COURT OF APPEALS DECISION DATED AND RELEASED October 5, 1995 |
NOTICE |
A party may file with the
Supreme Court a petition to review an adverse decision by the Court of
Appeals. See § 808.10 and Rule 809.62(1), Stats. |
This opinion is subject to
further editing. If published, the
official version will appear in the bound volume of the Official Reports. |
No. 93-3184
STATE
OF WISCONSIN IN COURT OF
APPEALS
DISTRICT IV
ROBERT E. MOSS,
and CAROLE MOSS,
Plaintiffs-Appellants,
v.
MT. MORRIS MUTUAL
INSURANCE COMPANY,
Defendant-Respondent.
APPEAL from a judgment
of the circuit court for Marquette County:
DANIEL W. KLOSSNER, Judge. Reversed.
Before Eich, C.J.,
Sundby and Vergeront, JJ.
PER
CURIAM. Robert and Carole Moss appeal from a summary judgment
dismissing their claims against their home insurer, Mt. Morris Mutual Insurance
Company. After an explosion destroyed
the Mosses' home, Mt. Morris delayed payment on their claim, pending further
investigation of the explosion's cause.
The Mosses' complaint, filed five months after the explosion, alleged
that Mt. Morris's delay in paying the claim breached the insurance contract and
constituted bad faith. The dispositive
issue is whether a material fact dispute remains as to those claims. Because we conclude that one does, we
reverse.
On several occasions
after the explosion, the Mosses allowed Mt. Morris employees to enter their
ruined home and inspect the furnace.
The dispute arose when Mt. Morris asked to remove the furnace in order
to run laboratory tests on it. Mt.
Morris asserted its right to removal under policy provisions requiring the
insured to cooperate with it, to exhibit the damaged property as often as the
company reasonably requested and to assist in enforcing any right of recovery
against a third-party. The Mosses
asserted that their duties under the policy did not extend to allowing removal
of the furnace. They did, however,
offer to allow removal if Mt. Morris paid them for the furnace. Mt. Morris refused to pay the Mosses for
testing the furnace, or for their home loss until it got the furnace, and this
action resulted. On Mt. Morris's
summary judgment motion, the trial court concluded as a matter of law that the
Mosses breached the contract by refusing to allow removal of the furnace, and
that Mt. Morris's subsequent actions were taken in good faith.
We decide summary
judgment cases in the same manner as the trial court and without deference to
its decision. In re Cherokee Park
Plat, 113 Wis.2d 112, 115-16, 334 N.W.2d 580, 582-83 (Ct. App.
1983). A case is properly resolved on
summary judgment only if the material facts are undisputed and we can resolve
the issues as a matter of law. Heck
& Paetow Claim Serv. Inc. v. Heck, 93 Wis.2d 349, 355-56, 286
N.W.2d 831, 834 (1980).
A material and
prejudicial breach of the insured's obligation to cooperate with the insurer
justifies the denial of a claim. See
Kurz v. Collins, 6 Wis.2d 538, 546-47, 95 N.W.2d 365, 370
(1959). If the insurer's obligation to
indemnify the insured is fairly debatable, the refusal to pay a claim is not
bad faith. State Farm Fire &
Casualty Ins. Co. v. Walker, 157 Wis.2d 459, 465, 459 N.W.2d 605, 608
(Ct. App. 1990). Denying benefits is
fairly debatable when the insurer has a reasonable basis for doing so. Id. at 466, 459 N.W.2d at 608.
A material fact dispute
remains whether the Mosses materially breached the insurance contract by
refusing to allow removal of the furnace without payment for it, and whether
Mt. Morris reasonably conditioned payment of the claim on removal of the
furnace. Mt. Morris's proofs show that
removal was necessary to determine the explosion's cause. The Mosses' opposing affidavits maintain
that the in-house inspections were sufficient to determine causation, and that
removal was therefore unnecessary. The
policy required the Mosses to cooperate with reasonable requests to exhibit the
property. They would not violate the
contract by refusing an unreasonable demand.
Further proceedings are therefore necessary to determine whether Mt.
Morris's removal demand was, in fact, a reasonable request to exhibit the
property.[1]
Additionally, Robert
Moss's affidavit reports that he overheard a Mt. Morris employee say that
"Mt. Morris wasn't going to eat this loss and if he couldn't pin the
explosion on Lennox [the furnace manufacturer] he [w]ould pin it on Moss." If a fact finder believed Robert's statement,
and inferred a plot to manufacture evidence, then bad faith would be
proved.
The unresolved factual
disputes identified in this opinion require further proceedings. Our decision makes it unnecessary to address
the other issues raised on appeal.
By the Court.—Judgment
reversed.
This opinion will not be
published. See Rule 809.23(1)(b)5, Stats.
[1] Further proceedings are unnecessary, however, to determine whether the policy required Mt. Morris to pay the Mosses for use of the furnace in testing. The policy provided: "We may take all or any part of damaged property at the agreed or appraised value. Any property paid for or replaced shall become our property." That provision plainly applies to compensation for loss, not for temporary use in testing.