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841 N.W.2d 52
Wis. Ct. App.
2013
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Background

  • Multiple plaintiffs sued after allegedly contracting Legionnaire's disease from Legionella bacteria in a decorative water fountain installed in the lobby of Aurora St. Luke's South Shore Hospital.
  • CBI contracted to construct and install the fountain; Aurora (owner) and insurers sued/third-partied CBI; CBI's insurers Midwestern and Hawkeye were joined under the direct-action statute.
  • CBI had a Commercial General Liability policy (Midwestern) and an Umbrella policy (Hawkeye) that contained a Fungi or Bacteria Exclusion but a narrow "Consumption Exception": it does not apply to fungi/bacteria "that are, are on, or are contained in, a good or product intended for consumption."
  • Midwestern and Hawkeye moved for summary judgment arguing the exclusion barred coverage; CBI argued the Consumption Exception applied because the fountain was "consumed" by observation/enjoyment as decorative art.
  • The circuit court granted summary judgment for the insurers; CBI appealed on the sole issue whether the Consumption Exception reinstated coverage for the fountain-related claims.

Issues

Issue CBI's Argument Insurers' Argument Held
Whether a decorative water fountain is a "good or product intended for consumption" under the Consumption Exception Fountain is "consumed" by observation/enjoyment (cites broader dictionary definition of "consumption") "Consume" means to eat/drink/use up; fountain not intended to be eaten/drunk/used up, so exception does not apply Court held the fountain is not a product "intended for consumption"; exception does not reinstate coverage
Whether the policy language is ambiguous Ambiguous because "consumption" has multiple dictionary meanings including "enjoyment of art" Not ambiguous in context; only one reasonable meaning accords with insureds' expectations — to eat/drink/use up Court ruled the policy is not ambiguous; adopt ordinary meaning (eat/drink/use up)
Whether accepting CBI's reading would undercut the purpose of the exclusion N/A (implicit) CBI's reading would absurdly extend coverage to decorative building features, defeating exclusion's mold-remediation purpose Court agreed it would be absurd; rejected CBI's reading
Whether out-of-state cases cited by CBI require a different outcome Relied on cases finding pools/spas within exception Insurers: those cases are non-binding and factually distinguishable (amenities intended for physical contact/use) Court found those cases unpersuasive and distinguishable; they do not control

Key Cases Cited

  • American Family Mutual Insurance Co. v. American Girl, Inc., 268 Wis.2d 16 (2004) (three-step approach to insurance coverage questions)
  • Green Spring Farms v. Kersten, 136 Wis.2d 304 (1987) (standards for reviewing summary judgment)
  • State Farm Mutual Automobile Insurance Co. v. Langridge, 275 Wis.2d 35 (2004) (policy terms interpreted from reasonable insured's perspective; reject grammatically plausible but unreasonable readings)
  • Froedtert Memorial Lutheran Hospital v. National States Insurance Co., 317 Wis.2d 54 (2009) (ambiguities construed in favor of insured)
Read the full case

Case Details

Case Name: Heinecke v. Aurora Healthcare, Inc.
Court Name: Court of Appeals of Wisconsin
Date Published: Oct 8, 2013
Citations: 841 N.W.2d 52; 2013 WI App 133; 351 Wis. 2d 463; No. 2012AP2469
Docket Number: No. 2012AP2469
Court Abbreviation: Wis. Ct. App.
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    Heinecke v. Aurora Healthcare, Inc., 841 N.W.2d 52