Meier v. Wadena Insurance Company
2:20-cv-01025
| E.D. Wis. | Aug 19, 2021Background
- Plaintiff Margrit Meier (d/b/a Hartland Inn) sued Wadena Insurance for breach of contract and bad faith after a fire loss, claiming Wadena underpaid and later issued partial additional payment.
- Meier invoked the policy appraisal provision; each party selected an appraiser but they disagreed on an umpire and appraisal was not completed before suit was filed.
- The policy contains an appraisal clause requiring appraisal when parties disagree on amount of loss and a "legal action" clause making full compliance with policy terms (including appraisal) a condition precedent to suit.
- Wadena moved to dismiss for failure to complete the contractually mandated appraisal; Wadena attached the insurance policy to its motion and asked dismissal rather than conversion to summary judgment.
- Meier argued the dispute over use of the Broad Evidence Rule is a legal/coverage question outside the appraisal process and premature to dismiss; she also sought declaratory and partial summary judgment.
- The court considered the policy, concluded appraisal completion was a condition precedent, rejected Meier’s argument that the Broad Evidence Rule dispute is non-appraisal coverage, and granted Wadena’s motion to dismiss; Meier’s and Wadena’s other motions were denied.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Meier was required to complete the contractual appraisal before suing | Meier: appraisal inapplicable because dispute over Broad Evidence Rule is a legal coverage issue, not an appraisal question | Wadena: appraisal clause is binding; appraisal must be completed as a condition precedent to suit | Court: appraisal is a contractual condition precedent; dismissal for failure to complete appraisal |
| Whether the Broad Evidence Rule dispute is a coverage issue that removes the matter from appraisal | Meier: Broad Evidence Rule relates to coverage/valuation boundaries and thus is judicial, not for appraisers | Wadena: method of calculating loss (including evidence used) is for expert appraisers, not the court | Court: method of valuation is within appraisers' expertise; Coppins does not prohibit appraisers from using Broad Evidence Rule; dispute must proceed through appraisal |
Key Cases Cited
- Bell Atl. Corp. v. Twombly, 550 U.S. 544 (pleading must state a plausible claim for relief)
- Ashcroft v. Iqbal, 556 U.S. 662 (complaint must plead factual content permitting reasonable inference of liability)
- Farmers Auto. Ins. Ass'n v. Union Pac. Ry. Co., 319 Wis. 2d 52 (appraisal clause binds parties; appraisal is for third‑party experts)
- Coppins v. Allstate Indem. Co., 359 Wis. 2d 179 (actual cash value determinations must be grounded in policy language and accepted definitions; does not categorically prohibit Broad Evidence Rule)
- Lynch v. Am. Fam. Mut. Ins. Co., 163 Wis. 2d 1003 (demand for appraisal made prior to suit makes appraisal a condition precedent)
- St. Croix Trading Co. v. Regent Ins. Co., 370 Wis. 2d 248 (appraisers may not resolve coverage issues)
- Chapman v. Rockford Ins. Co., 89 Wis. 572 (historical authority recognizing appraisal obligations)
