Tommie Jones v. Aetna Casualty & Surety Company
Annotate this Case
Download PDF
COURT OF APPEALS OF WISCONSIN PUBLISHED OPINION Case No.: 96-1183-FT Complete Title of Case: TOMMIE JONES, PLAINTIFF-RESPONDENT, V. à TNA CASUALTY & SURETY COMPANY, DEFENDANT-APPELLANT, ERIC ALDERSON, DEFENDANT. Opinion Filed: Submitted on Briefs: June 24, 1997 December 17, 1996 JUDGES: Concurred: Dissented: Wedemeyer, P.J., Fine and Curley, JJ. Appellant ATTORNEYS: Respondent ATTORNEYS: On behalf of the defendant-appellant, the cause was submitted on the brief of Stuart F. Roitburd of Spindler, Roitburd, Schwemer & Munson, of Brookfield. On behalf of the plaintiff-respondent, the cause was submitted on the brief of John T. Hemminger of Eisenberg, Weigel, Carlson, Blau, Reitz & Clemens, S.C., of Milwaukee. COURT OF APPEALS DECISION DATED AND RELEASED NOTICE June 24, 1997 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, STATS. This opinion is subject to further editing. If published, the official version will appear in the bound volume of the Official Reports. No. 96-1183-FT STATE OF WISCONSIN IN COURT OF APPEALS TOMMIE JONES, PLAINTIFF-RESPONDENT, V. à TNA CASUALTY & SURETY COMPANY, DEFENDANT-APPELLANT, ERIC ALDERSON, DEFENDANT. APPEAL from a judgment of the circuit court for Milwaukee County: ARLENE D. CONNORS, Judge. Reversed. Before Wedemeyer, P.J., Fine and Curley, JJ. No. 96-1183-FT FINE, J. à tna Casualty and Surety Company appeals from a judgment denying it a setoff for payments it made to Tommie Jones pursuant to the medical-pay provisions of its insurance contract with Jones. We reverse. I. Jones was injured in an automobile accident with Eric Alderson. Alderson was uninsured. Jones was insured by à tna. The à tna policy provided uninsured-motorist and medical-payments coverage. Jones made claims for medical expenses under the policy, which à tna paid. Jones then sued Alderson and à tna, seeking recovery for his injuries. A jury awarded Jones $3,544 for his past medical and hospital expenses, $600 for past pain and suffering, and nothing for future pain and suffering. After the verdict, à tna sought as a setoff the $2,633 it had paid to Jones under the policy s medical-payments provision. The trial court denied the setoff. II. Section 632.32(4)(b), STATS., provides, in pertinent part, that [u]nder the medical or chiropractic payments coverage, the insurer shall be subrogated to the rights of its insured to the extent of its payments. The meaning of a statute presents a question of law that we review de novo. See Jungbluth v. Hometown, Inc., 201 Wis.2d 320, 327, 548 N.W.2d 519, 522 (1996). We must first examine the plain language of the statute, and if the meaning is plain, we may not look further than the language itself to determine its meaning. Id. 2 No. 96-1183-FT Section 632.32(4)(b), STATS., is plain and unambiguous. When an insurer makes payments to or on behalf of its insured under the medical-payments portion of its policy, it is subrogated to its insured s right to recover to the extent of its payments. Contrary to Jones s argument and the trial court s holding, the statute does not require that an insurer named as a defendant plead setoff or file a counterclaim in order to recover payments it made to or on behalf of its insured. Subrogation prevents the insured from recouping a windfall double recovery. Cunningham v. Metropolitan Life Ins. Co., 121 Wis.2d 437, 444, 360 N.W.2d 33, 36 (1985). In this case, to deny à tna its statutory subrogation rights, would give Jones an impermissible windfall. By the Court. Judgment reversed. 3
Some case metadata and case summaries were written with the help of AI, which can produce inaccuracies. You should read the full case before relying on it for legal research purposes.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
