Secura Supreme Insurance Company v. The Estate of Daniel Keith Huck
966 N.W.2d 124
Wis. Ct. App.2021Background
- Daniel Huck was killed while working; tortfeasor’s insurer paid $25,000 to his estate.
- Huck’s employer’s worker’s compensation (WC) payer initially paid $35,798.04 to the Estate.
- Under Wis. Stat. §102.29 the Estate had to reimburse the WC payer $9,718.73 from the tort settlement, leaving a net WC recovery to the Estate of $26,079.31.
- Huck had $250,000 underinsured motorist (UIM) coverage with Secura; the Estate made a UIM claim.
- Secura sought to reduce its UIM limits by the $9,718.73 that the WC payer had paid and then been reimbursed (i.e., by the gross payment rather than the net amount the Estate actually received).
- The circuit court awarded the Estate the disputed $9,718.73; Secura appealed and the court of appeals affirmed.
Issues
| Issue | Plaintiff's Argument (Secura) | Defendant's Argument (Estate) | Held |
|---|---|---|---|
| Whether an insurer may reduce UIM limits by worker’s compensation amounts that were paid to a WC payer and later reimbursed (i.e., reduce by the gross payment instead of the net amount the injured person actually received). | The reducing clause and statute allow reduction by amounts paid by the WC payer, even if those sums were subsequently reimbursed to the WC payer. | Reduction is limited to the worker’s compensation amounts actually received by the insured/heirs/estate; sums paid and then repaid do not reduce UIM limits. | Affirmed for the Estate: insurer may reduce limits only by the total WC actually received by the Estate (not by amounts that were paid and then reimbursed). |
Key Cases Cited
- Teschendorf v. State Farm Ins. Cos., 293 Wis. 2d 123 (2006) (UM/UIM limits may be reduced only by WC amounts actually paid to the insured, the insured’s heirs, or the insured’s estate)
- Welin v. American Fam. Mut. Ins. Co., 292 Wis. 2d 73 (2006) (explaining the statutory purpose of providing a predetermined, fixed level of UM/UIM coverage)
- Dempich v. Pekin Ins. Co., 289 Wis. 2d 477 (2006) (appellate decision consistent with reducing limits by net WC recovery)
