Valley Forge Insurance v. Home Mutual Insurance

CourtListener 2069633Wisctapp16 set 1986

Testo completo

LaROCQUE, J.

Valley Forge Insurance Company appeals a summary judgment denying its property damage subrogation claim against Home Mutual Insurance Company and its insured, Joseph Ropson. The trial court concluded that

Garrity v. Rural Mutual Insurance Co.,

77 Wis.2d 537, 253 N.W.2d 512 (1977), and

Rimes v. State Farm Mutual Automobile Insurance Co.,

106 Wis.2d 263, 316 N.W.2d 348 (1982), barred the claim because Valley Forge’s insured, Samuel Mcllrath, was not made whole for his damages by the payments from the two insurance companies. We affirm.

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On review of a summary judgment, an appellate court applies the same standards as the trial court. Summary judgment is appropriate if the pleadings, depositions, answers to interrogatories and admissions on file, together with any affidavits, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law.

Messner v. Briggs & Stratton Corp.,

120 Wis.2d 127, 131, 353 N.W.2d 363, 365 (Ct. App. 1984).

The parties stipulated to the facts. Mcllrath and two passengers in his vehicle were seriously injured, and his wife was killed in an auto accident caused by Rop-son’s negligence. Mcllrath had auto insurance with Valley Forge, which paid for his vehicle loss. Valley Forge notified Home Mutual that it had paid the collision loss, asserted subrogation rights for the amount paid, and requested payment in that amount from Home Mutual. Ropson’s Home Mutual policy provided that it would pay damages for which Ropson was legally liable because of bodily injury or property damage. For bodily injury, it agreed to pay up to $25,000 per person and $50,000 per occurrence. For property damage, it agreed to pay up to $25,000. Other than the funds that were available through his liability insurance, Ropson possessed no nonexempt assets. He has been discharged in bankruptcy.

Home Mutual paid $25,000 to the two injured passengers in the Mcllrath vehicle and $25,000 to Mcllrath, exhausting coverage under its bodily injury liability coverage, and paid Mcllrath $6,000 under its property dam

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age liability provisions.

1

Mcllrath’s injuries exceed the amounts paid him. Home Mutual paid what it owed under its property damage liability coverage to Mcllrath rather than to Valley Forge at the insistence of Mcllrath’s attorney, who claimed that because Mcllrath had not been wholly compensated for his damages, Valley Forge had no subrogation rights based upon

Rimes

and

Garrity.

The settlement agreement between Mcllrath and Home Mutual required Mcllrath to indemnify Home Mutual “from any... liability... that it may suffer as a result of claims ... made by [Valley Forge]

2

... as a result of collision loss....”

Valley Forge argues that the result of the trial court’s decision is a double recovery by Mcllrath. It relies in support of its claim upon the statement in

Rimes,

106 Wis.2d at 272, 316 N.W.2d at 352, that “[t]he purpose of subrogation is to prevent a double recovery by the insured.” Valley Forge’s reliance on this premise is misplaced because there is no “double recovery” within the meaning of the

Rimes

rule. Mcllrath had only one cause of action that included both his property

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damage and his injuries.

3

" [A] cause of action must be viewed as a grouping of facts falling into a single unit or occurrence as a lay person would view them. This grouping of facts consists of 'the defendant's wrongful act.'"

Caygill v. Ipsen,

27 Wis.2d 578, 582, 135 N.W.2d 284, 286-87 (1965).

The following language from

Garrity

and

Rimes

supports our decision: “Subrogation is to be allowed only when the insured is compensated in full by recovery from the tortfeasor.”

Rimes,

106 Wis.2d at 272, 316 N.W.2d at 353. “[T]he insurer has no right as against the insured where the compensation received by the insured is less than his loss.”

Garrity,

77 Wis.2d at 543, 253 N.W.2d at 515. “Under Wisconsin law the test of wholeness depends upon whether the insured has been completely compensated for all the elements of damages, not merely those damages for which the insurer has indemnified the insured.”

Rimes,

106 Wis.2d at 275, 316 N.W.2d at 355. “We pointed out in

Garrity

that the cause of action against a tortfeasor is indivisible. Accordingly, it is only when there has been full compensation for all the damage elements of the entire cause of action, that the insured is made whole.”

Rimes,

106 Wis.2d at 275, 316 N.W.2d at 355.

Valley Forge has directed our attention by letter to two decisions issued after this case was submitted for resolution:

Vogt v. Schroeder,

129 Wis.2d 3, 383 N.W.2d 876 (1986), and

Blue Cross & Blue Shield United v. Fireman’s Fund Insurance Co.,

132 Wis.2d 62, 390

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N.W.2d 79 (Ct. App. 1986). We view these cases as inap-posite to Valley Forge’s position.

Vogt

and

Blue Cross

do not deal with “the prospect of an insurer seeking funds from its own insured who had not been made whole.”

Blue Cross,

132 Wis.2d at 62, 390 N.W.2d at 81. Although the record did not show the total amount of damages to which Vogt was entitled,

Vogt,

129 Wis.2d at 7, 383 N.W.2d at 877, it implicitly suggests he was made whole when it distinguishes

Garrity

and

Rimes

as presenting “the inequitable prospect of insurance companies attempting to take the funds that should have gone to the insured.”

Vogt,

129 Wis.2d at 14, 383 N.W.2d at 880.

Blue Cross

is distinguished because the insureds were not made parties to the action, and “the question of any available remedies to them is not before us in this case.”

Blue Cross,

132 Wis.2d at 62 n.3, 390 N.W.2d at 81 n.3. McIlrath, who signed an indemnification similar to the insured in

Blue Cross,

is a party to this action and, therefore, unlike

Blue Cross,

the question of his remedy is before us.

Keeping in mind that “subrogation is an equitable doctrine and depends upon a just resolution of a dispute under a particular set of facts,”

Vogt,

129 Wis.2d at 12, 383 N.W.2d at 879, the present decision produces a just result. Although Mcllrath has been paid twice for his auto loss, the wrongdoer and his insured have paid him less than his total loss. As between Valley Forge and Mcllrath, “where either the insurer or the insured must to some extent go unpaid, the loss should be borne by

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the insurer for that is a risk the insured has paid it to assume.”

Garrity,

77 Wis.2d at 542, 253 N.W.2d at 514.

By the Court.

— Judgment affirmed.

1

There is a minor discrepancy between the amount paid to Mcllrath by Home Mutual for his vehicle and the amount paid to him by Valley Forge, as well as in the amount claimed in the subro-gation complaint. Neither party claims that the error has any bearing on this appeal and, as did the trial court, we believe it unimportant to the resolution of this case.

2

Valley Forge belongs to the Continental Casualty Group, also known as CNA Insurance Company, whose official name appears in the release.

3

Approximately 40 other states agree with this proposition.

See

cases collected at Annot., 24 A.L.R.4th 646 (1983).

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