one such policy."

Id.

at 161 , 361 N.W.2d at 675 (emphasis added). We fail to see the difference in the Mass Bay provision. Section 631.43(1), Stats., "invalidate[s] attempts by insurers to avoid their statutory obligations to compensate the insured up to the aggregated policy limits of the insured's coverage . . .."

Welch v. State Farm Mut. Auto. Ins. Co.,

122 Wis. 2d 172, 178 , 361 N.W.2d 680, 683 (1985).

*718

Further, Mass Bay concedes that its declaration page shows that it charged separate premiums of $7 each for the two covered vehicles. It must be assumed that parties to a contract had knowledge of the law in effect at the time of the agreement.

Menard v. Sass,

127 Wis. 2d 397, 399 , 379 N.W.2d 344, 345 (Ct. App. 1985). This presumption includes both statutes and case law.

In re Mitchell,

50 Wis. 2d 499, 504 , 184 N.W.2d 853, 856 (1971). The

Burns

decision was filed in 1984 and

Tah-tinen

in 1985. The amended declaration page of Mass Bay's policy charging separate premiums was issued on October 8, 1986. There is therefore a presumption that the parties to this insurance contract reached their agreement with an awareness of these prior holdings.

By the Court.

— Judgment affirmed.

1

This court granted leave to appeal by order dated August 7, 1990. The circuit court's decision is not appealable as of right under sec. 808.03, Stats., because the plaintiffs' damages have yet to be determined. The Wisconsin Academy of Trial Lawyers has filed a brief amicus curiae in support of the plaintiffs' position.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

A word about cookies

We need a few to keep you signed in and the library working. The rest help us see which pages people use and where they get stuck. They stay off unless you say yes.