G. Vаughn STONE and Christine Stone, Plaintiffs-Respondents, HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION, Involuntary-Plaintiff-Respondent, v. ACUITY, a mutual insurance company, Defendant-Appellant-Petitioner.
No. 2005AP1629
Supreme Court
Decided April 11, 2008
2008 WI 30 | 747 N.W.2d 149
Oral argument October 4, 2007.
For the plaintiffs-respondents there were briefs by William A. Jennaro, Thomas J. Lonzo, and Cook & Franke S.C., Milwaukee, and oral argument by Thomas J. Lonzo.
Amicus curiae briefs were filed by Michael R. Vescio, Mark K. Longua, and SmithAmundsen LLC, Milwaukee, on behalf of Wisconsin Insurance Alliance and Continental Insurance Company.
Amicus curiae briefs were filed by Lora A. Kaebler and End, Hierseman & Crain LLC, Milwaukee; Charles D. Smith and Cannon & Dunphy, S.C., Brookfield; and Charles C. Gleisner, III and the Law Offices of William C. Gleisner, Milwaukee; on behalf of the Wisconsin Academy of Trial Lawyers.
Amicus curiae briefs were filed by Lynn R. Laufenberg and Laufenberg & Hoefle, S.C., Milwaukee, on behalf of Karen Korb.
¶ 1. ANN WALSH BRADLEY, J. The petitioner, Acuity, seeks review of a published court of appeals decision affirming orders of the circuit court for Milwaukee County that denied Acuity‘s motions for summary judgment and reconsideration and that awarded G. Vaughn Stone and Christine Stone $500,000 pursuant to the parties’ stipulation.1 Acuity contends that the court of appeals erred in its conclusions (1) that Acuity violated
¶ 2. Relying on precedent, we conclude that by failing to provide the Stones with notice of the availability of UIM coverage as part of their umbrella insurance, Acuity violated the notice provision of
¶ 3. In the present case, however, the Stones’ recovery is set by a stipulation between the parties, and we honor their agreement. Because we determine that insurance coverage exists from Acuity, under the plain language of the stipulation $500,000 is the amount Acuity must pay for the injuries and damages sustained by the Stones. Having decided the case on the basis of the statute and stipulation, we need not reach the question of whether the Stones’ policy is contextually ambiguous. Accordingly, we affirm the court of appeals, but with different rationale.
I
¶ 4. This case arises out of an automobile-bicycle accident. G. Vaughn Stone was riding his bicycle when he was hit by a van driven by Alyce Lange. Stone sustained multiplе fractures and dislocations and a collapsed lung. He underwent multiple surgical procedures and was hospitalized for approximately three weeks. Shortly after being released from the hospital, he suffered a stroke as a result of complications from his injuries. He then entered a rehabilitation hospital, where he was an inpatient for over a month. He continued to receive therapy and care after his release.
¶ 5. The Stones had automobile liability insurance with Acuity, including underinsured motorist (UIM) coverage. Both had limits of $300,000. They also had umbrella insurance with Acuity. The declaration section of the Stones’ insurance policy lists “Personal Umbrella Liability Insurance” with a limit of $1 million. The declaration section also contains an entry for “Wisconsin Personal Umbrella” in a subsection labeled “Forms.”
¶ 6. Later in the policy, the coverage provided by “Wisconsin Personal Umbrella” is described in a section labeled “Endorsements.” It states that “[w]e will pay sums in excess of the primary limit that an insured is legally obligated to pay as damages because of personal injury or property damage caused by an occurrence to which this insurance applies.” As “Primary Insurance for Umbrella,” the policy lists two items: “Personal Liability Exposure” and “Auto Liability Exposure.”
¶ 7. Acuity originally issued the Stones’ auto insurance and personal umbrella endorsement in April 1993. Beginning in 1996, Acuity sent out notices of availability of UIM coverage on auto renewal policies in order to comply with revisions to
¶ 8. In 1999 Acuity began offering UIM coverage for its personal umbrella policies. It then provided notice of the availability of such coverage to new applicants. However, it did not provide notice of the availability of the coverage to existing personal umbrella policyholders such as the Stones. Thus, the Stones never received notice that UIM coverage was available as part of their umbrella insurance.
¶ 9. The Stones brought this action to recover from Lange and her insurer and under their Acuity insurance policy. Acuity filed a motion for summary judgment with the circuit court. It asserted that it did not provide UIM coverage to the Stones because, first, Lange was not an underinsured motorist, and second, the Stones’ umbrella insurance extended only to per-sonal liability and auto liability exposure. The Stones countered by arguing that their umbrella insurance with Acuity
¶ 10. The circuit court denied Acuity‘s summary judgment motion. It determined that the Stones’ insurance policy was contextually ambiguous as to whether it provided UIM coverage. The umbrella coverage wаs listed under the “forms” heading rather than under an “endorsement” heading in the policy declarations, the policy contained no specific exclusion of UIM coverage, and the policy left the impression that the umbrella policy is “excess over all other available insurance....”
¶ 11. Acuity filed a motion for reconsideration. Prior to the circuit court‘s hearing on Acuity‘s motion, the court of appeals ordered to be published its opinion in Rebernick v. Wausau Gen. Ins. Co., 2005 WI App 15, 278 Wis. 2d 461, 692 N.W.2d 348.3 In that case, the court of appeals determined that the requirement under
¶ 12. The Stones submitted a letter alerting the circuit court and Acuity of the Rebernick decision and asserting that they had not received notice of the availability of UIM umbrella coverage as required under
¶ 13. At the reconsideration hearing, the parties argued the import of the court of appeals decision in Rebernick. The Stones discussed the court of appeals’ holding and argued that Acuity failed to provide the required notice. The Stones noted that the majority of the court of appeals had left open the question of the appropriate remedy for failure to provide adequate notice under the statute.
¶ 14. The court referenced Rebernick in its discussion at the motion for reconsideration hearing. However, it denied the motion without altering the original decision, which was based on contextual ambiguity.
¶ 15. The Stones then reached a settlement agreement with Lange and her insurer. Pursuant to the agreement, they entered into a stipulation dismissing all claims with respect to Lange and her insurer. In exchange, the Stones received $500,000 from Lange‘s insurer and $10,000 from Lange.
¶ 16. Before going to trial, the Stones and Acuity also reached a stipulation. It provided that a judgment be entered in favor of the Stones for $500,000 against Acuity and reserved Acuity‘s right to appeal the denial of its motion for summary judgment and motion for reconsideration of that denial. The stipulation and final order provide in relevant part:
WHEREAS, defendant ACUITY as an alleged insurer for plaintiffs and plaintiffs having negotiated an agreement as to the amount plaintiffs G. Vaughn Stone and Christine Stone, would be entitled to receive from ACUITY with the understanding that such agreement does not waive any rights of appeal of ACUITY with respect to the decisions on ACUITY‘s Motion for Summary Judgment and Motion to Reconsider; and WHEREAS, ACUITY and plaintiffs having agreed that the amount in addition to the $510,000 previously paid [by Lange and Lange‘s insurer] would be the sum of $500,000; and
WHEREAS, the parties having agreed that the $500,000 figure would be the amount that ACUITY would pay for the injuries and damages sustained by G. Vaughn Stone and Christine Stone in the event insurance coverage is found on appeal to exist from ACUITY; WHEREAS, the parties understand that this payment by ACUITY would include payment with respect to any subrogation claims that might exist, with G. Vaughn Stone and Christine Stone as well as any subrogated entities all reserving their rights to litigate any entitlement of the subrogated parties to recover damages from the $500,000 if that money is ultimately paid. Specifically, but without limitation, plaintiffs reserve the right to argue that they have not been made whole.
¶ 17. Acuity appealed. The court of appeals, however, did not address whether the circuit court erred in concluding that the Stones’ umbrella endorsement was contextually ambiguous. Stone v. Acuity, 2006 WI App 205, ¶ 2, 296 Wis. 2d 240, 723 N.W.2d 766. Rather, it affirmed the circuit court‘s orders on the ground that Acuity failed to comply with
¶ 18. The court of appeals further determined that the appropriate remedy for Acuity‘s violation of the statute was reformation of the Stones’ umbrella en-dorsement to provide UIM coverage. Id., ¶ 7. It agreed with the view set forth in Rebernick that whether a violation of
¶ 19. Acuity petitioned for review. After the case was argued before this court, we requested supplemental briefs on the issue of remedy and the effect of the parties’ stipulation.4
II
¶ 20. This case requires that we determine whether Acuity violated
¶ 21. Further, we must construe a stipulation between the parties. The interpretation of a stipulation is also a question of law that we review independently. Duhame v. Duhame, 154 Wis. 2d 258, 262, 453 N.W.2d 149 (Ct. App. 1989).
III
¶ 22. We begin our analysis by examining the statutes.
of the availability of UIM coverage. The statute states in relevant part:
1. An insurer writing policies that insure with respect to a motor vehicle ... against loss resulting from liability imposed by law ... shall provide to one insured under eаch such insurance policy ... that is written by the insurer and that does not include underinsured motorist coverage written notice of the availability of underinsured motorist coverage including a brief description of the coverage....
¶ 23. This court recently addressed the application of
¶ 24. Because the Rebernicks’ umbrella policy included auto liability coverage, it fell within the scope of
¶ 25. Ultimately, however, we concluded that the insurer had provided the Rebernicks with notice under
¶ 26. Thus, under Rebernick, it is clear that insurers must provide notice of the availability of UIM coverage under umbrella policies that insure against liability “for loss or damage resulting from accident caused by any motor vehicle,”
¶ 27. Nonetheless, Acuity maintains that it was not required to provide the Stones with notice when it began offering umbrella UIM coverage. It argues that the Stones’ umbrella coverage is not a policy within the meaning of the statute. Rather, it is merely an endorsement to their policy.
¶ 28. Acuity‘s argument is unpersuasive. To begin, the Stones’ policy is equivocal as to whether their umbrella coverage is a “form” or an “endorsement.” In the declarations section of the Stones’ insurance policy,
Acuity lists the umbrella coverage in a section called “Forms.” Later in the policy, Acuity describes the umbrella coverage in a section labeled “endorsements.”
“Form” means a policy, group certificate, or application prepared for general use and does not include one specially prepared for use in an individual case. See also “policy“.
(Emphasis added).
¶ 29. Even if the Stones’ umbrella cоverage is an “endorsement” rather than a “form,”
“Policy” means any document other than a group certificate used to prescribe in writing the terms of an insurance contract, including endorsements and riders and service contracts issued by motor clubs.
¶ 30. Acuity‘s own analysis of the umbrella coverage provides further reason to treat it as a “policy” under
¶ 31. Moreover, in the memorandum the analyst makes it clear that the umbrella coverage carried by the Stones was available to be purchased separately from аn Acuity auto policy. “Let me know if you
¶ 32. Under
¶ 33. In examining the statutes and applying these interpretive principles to the facts of this case, we determine that the Stones’ umbrella coverage constitutes a policy under the meaning of
¶ 34. In the alternative, Acuity claims that even if the umbrella coverage constitutes a policy within the meaning of
¶ 35. This argument is also unpersuasive. We have already determined that the umbrella coverage is a policy within the meaning of
¶ 36. Moreover, allowing the earlier notice to suffice as notice of the availability of UIM umbrella coverage three years hence runs counter to our instruction in Rebernick that “where UIM coverage is available, insureds should know about it.” 289 Wis. 2d 324, ¶ 25. UIM umbrella coverage became available in 1999, and a notice sent three years prior does not let insureds know about it becoming available. The notice sent out for the Stones’ personal automobile policy renewal therefore does not satisfy the requirements of
¶ 37. Thus, the Stones’ umbrella insurance applies to motor vehicle liability and constitutes a policy within the meaning of
IV
¶ 38. Having concluded that Acuity violated
¶ 39. Citing the dissent in Rebernick, the court of appeals determined that whether a violation of the notice provision in
Acuity‘s failure to contend that the Stones would not have purchased UIM coverage under their umbrella insurance and the fact that the Stones had indeed purchased $300,000 of UIM coverage in their underlying policy.
¶ 40. We disagree with the сourt of appeals’ determination that there is no genuine issue of fact as to whether the Stones would have purchased UIM umbrella coverage. The mere fact that the Stones purchased $300,000 of UIM coverage in their underlying policy is insufficient to show that they would have paid more in premiums to purchase UIM umbrella coverage.
¶ 41. More importantly we disagree that enforcing the insurance contract as if it conformed to
¶ 42. One possibility for remedy is that enforcing the policy as if it conformed to
¶ 43.
If an insured who is notified under par. (a) 1. accepts underinsured motorist coverage, the insurer shall include the coverage under the policy just delivered to the insured in limits of at least $50,000 per person and $100,000 per accident. For any insured who accepts the coverage аfter notification under par. (a) 2., the insurer
shall include the coverage under the renewed policy in limits of at least $50,000 per person and $100,000 per accident.
Thus, had the Stones accepted UIM coverage pursuant to
¶ 44. This court applied
¶ 45. Brunson provides only limited guidance. The statutory violation in Brunson was a failure to provide sufficient UIM coverage to a policy that already provided some UIM coverage. Here, the statutory violation is a failure to provide notice of availability, and the question is how much coverage to provide if coverage is warranted at all.
¶ 46. The legislative history provides no further guidance. As we noted in Rebernick, the bill that led to
¶ 47. Lacking clear authority from this state‘s case law and legislative history on the question of coverage, we turn to other sources for instruction. Two areas of jurisprudence provide some guidance: cases in which coverage is implied because of a failure to offer coverage as part of an auto liability policy and cases in which coverage is implied because of a failure to provide coverage as part of an umbrella policy.
¶ 48. First, there are a number of jurisdictions that have addressed insurers’ failure to fulfill statutory requirements to make offers of uninsured motorist (UM) and UIM coverage as part of an automobile liability policy. A leading treatise on UM and UIM insurance summarizes the cases as follows.
When underinsured motorist insurance coverage is imposed by operation of law because an insurance company failed to comply with a legislative mandate, questions sometimes arise about the coverage limits for the insurance. Typically, legislation mandates that when an insurer fails to prove an effective offer, the insurer must provide the minimum coverage required to be offered to the purchaser under the statute.
3 Alan I. Widiss & Jeffrey E. Thomas, Uninsured and Underinsured Motorist Insurance, § 32.7 (3d ed. 2005).
¶ 49. In Tucker v. Country Mut. Ins. Co., for examрle, the Appellate Court of Illinois interpreted a statute providing that no automobile liability insurance may be issued “unless underinsured motorist coverage is offered in an amount equal to the insured‘s uninsured motorist coverage limits.” 465 N.E.2d 956, 958 (Ill. App. 1984)(citing 1979 Ill. Laws 4771). It determined that where an insurer failed to make a sufficient offer under the statute, a proper remedy was to imply UIM coverage into a policy “by operation of law in limits equal to [the insured‘s] uninsured motorist coverage....” Id. at 962.
¶ 50. In Rutter v. The Horace Mann Ins. Co., 545 N.E.2d 1381 (Ill. App. Ct. 1989), the appellate court reiterated that view. Where there is a deficient offer of UIM coverage, the appropriate remedy is to imply UIM coverage
¶ 51. The Illinois cases, however, interpret a statute different from
Where the statute calls for underinsured motorist limits at least equal to statutory minimum liability limits, the insurer‘s obligation to provide underinsured motorist limits is limited to those required for minimum liability coverage, and there is no obligation to provide underinsured motorist limits equal to the higher liability limits carried by the insured.
3 William J. Schermer & Irvin E. Schermer, Automobile Liability Insurance, § 38.28 (4th ed. 2004).
¶ 52. Ross v. United Servs. Auto. Ass‘n, 899 S.W.2d 53 (Ark. 1995), is illustrative. In Ross, UIM coverage was implied by operation of law because the insured failed to obtain an adequate rejection of coverage. Id. at 54. Determining the amount of coverage implied required the court to interpret
¶ 53. These authorities all indicate that where an insurer fails to make an adequate offer of UIM coverage, and UIM coverage is therefore implied by operation of law, it is implied at a level equal to the minimum level required to be offered under the statute. This suggests that under Wisconsin law, implied UIM coverage should be at the level prescribed in
¶ 54. However, the above cases concern the failure tо fulfill a statutory obligation to provide UIM insurance as part of a primary automobile liability policy rather than as part of an umbrella policy. Because this case concerns umbrella coverage rather than a primary automobile liability policy, it is also useful to examine cases in which courts have determined that UIM coverage is implied because an insurer fails to offer UIM coverage as part of an umbrella policy. A number of jurisdictions have determined that where UIM coverage is implied in an umbrella policy, it will
¶ 55. In Ormsbee v. Allstate Ins. Co., 859 P.2d 732 (Ariz. 1993), for example, the Arizona Supreme Court determined that an umbrella policy providing automobile liability coverage was an automobile liability policy within the meaning of state statutes. Arizona‘s UM/UIM statute required insurers to offer UIM coverage “in limits not less than the liability limits within the policy,” Id. at 733 (citing
¶ 56. The Northern District of Ohio has similarly concluded that umbrella policies that cover automobiles must provide UIM coverage at the full level of liability coverage under the policy. The court in Krstich v. United Servs. Auto. Ass‘n, 776 F. Supp. 1225 (N.D. Ohio 1991) applied both Ohio and North Carolina UIM statutes to a $1 million umbrella pоlicy. The Ohio statute stated that no automobile liability insurance could be issued unless it provided “[u]nderinsured motorist coverage, which shall be in an amount of coverage equivalent to the automobile liability” coverage. Id. at 1232-33 (quoting
¶ 58. Thus, there are a number of instances in which courts have determined that where an insurer fails to provide UIM coverage in an umbrella policy, UIM coverage will be implied into the policy at the level of liability coverage offered by that policy. We note, however, that these cases are based upon statutes requiring automobile liability policies to provide UIM coverage in amounts equal to the liability limits of the policy. They therefore contrast with the present case because Wisconsin requires only that insurers who make UIM coverage available provide it at a statutory minimum level.
¶ 59. There do not appear to be any cases in which courts have determined that a statutory minimum level of UIM coverage, independent of the insured‘s liability limit, is implied in an umbrella policy. Indeed, Wisconsin seems to be anomalous in interpreting a state statute that requires insurers to provide UIM coverage at a statutory minimum level as applying to umbrella policies. That is, the cases requiring insurers to provide UIM coverage in umbrella policies do so on the basis of statutes requiring insurers to provide UIM
¶ 60. Nonetheless, the cases in which courts have determined that UIM coverage is implied where an insurer fails to provide UIM coverage as part of an umbrella policy are instructive. UIM coverage is generally implied at the full level of liability coverage in an umbrella policy where statutes require that any automobile liability policy provide UIM coverage at the full level of the insured‘s liability coverage. Wisconsin does not have such a requirement. Moreover, because the cases are based on statutes requiring UIM coverage at the full level of liability coverage, they actually imply UIM coverage at the only level recognized by statute for motor vehicle liability policies. Wisconsin, though, recognizes UIM coverage at a lower level than the liability limits of a motor vehicle liability policy.
¶ 61. Having reviewed the foregoing authorities, we are persuaded that where an insurer fails to provide adequate notice of the availability of UIM coverage, the appropriate remedy is to read in only the minimum level of UIM coverage required under
¶ 62. Further, in cases where insurers fail to offer UIM coverage as part of an automobile liability policy, the amount of UIM coverage implied depends upon whether state statutes require insurers to provide UIM coverage at a statutory minimum level or at the level of the insured‘s UM or liability coverage. Where, as in Wisconsin, insurers that provide UIM coverage must provide it at a statutory minimum level independent of the insured‘s liability limit, courts imply that minimum level. Higher levels are implied only where required by statute.
¶ 63. Finally, where courts imply UIM coverage in umbrella polices, they imply the coverage at the statutorily required level. This has generally resulted in implied UIM coverage at the level of coverage for the umbrella policy. However, this is because the relevant state statutes require motor vehicle liability policies to provide UIM coverage at the same level as the insured‘s liability coverage. In Wisconsin, insurers that рrovide UIM coverage are required to do so only at a statutory minimum level, regardless of the insured‘s liability coverage.
¶ 64. We therefore conclude that pursuant to
V
¶ 65. Acuity has persuaded us that interpreting the Stones’ policy as if it conformed to
¶ 66. After the circuit court denied Acuity‘s motion for reconsideration, and before trial, the parties entered into a stipulation. They agreed “that the $500,000 figure would be the amount that ACUITY would pay for the injuries and damages sustained by G. Vaughn Stone and Christine Stone in the event insurance coverage is found on appeal to exist from ACUITY....”
¶ 67. We have recently held that “interpretation of a stipulation must, above all, give effect to the intention of the parties.” Pierce v. Physicians Ins. Co. of Wis., Inc., 2005 WI 14, ¶ 31, 278 Wis. 2d 82, 692 N.W.2d 558 (citing D‘Angelo v. Cornell Paperboard Prods. Co., 33 Wis. 2d 218, 227, 147 N.W.2d 321 (1967)). While relief from stipulations is governed by
¶ 68. Because we have determined that interpreting the Stones’ umbrella insurance as if it conformed to the statute requires reading in the statutory minimum UIM coverage, “insurance coverage is found on appeal to exist from Acuity.” Thus, under the plain language of the stipulation, the amount Acuity must pay the Stones for their injuries is $500,000.
¶ 69. After the first round of oral arguments before this court, we issued an order requesting that the parties submit supplemental briefs addressing the issue of remedy, including the effect of the stipulation. Acuity argues the stipulation was based on the contextual ambiguity issue, and that the Rebernick issue “did not exist” at the time of the stipulation “other than as a Court of Appeals dissent.” It maintains that Acuity should have the opportunity to litigate the “new theory.”
¶ 70. We disagree. First, it is incorrect that at the time the parties entered into the stipulation the Rebernick issue existed only in a court of appeals dissent. The majority of the court of appeals in Rebernick agreed that insurers are required to provide notice of the availability of umbrella UIM coverage. 278 Wis. 2d 461, ¶ 8. The court did not read in UIM coverage because it determined that the insurer had provided notice. Id., ¶ 13. That was the same determination made by this court on review. 289 Wis. 2d 324, ¶ 39.
¶ 71. Moreover, before entering into the stipulation, the parties submitted letters to the circuit court regarding the applicability of the court of appeals’ decision in Rebernick. At the hearing on Acuity‘s motion for reconsideration, both parties addressed the import of Rebernick. The circuit court considered Rebernick in its deliberations on the motion for reconsideration.
¶ 72. In addition, the stipulation has no language stating that Acuity will pay $500,000 if coverage is found to exist because
¶ 73. Rather, in entering into the stipulation Acuity avoided the potential for even greater exposure due to the $1 million limit and the lack of a reducing clause in the Stones’ umbrella policy. One of the key disputes in Acuity‘s motion for reconsideration and in the hearing on that motion was whether umbrella UIM coverage should be read to include a reducing clause, even though neither the Stones’ umbrella policy nor the UIM endorsement to personal umbrella coverage that the Stones could have purchased contained a reducing clause. Thus, the stipulation avoided a dispute over whether, if coverage was found to exist on appeal, such coverage was subject to a reducing clause. Acuity therefore avoided the potential that it would have to pay the full $1 million limit of the policy should an appellate court determine that the coverage was not subject to a reducing clause.
¶ 74. We are also not persuaded by Acuity‘s argument that it should be allowed to litigate the Rebernick theory. The interpretation of the terms of a stipulation, like the interpretation of the terms of a contract, is a question of law. Duhame, 154 Wis. 2d at 262. Thus, we need not remand the case to the circuit court for the parties to litigate the interpretation of the stipulation, which is clear on its face. Acuity has already had the opportunity to argue the issue in its supplemental briefs.
¶ 75. The circuit court determined that the Stones were entitled to UIM coverage under their umbrella insurance because their policy was contextually ambiguous, and the Stones have continued to maintain that their policy is contextually ambiguous. However, because we determine that insurance coverage exists due to Acuity‘s failure to provide adequate notice under
¶ 76. Having determined that where an insurer fails to provide adequate notice of the availability of UIM coverage, the appropriate remedy is to read in the minimum level of UIM covеrage required under
VI
¶ 77. In sum, relying on precedent, we conclude that by failing to provide the Stones with notice of the availability of UIM coverage as part of their umbrella insurance, Acuity violated the notice provision of
¶ 78. In the present case, however, the Stones’ recovery is set by a stipulation between the parties, and we honor their agreement. Because we determine that insurance coverage exists from Acuity, under the plain language of the stipulation $500,000 is the amount Acuity must pay for the injuries and damages sustained by the Stones. Having decided the case on the basis of the statute and stipulation, we do not reach the question of whether the Stones’ policy is contextually ambiguous. Accordingly, we affirm the court of appeals, but with different rationale.
By the Court.—The decision of the court of appeals is affirmed.
¶ 79. Justice ANNETTE KINGSLAND ZIEGLER did not participate.
¶ 80. PATIENCE DRAKE ROGGENSACK, J. (concurring in part, dissenting in part). I join the majority opinion except for those portions of that opinion that interpret the stipulation between G. Vaughn Stone and Christine Stone (the Stones) and Acuity, a Mutual Insurance Company (Acuity), as requiring Acuity to provide $500,000 in underinsured motorist (UIM) payments to the Stones under the umbrella policy Acuity issued. I respectfully dissent from the majority opinion‘s discussion and conclusions relative to the stipulation for three reasons: (1) the stipulation is ambiguous as to the parties’ intent; (2) the majority opinion unreasonably interprets the parties’ stipulation to effect an unwarranted penalty against Acuity; and (3) in the alternative, even were I to agree with the majority opinion‘s interpretation of the stipulation, fairness requires that the penalty to which Acuity should be subjected for failing to comply with
I. BACKGROUND
¶ 81. The background facts relating to the stipulation between the Stones and Acuity are quite brief. The parties agreed after the circuit court had denied Acuity‘s motion for summary judgment and had denied Acuity‘s motion for reconsideration, that if the decision of the circuit court was reversed, the level of damages sustained by the Stones would require Acuity to pay an additional $500,000.
¶ 82. In its denial of Acuity‘s motion for summary judgment, the circuit court decided that UIM coverage was afforded bеcause the umbrella policy was contextually ambiguous. As the circuit court explained:
We—The umbrella policy here—The question is—is it the—insured left with the impression that the umbrella policy is excess over all other available insurance?
. . .
And I—I think it‘s a very close call, but I think that the Court, reviewing everything, is persuaded by the presentation and argument of the plaintiff, that there is an ambiguity in this policy that would work to the detriment of the insured, and I am going to deny the motion for summary judgment and the motion filed by Acuity.
I think that the other issues, being whether there is—there is—there are damages that
have been—that—I—it seems to me, that based on what you have alleged the medicals to be, the loss of employment to be, the potential, here, that there is a potential for—for the coverage, and there is an ambiguity in the policy such that the Court would not dismiss the action against Acuity.
Because of that contextual ambiguity in the policy, subject to the reducing clause which was upheld as part of the circuit court‘s denial of Acuity‘s motion for reconsideration, the circuit court concluded that $1,000,000 of potential UIM coverage existed under the umbrella policy.
¶ 83. The Stones and Acuity stipulated to damages, rather than taking the case to trial where that issue would have been decided by a jury. The Stones had received $500,000 from the tortfeasor‘s insurer. The amount the parties agreed was yet to be paid if the $1,000,000 umbrella provided UIM coverage was $500,000. The stipulation relieved the Stones from their burden of proving the extent of their damages in a case where damages were not seriously contested by Acuity, and it moved the legal issue on which the circuit court‘s decision rested, i.e., that the policy was contextually ambiguous, forward to an appeal.
II. DISCUSSION
¶ 84. The question that is presented is whether the Stones and Acuity intended to agree that if an appellate court applied the court of appeals decision in Rebernick v. Wausau General Insurance Company, 2005 WI App 15, 278 Wis. 2d 461, 692 N.W.2d 348, to the umbrella policy and concluded that Acuity had not provided the notice required by
A. Standard of Review
¶ 85. “The construction of a stipulation is a question of law” subject to our independent review. Duhame v. Duhame, 154 Wis. 2d 258, 262, 453 N.W.2d 149 (Ct. App. 1989). We also determine whether a stipulation is ambiguous as a question of law. See Flejter v. Estate of Flejter, 2001 WI App 26, ¶¶ 28-30, 240 Wis. 2d 401, 623 N.W.2d 552.
B. Stipulations
1. General principles
¶ 86. A stipulation is ambiguous if it is “reasonably or fairly susceptible to more than one construction.” Id., ¶ 28. Stipulations are to be construed consistent with the intention of the parties at the time they entered into the stipulation and in “the spirit of justice, ... and should not be construed technically so as to defeat the purposes for which they were made.” Pierce v. Physicians Ins. Co. of Wis., Inc., 2005 WI 14, ¶ 31, 278 Wis. 2d 82, 692 N.W.2d 558 (citation omitted).
¶ 87. When the parties’ intent about all potential applications of a stipulation is not apparent from the face of the stipulation, one must look to the context in which the stipulation was made. The context includes the рrocedural posture of the case, as well as the parties’ purpose in entering into the stipulation. Id., ¶ 32. An examination and understanding of the context in which the stipulation was made is extremely important because a stipulation must, above all, “give effect to the intention of the parties.” D‘Angelo v. Cornell Paperboard Prods. Co., 33 Wis. 2d 218, 227, 147 N.W.2d 321 (1967). When a stipulation is entered into merely as a procedural facilitation, the stipulation should be narrowly construed. Id.
¶ 88. Although we have indicated that stipulations may have the attributes of a
2. Stones and Acuity‘s stipulation
¶ 89. Acuity appealed from the circuit court‘s decision that UIM coverage was afforded under the umbrella policy because it was contextually ambiguous. The stipulation of the parties did not waive any rights of appeal that Acuity had “with respect to the decisions on Acuity‘s Motion for Summary Judgment and Motion to Reconsider.” Stipulation and Final Order 2 (Milwaukee County Cir. Ct. Jun. 8, 2005). There is nothing in the stipulation that mentions Rebernick or addresses whether Acuity did or did not comply with the notice requirements of
¶ 90. The Stones assert that the court of appeals decided Rebernick before the circuit court‘s decision on Acuity‘s motion for reconsideration and Rebernick was brought to the attention of the circuit court. Therefore, the Stones continue, the language in the stipulation requiring Acuity to pay $500,000 in the event “insurance coverage is found on appeal to exist from Acuity” applies to a determination by an appellate court that Acuity did not comply with Rebernick‘s interpretation of
¶ 91. Acuity contends that the stipulation has no such meaning, and if it is concluded that it failed to fulfill its obligations under
¶ 92. When interpreting an ambiguous stipulation, the context in which the stipulation arises is important in determining the intent of the parties. D‘Angelo, 33 Wis. 2d at 227. The procedural posture of the case at the time that the stipulation was made is part of that context. Pierce, 278 Wis. 2d 82, ¶ 32. Here, the parties stipulated solely to eliminate the need to conduct a jury trial to determine the Stones’ damages and to facilitate the appeal of the circuit court‘s decision. Therefore, the stipulation was a prоcedural device formulated to facilitate the parties’ appeal, and it should be narrowly construed. D‘Angelo, 33 Wis. 2d at 227.
¶ 93. I also note that the Stones did not plead a lack of notice pursuant to
¶ 94. In addition, when the parties entered into the stipulation, there was nothing in the court of appeals Rebernick decision that would have alerted Acuity to what penalty it might face for noncompliance with
¶ 95. Furthermore, the majority opinion imposes an excessive penalty as a remedy for a failure to give sufficient notice pursuant to
¶ 96. Moreover, the circuit court concluded that coverage was afforded for an occurrence because the policy was contextually ambiguous. Concluding that coverage exists due to the language of the policy is a
different conclusion than is assigning a penalty for failing to comply with a statutory directive. The coverage question to which the stipulation is directed is based on the circuit court‘s construction of the words used in Acuity‘s policy. Therefore, it was the policy itself, not a statutory penalty, that created the potential of an additional payment under the stipulation.¶ 97. Accordingly, I conclude that the parties did not intend to agree that thе stipulation would encompass a remedy for noncompliance with
3. Fairness
¶ 98. Because my construction of the stipulation is a minority opinion, it cannot provide the relief Acuity seeks. However, the majority opinion treats Acuity more harshly than it treats any other insurer that has failed to comply with
¶ 99.
On motion and upon such terms as are just, the court, subject to subs. (2) and (3), may relieve a party or legal representative from a judgment, order or stipulation for the following reasons:
(a) Mistake, inadvertence, surprise, or excusable neglect;
(b) Newly-discovered evidence which entitles a party to a new trial under s 805.15(3);
(c) Fraud, misrepresentation, or other misconduct of an adverse party;
(d) The judgment is void;
(e) The judgment has been satisfied, released or discharged;
(f) A prior judgment upon which the judgment is based has been reversed or otherwise vacated;
(g) It is no longer equitable that the judgment should have prospective application; or
(h) Any other reasons justifying relief from the operation of the judgment.
In my view, fairness requires consideration of
III. CONCLUSION
¶ 100. I respectfully dissent from the majority opinion‘s discussion and conclusions relative to the stipulation for three reasons: (1) the stipulation is ambiguous as to the parties’ intent; (2) the majority opinion unreasonably interprets the parties’ stipulation to effect an unwarranted penalty against Acuity; and (3) in the alternative, even were I to agree with the majority opinion‘s interpretation of the stipulation, fairness requires that the penalty to which Acuity should be subjected for failing to comply with
¶ 101. LOUIS B. BUTLER, JR., J. (concurring in part, dissenting in part). I concur with the majority‘s conclusions that Acuity violated the notice provisions of
¶ 103. The majority fails to recognize that an insurance рolicy “that violates a statute or rule is enforceable against the insurer as if it conformed to the statute or rule.” Rebernick v. Wausau Gen. Ins. Co., 2006 WI 27, ¶ 57, 289 Wis. 2d 324, 711 N.W.2d 621 (quoting
I
¶ 104.
An insurer writing policies that insure with respect to a motor vehicle registered or principally garaged in this state against loss resulting from liability imposed by law for bodily injury or death suffered by a person arising out of the ownership, maintenance or use of a motor vehicle shall provide to one insured ... written notice of the availability of underinsured motorist coverage, including a brief description of the coverage....
¶ 105. In the present case, because the required notice was clearly not given, the issue of determining the appropriate remedy is back on the table. However, the remedy in this case may have been already predetermined by the parties’ stipulation. The majority acknowledges that the stipulation between the parties in this case reflects a clear and explicit agreement by Acuity to pay the Stones $500,000 in the event that insurance coverage from Acuity was found on appeal to exist. Majority op., ¶¶ 3, 66.
¶ 106. Our conclusion that Acuity failed to give statutorily required notice is only the first step in determining whether insurance coverage exists in this case. Under
¶ 107. If, on remand, the circuit court concludes that the Stones would have purchased an umbrella policy if they had been provided with the requisite notice, the terms of the unambiguous stipulation would then be met in this case, triggering Acuity‘s responsibility to compensate the Stones in the amount of $500,000 and resolving the issue of the appropriate remedy.
II
¶ 108. Even if this case did not involve such a stipulation and it were necessary to determine a different remedy for an insurer‘s failure to provide notice of the availability of UIM coverage under an umbrella policy, I strongly disagree with the majority‘s proposed solution of reading into an umbrella policy a level of coverage in the amount of $50,000 per person and $100,000 per accident, which is well below the minimum coverage provided for an umbrella policy.
¶ 109. In addition to deciding an issue not squarely before it, this judicially constructed remedy is flawed for two other reasons: it fails to take into account the necessity of remanding such cases for required factual determinations, and the amount established for violating notice provisions for UIM in umbrella insurance policies contravenes the purpose and nature of umbrella insurance policies.
A
¶ 110. Acuity‘s failure to comply with the requirements of
¶ 111. However, determination of the appropriate reformation is not a straightforward determination which may be made absent further factual inquiries. A recitation of
¶ 112. In this case, the majority concedes that whether the Stones would have purchased UIM coverage remains a genuine issue of fact. Majority op., ¶ 40. Findings of whether a particular policy would have been purchased, and at what amount, are questions of fact reserved for the circuit court. Should the circuit court find, on remand, that coverage exists, then the terms of the stipulation clearly govern.
¶ 113. Even if there were no such stipulation in this case, we would exceed the scope of our authority were we to determine the amount of coverage the Stones’ UIM policy should provide before first remanding the case for the factual determination of whether the Stones would have purchased such a policy in the first place, as well as how much insurance they would have purchased. Any remedy beyond that clearly provided by the unambiguous stipulation between the parties is a determination
B
¶ 114. Finally, even if it were appropriate for us to determine the appropriate default amount of coverage for future cases involving
¶ 115. Unlike primary insurance policies, umbrella policies are meant to cover large expenses which may vastly exceed those covered by primary insurance. The coverage provided by umbrella policies ” ‘gives a financial security, as well as peace of mind, to the individual purchasing such coverage who is hopeful that he will never be involved in any substantial claim or lawsuit, but, if he is, is desirous of not losing the security it may have taken a lifetime to acquire.’ ” Oelhafen v. Tower Ins. Co., 171 Wis. 2d 532, 538-39, 492 N.W.2d 321 (Ct. App. 1992)(quoting 8A J.A. Appleman & J. Appleman, Insurance Law & Practice, § 4909.85 at 452-53 (rev. ed. 1981)).
¶ 116. Setting the levels established in
¶ 117. It is well established that although this court may not
ex post facto compel the performance of conditions in a contract which the parties did not contemplate or bargain for, coverages omitted from an insurance contract may nevertheless be compelled and enforced as though a part thereof where the inclusion of such coverage is required by a properly enacted statute. In such case a policy of insurance omitting a required coverage will be enforced as though it had been written in accordance with the legislative prescription.
Amidzich v. Charter Oak Fire Ins. Co., 44 Wis. 2d 45, 53, 170 N.W.2d 813 (1969) (citing 44 C.J.S. Insurance, § 302 at 1215-16; Zippel v. Country Gardens, Inc., 262 Wis. 567, 55 N.W.2d 903 (1952); Sandstrom v. Estate of Clausen, 258 Wis. 534, 46 N.W.2d 831 (1951)). In this case, the applicable legislative prescription includes both the
¶ 118. In Rebernick, this court stated that the central purpose of
¶ 119. As such, if a policy were reformed to provide the kind of coverage that would have been available had the Stones opted for UIM umbrella coverage, that amount would more appropriately be set at $1,000,000 (or more, if upon remand the Stones could establish they would have purchased more coverage), not the lower statutory minimum set by
III
¶ 120. In conclusion, the stipulation between the parties in this case makes the majority‘s analysis of other potential remedies for
Notes
- An insurer writing policies that insure with respect to a motor vehicle registered or principally garaged in this state against loss resulting from liability imposed by law for bodily injury or death suffered by a person arising out of the ownership, maintenance or use of a motor vehicle shall provide to one insured under each such insurance policy that goes into effect after October 1, 1995, that is written by the insurer and that does not include underinsured motorist coverage written notice of the availability of underinsured motorist coverage, including a brief description of the coverage. An insurer is required to provide the notice required under this subdivision only one time and in conjunction with the delivery of the policy.
- An insurer under subd. 1. shall provide to one insured under each insurance policy described in subd. 1. that is in effect on October 1, 1995, that is written by the insurer and that does not include underinsured motorist coverage written notice of the availability of underinsured motorist coverage, including a brief description of the coverage. An insurer is required to provide the notice required under this subdivision only one time and in
