631.43(2)
(2) Fraud as a defense. Subsection (1) does not affect the right of an insurer to defend against a claim under the policy on the ground of fraudulent misrepresentation.
631.43 Note
NOTE: 1995 Wisconsin Act 21, which became effective on July 15, 1995, made significant changes in the law regarding the "stacking" of insurance policy coverage.
631.43 Annotation
Clause providing that any amount payable under insurer's policy would be reduced by monies paid by other insurance company's uninsured motorist coverage was not valid; therefore, plaintiff was entitled to entire benefits under both uninsured motorist provisions. Landvatter v. Globe Security Ins. Co. 100 W (2d) 21, 300 NW (2d) 875 (Ct. App. 1980).
631.43 Annotation
Insurance policy provision which prohibits stacking of uninsured motorist benefits against same insurer is prohibited by sub. (1). Tahtinen v. MSI Ins. Co. 122 W (2d) 158, 361 NW (2d) 673 (1985).
631.43 Annotation
Sub. (1) only prohibits use of reducing clauses in indemnity coverages, not in underinsured motorist coverage. Kuehn v. Safeco Ins. Co. of America, 140 W (2d) 620, 412 NW (2d) 126 (Ct. App. 1987).
631.43 Annotation
Where single insurance contract incorporates coverage for two vehicles, charging two separate premiums, two policies have been issued under 631.43. Krause v. Mass. Bay Ins. Co. 161 W (2d) 711, 468 NW (2d) 755 (Ct. App. 1991).
631.43 Annotation
Fleet policy listing individual vehicles and assessing separate premiums for each is a separate policy for each vehicle and single limit provision contained in policy violates (1). Carrington v. St. Paul Fire & Marine Ins. 169 W (2d) 211, 485 NW (2d) 267 (1992).
631.43 Annotation
Carrington is extended to underinsured motorist coverage; an insured who pays separate premiums for each vehicle under a single policy can stack underinsured motorist coverage even though the policy contains a limit of liability clause. West Bend Mut. Ins. Co. v. Playman, 171 W (2d) 37, 489 NW (2d) 915 (1992).
631.43 Annotation
Although a policy's limit of liability language has been held invalid under s. 631.43 for the purpose of preventing stacking, it is still valid for determining each policy's limit of liability. Schaefer v. General Cas. Co. 175 W (2d) 80, 498 NW (2d) 859 (Ct. App. 1993).
631.43 Annotation
The lack of underinsured motorist coverage on an accident vehicle was irrelevant when the insured had the coverage on two other vehicles. Under sub. (1), a policy definition amounting to a "drive-other-car" exclusion is invalid. Rodey v. Stoner, 180 W (2d) 309, 509 NW (2d) 316 (Ct. App. 1993), Patraw v. American Family Mut. Ins. Co. 185 W (2d) 757, 519 NW (2d) 643 (Ct. App. 1994).
631.43 Annotation
Stacking uninsured motorist coverage. Hannula, WBB Oct. 1985.
631.45
631.45
Limitations on loss to be borne by insurer. 631.45(1)(1)
General. An insurance policy indemnifying an insured against loss may by clear language limit the part of the loss to be borne by the insurer to a specified or determinable maximum amount, to loss in excess of a specified or determinable amount, to a specified percentage of the loss, which may vary with the amount of the loss, or by a combination of these methods. If the policy covers various risks, different limitations may be provided separately for each risk if the policy clearly so states.
631.45(2)
(2) Property coinsurance. A policy indemnifying an insured against loss of or damage to property may limit the part of the loss to be borne by the insurer to a percentage of the total loss that corresponds to the ratio of the insured sum to a specified percentage of the value of the insured property.
631.45 History
History: 1975 c. 375.
631.45 Annotation
Under facts of case, insurer's tender of policy limits into court did not relieve insurer of its duty to defend insured in lawsuit. Gross v. Lloyds of London Ins. Co. 121 W (2d) 78, 358 NW (2d) 266 (1984).
631.45 Annotation
Although a policy's limit of liability language has been held invalid under s. 631.43 for the purpose of preventing stacking, it is still valid for determining each policy's limit of liability. Schaefer v. General Cas. Co. 175 W (2d) 80, 498 NW (2d) 859 (Ct. App. 1993).
631.48
631.48
Nonwaiver clause. An insurer may insert in any insurance policy a provision that no change in the policy is valid unless approved by an executive officer of the insurer, or unless the approval is endorsed on the policy or attached to it, or both, and that no agent has authority to change the policy or waive any of its provisions. This does not preclude a person claiming a right under the policy from relying on waiver or estoppel in an appropriate case.
631.48 History
History: 1975 c. 375.
631.51
631.51
Dividends on policies. 631.51(1)
(1)
Life insurance and annuities. Section 632.62 applies to life insurance and annuities.
631.51(2)
(2) Insurance, other than life insurance and annuities. Any insurer may distribute a portion of surplus attributable to policies other than life insurance or annuities, in amounts and with classifications the board of directors determines to be fair and reasonable. Such distribution may not be made contingent on the continuation of the policy or of premium payments except under
s. 632.75 (2). A schedule explaining the basis for the distribution shall be filed with the commissioner prior to the distribution.
631.51(3)
(3) When not specified in policy. Any insurer may distribute surplus to any class of policyholders even if those policies do not so provide. A schedule explaining the basis for the distribution shall be filed with the commissioner at least 30 days prior to the distribution.
631.51(4)
(4) Combined dividends. It is permissible to provide an indivisible dividend to classes of policyholders having more than one type of policy, including a combination of life or annuities with other types of insurance.
631.51 History
History: 1975 c. 375.
631.61
631.61
Group and blanket insurance. 631.61(1)(a)(a)
General. Except under
par. (d), an insurer issuing a group insurance policy other than blanket shall, as soon as practicable after the coverage is effective, provide a certificate for each member of the insured group, except that only one certificate need be provided for the members of a family unit. The certificate shall contain a summary of the essential features of the insurance coverage, including any rights of conversion to an individual policy. Upon receiving a written request therefor, the insurer shall also inform any insured how the insured may inspect a copy of the policy during normal business hours at a place reasonably convenient to the insured.
631.61(1)(b)
(b)
Blanket insurance. The commissioner may by rule impose a similar requirement for any class of blanket insurance policies for which the commissioner finds that the group of persons covered is constant enough for such action to be practicable and not unreasonably expensive.
631.61(1)(c)
(c)
Method of providing certificates. The certificate shall be provided in a manner reasonably calculated to bring it to the attention of the certificate holder. The insurer may deliver or mail it directly to the certificate holder or may deliver or mail the certificates in bulk to the policyholder to transmit to certificate holders, unless the insurer has reason to believe that the policyholder will not promptly transmit the certificates. An affidavit by the insurer that it has mailed the certificates in the usual course of business creates a rebuttable presumption that it has done so.
631.61(1)(d)
(d)
Substitutes. The commissioner may by rule or order prescribe substitutes for delivery or mailing of certificates, including booklets describing the coverage, the posting of notices in the place of business, or publication in a house organ, if the substitutes are reasonably calculated to inform certificate holders of their rights.
631.61(2)
(2) Effect of failure to issue certificates. Unless a certificate or an authorized substitute has been made available to the certificate holder as required by this section, no act or omission by the certificate holder after the coverage has become effective as to the certificate holder, other than intentionally causing the loss insured against, affects the insurer's obligations under the insurance contract.
631.61 History
History: 1975 c. 375,
421.
631.64
631.64
Corporate name. Every insurance policy or annuity contract shall conspicuously display the name of the insurer on its first page.
631.64 History
History: 1975 c. 375.
631.65
631.65
Assessable policies. Every assessable policy shall conspicuously display on the first page, separately from any other provision and in type at least as large as any used in the body of the policy, the words "This policy is assessable".
631.65 History
History: 1975 c. 375;
1981 c. 218.
631.69
631.69
Insurance written in connection with finance plans. Any insurance contract written in connection with a finance plan or other credit transaction shall contain provisions to protect the insured from overreaching by the insurer or by the creditor in connection with the insurance, including a provision that a copy of the complete policy or a certificate containing all of the essential terms be furnished to the debtor and that there shall be an appropriate surrender value or refund of unearned premium to the debtor calculated on a basis approved by the commissioner if the debt is paid or if the insurance contract is rewritten because the original finance plan or credit transaction is altered or a new plan or transaction is entered into with the same or an affiliated lender. This section is satisfied by compliance with the terms of
ch. 424, if they are applicable.
631.69 History
History: 1975 c. 375.
631.81
631.81
Notice and proof of loss. 631.81(1)
(1)
Timeliness of notice. Provided notice or proof of loss is furnished as soon as reasonably possible and within one year after the time it was required by the policy, failure to furnish such notice or proof within the time required by the policy does not invalidate or reduce a claim unless the insurer is prejudiced thereby and it was reasonably possible to meet the time limit.
631.81(2)
(2) Method of giving notice. It is a sufficient service of notice or proof of loss if a 1st class postage prepaid envelope addressed to the insurer and containing the proper notice or proof is deposited in any U.S. post office within the time prescribed. The commissioner may expressly approve clauses requiring more expeditious methods of notice where that is reasonable.
631.81(3)
(3) Meaning of insurer's acts. The acknowledgment by the insurer of the receipt of notice, the furnishing of forms for filing proofs of loss, the acceptance of such proofs, or the investigation of any claim are not alone sufficient to waive any of the rights of the insurer in defense of any claim arising under the insurance contract.
631.81 History
History: 1975 c. 375.
631.81 Annotation
See note to 631.11, citing Dietz v. Hardware Dealers Mut. Fire Ins. Co. 88 W (2d) 496, 276 NW (2d) 808 (1979).
631.81 Annotation
Claimant failing to give notice under (1) within one year must prove lack of prejudice. Gerrard Realty Corp. v. American States Ins. Co. 89 W (2d) 130, 277 NW (2d) 863 (1979).
631.83
631.83
Limitation of actions. 631.83(1)
(1)
Statutory periods of limitation. 631.83(1)(a)(a)
Fire insurance. An action on a fire insurance policy must be commenced within 12 months after the inception of the loss. This rule also applies to riders or endorsements attached to a fire insurance policy covering loss or damage to property or to the use of or income from property from any cause, and to separate windstorm or hail insurance policies.
631.83(1)(b)
(b)
Disability insurance. An action on disability insurance coverage must be commenced within 3 years from the time written proof of loss is required to be furnished.
631.83(1)(c)
(c)
Life claims based on absence of insured. Sections 813.22 to
813.34 apply to life insurance actions based on death in which absence is relied upon as evidence of death.
631.83(1)(d)
(d)
Other. Except as provided in this subsection or elsewhere in
chs. 600 to
646 and
655,
s. 893.43 applies to actions on insurance policies.
631.83(2)
(2) General law applicable to limitation of actions. Except for the prescription of time periods under
sub. (1) or elsewhere in
chs. 600 to
646 and
655, the general law applicable to limitation of actions as modified by
ch. 893 applies to actions on insurance policies.
631.83(3)
(3) Prohibited clauses of policies. No insurance policy may:
631.83(3)(a)
(a)
Shorten periods of limitation. Limit the time for beginning an action on the policy to a time less than that authorized by the statutes;
631.83(3)(b)
(b)
Limit jurisdiction. Prescribe in what court action may be brought thereon; or
631.83(3)(c)
(c)
Proscribe action. Provide that no action may be brought.
631.83(4)
(4) Minimum waiting period for action. No action may be brought against the insurer on an insurance policy to compel payment thereunder until at least 60 days after proof of loss has been furnished as required by the policy or such proof of loss has been waived, or the insurer has denied full payment, whichever is earlier. This subsection does not apply in any case in which the verified complaint alleges facts that would establish prejudice to the complainant by reason of such delay, other than the delay itself.
631.83(5)
(5) Tolling of period of limitation. The period of limitation is tolled during the period in which the parties conducted an appraisal or arbitration procedure prescribed by the insurance policy or by law or agreed to by the parties.
631.83 Annotation
Term "fire insurance" covers indemnity insurance for losses to property caused by many other perils than fire. Villa Clement v. National Union Fire Ins. 120 W (2d) 140, 353 NW (2d) 369 (Ct. App. 1984).
631.83 Annotation
Action by mortgagees of insured property was not barred by (1) (a). Picus v. Citizens Sec. Mut. Ins. Co. 127 W (2d) 359, 379 NW (2d) 341 (Ct. App. 1985).
631.83 Annotation
Two-year statute of limitations, 893.57, governs intentional tort of bad faith by insurer. Warmka v. Hartland Cicero Mut. Ins., 136 W (2d) 31, 400 NW (2d) 923 (1987).
631.83 Annotation
"Inception of the loss" in sub. (1) (a) means the date on which the loss occurs not the discovery date. Borgen v. Economy Preferred Ins. Co. 176 W (2d) 498, 500 NW (2d) 176 (Ct. App. 1993).
631.85
631.85
Appraisal or arbitration. An insurance policy may contain provision for independent appraisal and compulsory arbitration, subject to the provisions of
s. 631.20. If an approved policy provides for application to a court of record for the appointment of a disinterested appraiser, arbitrator or umpire, any court of record of this state except the court of appeals or the supreme court may be requested to make an appointment. Upon appropriate request, the court shall make the appointment promptly.
631.85 History
History: 1975 c. 375;
1977 c. 187.
631.89
631.89
Restrictions on use of genetic test results. 631.89(1)(1) In this section, "genetic test" means a test using deoxyribonucleic acid extracted from an individual's cells in order to determine the presence of a genetic disease or disorder or the individual's predisposition for a particular genetic disease or disorder.
631.89(2)
(2) An insurer, or a county, city, village or school board that provides health care services for individuals on a self-insured basis, may not do any of the following:
631.89(2)(a)
(a) Require or request directly or indirectly any individual or a member of the individual's family to obtain a genetic test.
631.89(2)(b)
(b) Require or request directly or indirectly any individual to reveal whether the individual or a member of the individual's family has obtained a genetic test or what the results of the test, if obtained by the individual or a member of the individual's family, were.
631.89(2)(c)
(c) Condition the provision of insurance coverage or health care benefits on whether an individual or a member of the individual's family has obtained a genetic test or what the results of the test, if obtained by the individual or a member of the individual's family, were.
631.89(2)(d)
(d) Consider in the determination of rates or any other aspect of insurance coverage or health care benefits provided to an individual whether an individual or a member of the individual's family has obtained a genetic test or what the results of the test, if obtained by the individual or a member of the individual's family, were.
631.89(3)(a)(a) Subsection (2) does not apply to an insurer writing life insurance coverage or income continuation insurance coverage.
631.89(3)(b)
(b) An insurer writing life insurance coverage or income continuation insurance coverage that obtains information under
sub. (2) (a) or
(b) may not do any of the following:
631.89(3)(b)1.
1. Use the information contrary to
sub. (2) (c) or
(d) in writing a type of insurance coverage other than life or income continuation for the individual or a member of the individual's family.
631.89(3)(b)2.
2. Provide for rates or any other aspect of coverage that is not reasonably related to the risk involved.
631.89 History
History: 1991 a. 269.
631.90
631.90
Restrictions on use of tests for HIV. 631.90(1)
(1) In this section, "HIV" means any strain of human immunodeficiency virus, which causes acquired immunodeficiency syndrome.
631.90(2)
(2) With regard to policies issued or renewed on and after July 20, 1985, an insurer may not do any of the following:
631.90(2)(a)
(a) Require or request directly or indirectly any individual to reveal whether the individual has obtained a test for the presence of HIV, antigen or nonantigenic products of HIV or an antibody to HIV or what the results of this test, if obtained by the individual, were.
631.90(2)(b)
(b) Condition the provision of insurance coverage on whether an individual has obtained a test for the presence of HIV, antigen or nonantigenic products of HIV or an antibody to HIV or what the results of this test, if obtained by the individual, were.
631.90(2)(c)
(c) Consider in the determination of rates or any other aspect of insurance coverage provided to an individual whether an individual has obtained a test for the presence of HIV, antigen or nonantigenic products of HIV or an antibody to HIV or what the results of this test, if obtained by the individual, were.
631.90(3)(a)(a) Subsection (2) does not apply with regard to any test or series of tests for use in the underwriting of individual life, accident and health insurance policies that the person designated by the secretary of health and family services as the state epidemiologist finds medically significant and sufficiently reliable for the presence of HIV, antigen or nonantigenic products of HIV or an antibody to HIV and that the commissioner finds and designates by rule as sufficiently reliable for use in the underwriting of individual life, accident and health insurance policies.
