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Appeal No.
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WISCONSIN COURT
OF APPEALS
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DISTRICT III
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Henry J. Nault, Jr., individually and
Lisa G. Nault, individually, and as Special Administrator of the
Estate of Jaron J. Nault, deceased,
Plaintiffs-Appellants,
John Alden Life Insurance Company, Assurant Health, Parent
Company,
Nominal-Plaintiff,
v.
West Bend Mutual Insurance Company,
Defendant-Respondent,
William H. Simonson, Dairyland Insurance Company and Foremost
Insurance Company,
Defendants.
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FILED
FEB 19, 2008
David R. Schanker
Clerk of Supreme Court
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CERTIFICATION
BY WISCONSIN COURT OF APPEALS
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Before Hoover,
P.J., Peterson and Brunner, JJ.
We certify this appeal to the Wisconsin Supreme Court to
decide five issues relating to construction of an umbrella insurance policy and
the application of Wis. Stat. § 632.32(4m)
to the policy:
(1)
Does Wis. Stat. § 632.32(4m)
require an insurer to offer underinsured motorist (UIM) coverage for an
umbrella policy;
(2)
Must an insurance company writing an umbrella policy
notify the insured of the availability of UIM coverage if the company does not
offer UIM coverage for umbrella policies;
(3)
Does Wis. Stat. § 632.32(4m)
apply to an umbrella policy that is a part of a combined homeowners and
automobile policy where the automobile portion does provide UIM coverage;
(4)
Whether reformation of the policy is the appropriate
remedy if Wis. Stat. § 632.32(4m)
applies; and
(5)
Whether the West
Bend umbrella policy is contextually ambiguous.
Jaron Nault was fatally injured in a traffic
accident. After settling with other
applicable insurers, his parents and his estate sought UIM coverage under their
West Bend Mutual Insurance policy. The
combined policy has a single policy number, but provides motor vehicle, homeowners
and umbrella coverage. The motor vehicle
and umbrella policies have separate declarations pages reflecting separate
premiums for these coverages. The motor
vehicle portion or policy contains a UIM endorsement, but the umbrella portion or
policy does not. West Bend stopped offering UIM coverage to
new customers as of January 1, 2004, before the Naults purchased their policy. Exclusion 17 in the umbrella portion excludes
UIM coverage “unless this coverage form is endorsed to provide such
coverage.” There was no such endorsement
here and, due to West Bend’s
discontinuation of UIM coverage for umbrella policies, none was available.
The Naults argue that Wis.
Stat. § 632.32(4m) required West
Bend to offer UIM coverage to new insureds. The statute provides, in relevant part:
An insurer writing policies that insure with respect to
a motor vehicle registered or principally garaged in this State against loss
resulting from liability … shall provide to one insured under each 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.
The Naults argue that “notice
of the availability” of UIM coverage suggests legislative intent that UIM
coverage be offered under all liability policies that insure a motor
vehicle. West Bend argues that if this language mandated
that all auto insurers offer UIM coverage, the language would have been much
more direct, comparable to the language mandating uninsured motorist coverage. See
Wis. Stat. § 632.32(4). In Rebernick v. Wausau Gen. Ins. Co.,
2006 WI 27, 289 Wis. 2d 324,
711 N.W.2d 621, the court held that, if a carrier offers UIM coverage in an
umbrella policy, the notice requirements of Wis.
Stat. § 632.32(4m) apply.
The court did not determine whether the statute requires insurers to
offer UIM coverage as part of an umbrella policy because that issue was not
presented in Rebernick. See id.,
¶11 n.5. We submit that it is
appropriate for the supreme court to decide that issue in this case.
The Naults next argue that West Bend
was required to notify them of the availability of UIM coverage even if West Bend did not offer that
coverage. This issue was not addressed
in Rebernick,
because the insurer in that case did sell UIM coverage with its umbrella
policy. The court noted that the central
purpose of Wis. Stat. § 632.32(4m)
is to “ensure that all insureds know of the availability of UIM coverage. Put another way, the legislature has
determined that where UIM coverage is available, insureds should know about
it.” Id., ¶25. We submit that it is appropriate for the
supreme court to clarify whether “notice of availability” applies when UIM
coverage is not available from this insurer for umbrella policies. We also question whether an insurer can
refuse to provide UIM coverage to some customers and thereby avoid any
obligation to educate those insureds about UIM coverage.
West Bend
argues that, because there was only one policy number, the umbrella policy is
not a separate policy. Wisconsin Stat. § 632.32(4m) only
mandates an insurer to notify the insured of UIM coverage if the policy does
not provide UIM coverage. According to West Bend, this means no
separate notification was necessary for the umbrella coverage. The Naults respond that West Bend has already stipulated that three
separate policies are included under one policy number. They argue that combining three separate
policies to avoid application of § 632.32(4m) would be confusing to a
policyholder, particularly when the motor vehicle and umbrella policies have
separate declarations pages reflecting separate premiums. They also argue that they purchased the
umbrella policy separately, six months following their purchase of the motor
vehicle coverage. Therefore, the motor
vehicle and umbrella coverages should be deemed separate policies, each subject
to § 632.32(4m) regardless of whether West Bend chose to assign the same policy
number to the various policies. In Rebernick,
separate policies were purchased seven days apart, and were not treated as the
same policy. Id., ¶35. We submit it is appropriate for the supreme
court to clarify whether the duties imposed by § 632.32(4m) are satisfied
by providing UIM coverage in the motor vehicle portion or policy but not in the
umbrella portion or policy when the coverages are assigned the same policy
number by the insurer.
If West Bend
violated Wis. Stat. § 632.32(4m),
the Naults argue that reformation of the policy to provide UIM coverage is the
appropriate remedy. In Stone
v. Acuity, 2006 WI App 205, ¶8, 296 Wis.
2d 240, 723 N.W.2d 766, this court held that reformation of the policy is the
appropriate remedy. A petition for
review of that decision was granted. Stone
v. Acuity, 2007 WI 59, review
granted, (WI Jan. 11, 2007) (No. 2005AP1629). We submit that it is appropriate for the
supreme court to review that issue in the context of this case as well.
Finally, the Naults argue that the West Bend policy is contextually
ambiguous. Exclusion 17 states that West Bend will not cover
any claims made under any UIM motorist coverage “unless this coverage form is
endorsed to provide such coverage.” The
Naults argue that this exclusion intrinsically creates ambiguity in light of West Bend’s failure to
offer a UIM endorsement to its umbrella policies. The exclusion advises insureds that they may
purchase an endorsement even though they cannot actually do so. West
Bend responds that the policy is unambiguous. Language regarding the endorsement was placed
in the policy for customers who purchased umbrella coverage policies before West Bend discontinued
offering UIM coverage on umbrella policies.
This appeal presents issues that were not addressed in Rebernick,
other issues of first impression in this state, and an issue currently before
the supreme court in another case. We
submit that resolution of these issues by the supreme court would be
appropriate to clarify the appropriate construction of West Bend’s policy, the applicability of Wis. Stat. § 632.32(4m), and the
appropriate remedy.