Randal Strauss v. Chubb Indemnity Insurance Comp , 771 F.3d 1026 ( 2014 )


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  •                              In the
    United States Court of Appeals
    For the Seventh Circuit
    No. 13-2580
    RANDAL STRAUSS AND DIANE
    STRAUSS,
    Plaintiffs-Appellees,
    v.
    CHUBB INDEMNITY INSURANCE
    COMPANY, VIGILANT INSURANCE
    COMPANY, FEDERAL INSURANCE
    COMPANY, AND GREAT NORTHERN
    INSURANCE COMPANY,
    Defendants-Appellants.
    Appeal from the United States District Court
    for the Eastern District of Wisconsin
    No. 11 CV 981 — Aaron E. Goodstein, Magistrate Judge.
    ARGUED FEBRUARY 10, 2014 — DECIDED NOVEMBER 18, 2014
    2                                                            No. 13-2580
    Before HAMILTON, Circuit Judge, and KENDALL, District
    Judge.1
    KENDALL, District Judge. Randal and Diane Strauss
    constructed a home in Mequon, Wisconsin in 1994. The
    Strausses insured the home with a number of policies (collec-
    tively, “the Policy”) issued by Chubb Indemnity Insurance
    Company, Vigilant Insurance Company, Federal Insurance
    Company, and Great Northern Insurance Company (collec-
    tively, “the Chubb Defendants”) from October 1994 to October
    2005. Water infiltrated and damaged the home through a
    defect present since the completion of construction; however,
    the damage went undiscovered until 2010, well after the Policy
    expired. When the Strausses submitted a claim to the Chubb
    Defendants seeking recovery for the damage, they refused
    coverage, contending that because the damage manifested in
    2010 and the “manifestation” trigger applies to first-party
    property insurance, it could not be responsible for the damage.
    The Chubb Defendants additionally asserted that the claim was
    submitted well beyond the applicable statute of limitations. See
    
    Wis. Stat. § 631.83
    (1)(a). The Strausses subsequently brought
    this action. The district court concluded that the “continuous”
    trigger theory applied due to the language of the Policy such
    that coverage existed for the entire loss. Because the continu-
    ous trigger theory applied, the district court found that the
    1
    The Honorable Virginia M. Kendall, District Judge for the United States
    District Court, Northern District of Illinois, sitting by designation. Chief
    Judge Wood recused herself after oral argument and has not participated
    in deciding this appeal. This decision is being issued by a quorum of the
    panel. See 
    28 U.S.C. § 46
    (d).
    No. 13-2580                                                             3
    claims were not time-barred. The Chubb Defendants now
    appeal, arguing that (1) the manifestation trigger theory
    applies to first-party property insurance policies universally
    and (2) the Strausses’ suit was not timely filed. For the follow-
    ing reasons, we affirm.
    I. Background
    The Strausses built their home in Mequon, Wisconsin in
    1994. To insure the home, they purchased a “Chubb Master-
    piece Deluxe Home Coverage” first-party property insurance
    policy. The Policy was issued by the Chubb Defendants over
    the years, from the time of construction in October 1994
    through October 2005.2 From 2005 onward, the Strausses
    obtained insurance coverage for the home from other provid-
    ers.
    The Policy states that coverage is limited “only to occur-
    rences that take place while this policy is in effect.” “Occur-
    rence” is defined as “a loss or accident to which this insurance
    applies occurring within the policy period. Continuous or
    repeated exposure to substantially the same general conditions
    unless excluded is considered to be one occurrence.” Under the
    Policy taken out by the Strausses, a “ ‘covered loss’ includes all
    risk of physical loss to [the] house or other property . . . unless
    stated otherwise or an exclusion applies.” In addition, the
    Policy includes a “Legal Action Against Us” clause, mandating
    2
    Vigilant issued the policy from October 1994 to October 2000 and October
    2002 to October 2004; Federal from October 2000 to October 2002; Chubb
    from October 2004 to October 2005; and Great Northern from October 2004
    to October 2005.
    4                                                    No. 13-2580
    that any action against the Chubb Defendants be brought
    “within one year after a loss occurs.”
    In October 2010, the Strausses discovered that water
    infiltration had been causing damage within the building
    envelope of the home. The infiltration was ongoing and
    progressive in nature, beginning around the time of original
    construction and continuously occurring with each subsequent
    rainfall. On December 22, 2010, the Strausses submitted a claim
    to the Chubb Defendants for the discovered damage. The
    Chubb Defendants denied coverage, relying on two bases: (1)
    the damage was not discovered during any of their policy
    periods; and (2) any legal action was time-barred pursuant to
    both the applicable Wisconsin Statute of Limitations, see 
    Wis. Stat. § 631.83
    (1)(a), and the “Legal Action Against Us” clause
    found in the Policy.
    The Strausses filed suit in federal court on October 19, 2011,
    within one year of their discovery of the damage caused by the
    water infiltration. The parties cross-moved for summary
    judgment. The district court initially denied both motions,
    finding factual issues regarding the language of the Policy.
    Upon reassignment to the Magistrate Judge and after clarifica-
    tion of the language within the Policy, the parties sought
    reconsideration of their motions for summary judgment. On
    February 13, 2013, the district court concluded that the
    “continuous” trigger theory applied to the “occurrence based”
    Policy at issue because the Policy provided coverage for
    ongoing losses. Because the “continuous” trigger theory
    applied, the district court additionally found that the Strausses’
    claim was not time-barred. Accordingly, the Chubb Defendants
    were deemed liable for the damage. Upon this determination
    No. 13-2580                                                    5
    of liability, the parties stipulated to damages while reserving
    any appellate rights. This timely appeal followed.
    II. Discussion
    We review the district court’s interpretation of the
    insurance policy, as well as its grant or denial of a summary
    judgment motion, de novo. Nautilus Ins. Co. v. Bd. of Dirs. of
    Regal Lofts Condo. Ass’n, 
    764 F.3d 726
    , 730 (7th Cir. 2014);
    Omnicare, Inc. v. UnitedHealth Grp., Inc., 
    629 F.3d 697
    , 723 (7th
    Cir. 2011). Likewise, determinations of law in applying a
    statute of limitations are reviewed de novo. See KDC Foods, Inc.
    v. Gray, Plant, Mooty, Mooty & Bennett, P.A., 
    763 F.3d 743
    , 749
    (7th Cir. 2014). The parties agree that Wisconsin law applies to
    the key legal question presented in this case: whether the
    “manifestation” trigger theory or “continuous” trigger theory
    applies to the Policy. We construe the Policy as it would be
    understood by a reasonable person in the Strausses’ position,
    but we will not interpret the Policy to provide coverage for
    risks the Chubb Defendants did not contemplate and for which
    they did not receive premiums. See Am. Family Mut. Ins. Co. v.
    Am. Girl, Inc., 
    268 Wis.2d 16
    , 
    673 N.W.2d 65
    , 73 (2004).
    The interpretation of an insurance contract is a question of
    law. Plastics Eng’g Co. v. Liberty Mut. Ins. Co., 
    315 Wis.2d 556
    ,
    
    759 N.W.2d 613
    , 620 (2009). In Wisconsin, insurance policies
    are interpreted under the same rules that apply to contract
    construction. See Marotz v. Hallman, 
    302 Wis.2d 428
    , 
    734 N.W.2d 411
    , 421 (2007). The primary objective in interpreting
    a contract is to ascertain and carry out the intentions of the
    parties. Wadzinski v. Auto-Owners Ins. Co., 
    342 Wis.2d 311
    , 
    818 N.W.2d 819
    , 824 (2012). The insurance policy’s words shall be
    6                                                    No. 13-2580
    given their common and ordinary meaning, and when the
    policy language is plain and unambiguous, the policy is
    enforced as written, “without resorting to the rules of construc-
    tion or principles from case law.” Johnson Controls, Inc. v.
    London Market, 
    325 Wis.2d 176
    , 
    784 N.W.2d 579
    , 586 (2010). If
    the language is ambiguous, its ambiguity is construed in favor
    of coverage for the insured. 
    Id.
     The language of the policy
    determines the extent of coverage. Soc’y Ins. v. Town of Franklin,
    
    233 Wis.2d 207
    , 
    607 N.W.2d 342
    , 345 (Wis. Ct. App. 2000).
    A. Coverage
    For an insurance policy to potentially provide coverage to
    an insured, a triggering event must occur during the policy’s
    period of enforcement. Soc’y, 
    607 N.W.2d at 345-46
    . Because a
    triggering event is necessary to implicate coverage, the core
    issue in this case is how coverage is triggered under the Policy
    for the water infiltration damage to the home. Wisconsin has
    described four different theories to determine whether a
    “triggering” event occurred during a relevant policy period:
    The “exposure” theory fixes the date of injury as the
    date on which the injury-producing agent first
    contacted the body or the date on which pollution
    began. The “manifestation” theory holds that the
    compensable injury does not occur until it manifests
    itself in the form of a diagnosable disease or ascer-
    tainable property damage. The “continuous trigger”
    theory, also known as the “triple trigger” theory,
    provides that the injury occurs continuously from
    exposure until manifestation. Finally, the “injury-in-
    fact” theory allows the finder of fact to place the
    No. 13-2580                                                      7
    injury at any point in time that the effects of expo-
    sure resulted in actual and compensable injury.
    
    Id. at 346
    ; see also Michael G. Doherty, Allocating Progressive
    Injury Liability Among Successive Insurance Policies, 64 U. CHI. L.
    REV. 257, 261 (1997). Here, the competing theories put forth by
    the parties are the manifestation and continuous triggers.
    Under the manifestation trigger theory, only the insurer that
    bears the risk at the time the loss manifests or can be discerned
    is responsible for indemnification once coverage is found to
    exist. Prudential-LMI Commercial Ins. v. Super. Ct., 
    51 Cal.3d 674
    ,
    
    798 P.2d 1230
    , 1246-47 (1990). Under the continuous trigger
    theory in the context of progressive damage, all policies in
    effect from the time the loss begins to the time the loss mani-
    fests owe coverage. Plastics, 
    759 N.W.2d at 626
    . Selecting the
    proper trigger theory is a prerequisite to determining whether
    the water infiltration damage was covered.
    The Chubb Defendants urge us to impose the manifestation
    trigger theory, primarily arguing that the continuous trigger
    theory should be limited to third-party coverage cases and that
    the manifestation trigger is the only trigger suitable to analyz-
    ing first-party property insurance policies. They cite a variety
    of cases from jurisdictions across the country utilizing the
    manifestation trigger in this context; however, noticeably
    absent from this list is any decision from a Wisconsin court. See
    generally, Scottsdale Ins. Co. v. CB Entm’t, No. 11-22838-CIV,
    
    2012 WL 2412154
     (S.D. Fla. June 26, 2012); Mangerchine v.
    Reaves, 
    63 So.3d 1049
     (La. Ct. App. 2011); State Farm Fire & Cas.
    Co. v. Rodriguez, 
    88 S.W.3d 313
     (Tex. App. 2004); John Q.
    Hammons Hotels, Inc. v. Factory Mut. Ins. Co., No. 01-3654 CV S
    8                                                     No. 13-2580
    SOW, 
    2003 WL 24216814
     (E.D. Mo. Aug. 14, 2003); Winding
    Hills Condo. Ass’n v. N. Am. Specialty Ins. Co., 
    332 N.J. Super. 85
    ,
    
    752 A.2d 837
     (N.J. Super. Ct. App. Div. 2000); Bostick v. ITT
    Hartford Grp., Inc., 
    56 F. Supp.2d 580
     (E.D. Pa. 1999); S.W.
    Heischman, Inc. v. Reliance Ins. Co., 
    30 Va. Cir. 235
     (Va. Cir. Ct.
    1993); Jackson v. State Farm Fire & Cas. Co., 
    108 Nev. 504
    , 
    835 P.2d 786
     (1992); Prudential, 
    798 P.2d 1230
     (Cal. 1990).
    In essence, the Chubb Defendants seek a bright-line rule
    requiring use of the manifestation trigger theory in all first-
    party property insurance coverage disputes. Conveniently
    enough, we recently declined this very same invitation to limit
    the continuous trigger to third-party coverage cases and
    universally apply the manifestation trigger to first-party
    coverage cases:
    Safeco asks us to carve out an exception and hold,
    despite a dearth of Wisconsin caselaw, that the
    continuous trigger theory should only apply in
    third-party coverage cases because the questions
    presented in third-party cases . . . aren’t present in
    first-party property damage claims. We aren’t
    inclined to adopt an approach that lacks support
    from Wisconsin’s caselaw . . .
    Miller v. Safeco Ins. Co. of Am., 
    683 F.3d 805
    , 810-11 (7th Cir.
    2012). The Chubb Defendants contend that any reliance on
    Miller is inapposite, arguing that it is factually distinguishable
    and that the relevant discussion about trigger theories is dicta.
    Although we ultimately concluded that deciding the trigger
    issue in Miller was unnecessary, of pertinence to our analysis
    now is that we decided to refrain from instituting a rule
    No. 13-2580                                                      9
    without guidance or input from Wisconsin courts despite being
    asked to by an insurance company similarly situated to the
    Chubb Defendants. The lack of support for limiting the
    continuous trigger theory to the third-party liability context
    from Wisconsin courts we noted in Miller still exists today.
    Chubb has not offered convincing reasons to predict that the
    Wisconsin Supreme Court would embrace a bright-line rule
    imposing the manifestation trigger theory on all first-party
    insurance contracts, regardless of policy language. See Liberty
    Mut. Fire Ins. Co. v. Statewide Ins. Co., 
    352 F.3d 1098
    , 1100 (7th
    Cir. 2003) (because this is a diversity case, we apply the law of
    Wisconsin as we believe the Wisconsin Supreme Court would
    apply it). Defining contract law is typically within the province
    of the States, and we correspondingly do not find that the
    Wisconsin Supreme Court would agree with Chubb’s position.
    See Loucks v. Star City Glass Co., 
    551 F.2d 745
    , 746 (7th Ci. 1977)
    (“[W]e sit as a court, not as a legislature; it is not our province
    as a federal appellate court to fashion for [Wisconsin] what we
    are certain many would say was a wise and progressive social
    policy.”).
    The Chubb Defendants’ argument fails not only because
    Wisconsin courts have never adopted a rule that applies the
    manifestation trigger independent of the language found in a
    policy in the first-party context nor exiled the continuous
    trigger theory to the third-party liability landscape, but also
    because Wisconsin has unequivocally held that the language of
    a policy guides the analysis and determines whether coverage
    exists. Kremers-Urban Co. v. Am. Emp’rs Ins. Co., 
    119 Wis.2d 722
    ,
    
    351 N.W.2d 156
    , 164 (1984). In the context of determining
    whether coverage was implicated under a comprehensive
    10                                                   No. 13-2580
    liability policy, the Wisconsin Supreme Court explained that
    the policy language dictated its decision:
    We are invited to engage in a discussion of whether
    policy coverage is triggered by ‘exposure’ to DES or
    marketing activities . . . or whether policy coverage
    is triggered by the ‘manifestation’ of adenosis or
    cancerous lesions . . . We decline to engage in such
    discussion, because we limit our review to the
    language of the insurance policies. We restrict our
    interpretation of coverage of the various policies to
    the language of the insurance contracts.
    
    Id.
     Wisconsin courts have consistently maintained this
    position. See Johnson Controls, 
    784 N.W.2d at
    596 n.20 (court
    refused to adopt a general rule regarding layering insurance
    policies because “our analysis is driven by policy language–
    not generalizable concepts”); Plastics, 
    759 N.W.2d at 626
     (“In
    our analysis, we are again driven by policy language”); Am.
    Girl, 
    673 N.W.2d at 75
     (determination of whether an insurance
    policy covers a claim depends upon policy language used);
    Soc’y, 
    607 N.W.2d at 346
     (use of continuous trigger theory was
    mandated by the policy language); State Farm Mut. Auto. Ins.
    Co. v. Cont’l Cas. Co., 
    174 Wis.2d 434
    , 
    498 N.W.2d 247
    , 250 (Wis.
    Ct. App. 1993) (“The resolution of any coverage dispute is
    necessarily governed by the terms of the policy as negotiated
    by the parties”); Wis. Elec. Power Co. v. Cal. Union Ins. Co., 
    142 Wis.2d 673
    , 
    419 N.W.2d 255
    , 258 (Wis. Ct. App. 1987) (focusing
    on language and terms of policy to determine whether cover-
    age was triggered). Given that Wisconsin law provides a
    straightforward path for interpreting the Policy, “we won’t
    No. 13-2580                                                    11
    clutter the matter by discussing another jurisdiction’s approach
    to different policies and claims.” Miller, 683 F.3d at 811.
    Because Wisconsin consistently bases its decisions regarding
    coverage disputes solely on the language contained in the
    policies, regardless of whether the disputed policy is for first-
    party or third-party liability, we consider the language of the
    policy in dispute rather than rely on a general theory that
    would apply regardless of policy language. We therefore
    review the Policy as it was written and in the context of current
    Wisconsin law, which does not require the application of any
    single trigger theory to first-party policies.
    Turning to the language of the Policy as mandated by
    Wisconsin case law, we find that the provisions found in the
    Policy require the application of the continuous trigger theory.
    The language demands this result. The Policy covers “all risk
    of physical loss to [the] house or other property covered under
    this part of [the Policy], unless stated otherwise or an exclusion
    applies.” The Policy applies “only to occurrences that take
    place while this policy is in effect.” “Occurrence” is a defined
    term, meaning “a loss or accident to which this insurance
    applies occurring within the policy period. Continuous or
    repeated exposure to substantially the same general conditions
    unless excluded is considered to be one occurrence.” These
    provisions are not ambiguous: given the Chubb Defendants’
    definition of “occurrence,” which includes “continuous or
    repeated exposure,” the parties “contemplated a long-lasting
    occurrence” that could give rise to a loss “over an extended
    period of time.” See Plastics, 
    759 N.W.2d at 626
    . According to
    the Policy’s plain language, coverage is triggered when a
    “loss” “occurrence” takes place during the Policy’s term. Once
    12                                                    No. 13-2580
    such an occurrence takes place, the Policy protects against “all
    risk of physical loss” to the home. The latent water infiltration
    constituted a single occurrence under the Policy. Because the
    Policy covers all risk of physical loss, the water damage
    triggered coverage.
    The Chubb Defendants argue that the Policy language
    requires the application of the manifestation trigger theory
    because “loss” in the definition of “occurrence” is not qualified
    by “physical” and therefore means loss discovery or manifesta-
    tion. See Atl. Mut. Ins. Co. v. Lotz, 
    384 F. Supp.2d 1292
     (E.D.
    Wis. 2002). But here, the Chubb Defendants read ambiguity
    into the Policy’s provisions when there is none. It is difficult to
    imagine a clearer, plainer statement than the Policy’s Deluxe
    House Coverage language that a “ ‘covered loss’ includes all
    risk of physical loss to [the] house.” We read the Policy from
    “the objective standpoint of what a reasonable insured would
    understand the policy to mean, not from the standpoint of
    what the insurer intended.” Grotelueschen by Doherty v. Am.
    Family Mut. Ins. Co., 
    171 Wis.2d 437
    , 
    492 N.W.2d 131
    , 134
    (1992). The only reasonable interpretation of the Policy’s
    “covered loss” definition is that physical damage to the
    property triggers coverage; otherwise this provision would be
    superfluous. See Progressive N. Ins. Co. v. Olson, 
    331 Wis.2d 83
    ,
    
    793 N.W.2d 924
    , 926-27 (Wis. Ct. App. 2010) (“Interpretations
    that render policy language superfluous are to be avoided
    where a construction can be given which lends meaning to the
    phrase.”). We will not needlessly read ambiguity into the
    Policy; but even if we did, that ambiguity would be resolved in
    favor of the Strausses. 
    Id. at 926
    . The Chubb Defendants
    marketed the Strausses’ Policy as their “Masterpiece” policy.
    No. 13-2580                                                    13
    A reasonable insured would understand this to be high-end
    coverage with high premiums and corresponding high-end
    service.
    Here, while there was only one ongoing occurrence as
    defined by the Policy, there was continual, recurring damage
    to the property with each successive rainfall. The Chubb
    Defendants do not dispute that physical damage to the
    building envelope of the home took place during each policy
    period from October 1994, when the home was constructed, to
    October 2010, when the effects of the water infiltration mani-
    fested. Because the Policy language demonstrates that the
    parties intended for the continuous trigger theory to apply, the
    benefits of the Policy are now available to the Strausses.
    Although the Chubb Defendants undoubtedly would prefer to
    have limited what occurrences trigger coverage under the
    Policy, “when [they] have failed to do so in the insurance
    contract itself, this court will not rewrite the contract . . . to
    release the insurer from a risk it could have avoided through
    a more foresighted drafting of the policy.” Kremers, 
    351 N.W.2d at 167
    . Because neither party contends that an exclusion
    applies, this completes our analysis of determining whether
    coverage exists under the Policy. See Miller, 683 F.3d at 809 (we
    use Wisconsin’s three-step process to determining coverage: (1)
    the policy must first make an initial grant of coverage; and (2)
    if so, we look at whether an exclusion precludes coverage; and
    (3) if an exclusion applies, we look to see whether an exception
    reinstates coverage).
    Before concluding our discussion of the coverage question,
    we address the Chubb Defendants’ argument that a bright-line
    manifestation trigger theory is supported by public policy
    14                                                  No. 13-2580
    because it creates certainty for insurers by preventing liability
    from arising on stale policies. They additionally contend that
    the application of the continuous trigger theory to first-party
    property insurance would have the effect of keeping all
    insurers liable for property damage indefinitely, regardless of
    whether a policy is still in effect. But these arguments pertain
    only to a situation where we impose a specific trigger theory
    on all first-party property insurance contracts, which we
    decline to do. Because we conclude the Wisconsin Supreme
    Court would not apply a universal standard, insurance
    companies remain free to create innovative policies that they
    draft according to the unique circumstances of each client and
    policy. In fact, this is apparently the business strategy the
    Chubb Defendants pursue as described in their 1999 Annual
    Report: “But there’s much more to taking care of customers
    than competent claim handling. Exceeding expectations begins
    with designing Insurance policies with innovative and often
    unique coverage features.” We accordingly abstain from
    limiting Wisconsin insurance companies to any single trigger
    theory.
    Creating a bright-line rule at the Chubb Defendants’
    request because they perhaps regret the language they drafted
    for the Policy would be an inappropriate interference with the
    parties’ rights to contract. See Balt. & O.S.W. Ry. Co. v. Voigt,
    
    176 U.S. 498
    , 505 (1900) (“the usual and most important
    function of courts of justice is rather to maintain and enforce
    contracts than to enable parties thereto to escape from their
    obligation on the pretext of public policy”); Kuhl Motor Co. v.
    Ford Motor Co., 
    270 Wis. 488
    , 
    71 N.W.2d 420
    , 423 (1955). The
    Chubb Defendants were in the best position to dictate how the
    No. 13-2580                                                      15
    Policy would be activated, its coverage, and its exclusions.
    Letting the Chubb Defendants off the hook now would reward
    their sloppy drafting. It is not the province of this Court to alter
    the unambiguous terms of the Policy.
    B. Timeliness of the Suit
    The Chubb Defendants argue that the Strausses filed their
    suit too late, past either a statutory deadline or a time limit
    imposed by the Policy. 
    Wis. Stat. § 631.83
    (1)(a) provides that
    “[a]n action on a fire insurance policy must be commenced
    within 12 months after the inception of the loss.” The phrase
    “fire insurance” has been interpreted to include all types of
    property indemnity insurance. Jones v. Secura Ins. Co., 
    249 Wis.2d 623
    , 
    638 N.W.2d 575
    , 577 n.5 (2002); Borgen v. Econ.
    Preferred Ins. Co., 
    176 Wis.2d 498
    , 
    500 N.W.2d 419
    , 421 (Wis. Ct.
    App. 1993). But this statute of limitations is not absolute;
    parties to an insurance contract are free to alter the length of a
    statute of limitations and the date that the limitation period
    begins to run. See Keiting v. Skauge, 
    198 Wis.2d 887
    , 
    543 N.W.2d 565
    , 567 (Wis. Ct. App. 1995) (“Public policy in this state
    permits parties to bind themselves by contract to a shorter
    period of limitation than that provided for by statute.”)
    (quoting State Dept. of Pub. Welfare v. Le Mere, 
    19 Wis.2d 412
    ,
    
    120 N.W.2d 695
    , 699 (1963)). This conclusion is bolstered by the
    fact that § 631.83 explicitly prohibits insurance policies from (a)
    limiting the time for beginning an action on a policy to less
    than twelve months, (b) prescribing what court an action may
    be brought in, and (c) providing that no action may be brought
    under a policy. 
    Wis. Stat. § 631.83
    (3). Accordingly, by its very
    terms, the statute contemplates its modification between
    16                                                    No. 13-2580
    parties in private contracts, provided any alterations comport
    with the three prohibitions listed above. Just as policy language
    determines how coverage is triggered, policy language also
    dictates when an action may be brought.
    The Chubb Defendants altered the limitation period for the
    Strausses to initiate suit by diverging from the language found
    in § 631.83(1)(a). The Wisconsin statute of limitations language
    stating that a claim must be filed within one year “after the
    inception of the loss” starts the clock running “from the date of
    the damage suffered by the insured from any peril covered by
    the policy of insurance.” Riteway Builders, Inc. v. First Nat’l Ins.
    Co. of Am., 
    22 Wis.2d 418
    , 
    126 N.W.2d 24
    , 26 (1964). “Inception”
    means “beginning; start; commencement,” and therefore, “the
    phrase ‘inception of the loss’ rules out a construction which
    would postpone the start of the period of limitation until the
    insured’s loss is discovered, or should have been discovered.”
    Borgen, 
    500 N.W.2d at 422
    . Here, if the Policy employed the
    same language as that found in § 631.83, the Strausses’ claim
    might be time-barred because it was filed well after one year
    had passed from the beginning of the water infiltration.
    But the Policy employs different language. Rather than
    require claims to be filed within one year “after the inception
    of the loss,” the Policy permits claims to be filed “within one
    year after a loss occurs.” “After a loss occurs” is fundamentally
    different from “after the inception.” “Inception of the loss”
    clearly and unmistakably means the beginning of damage, not
    to mention the fact that it has been unequivocally defined as
    such by Wisconsin courts. On the other hand, “after a loss
    occurs” is ambiguous as applied to a progressive loss and can
    No. 13-2580                                                   17
    entirely reasonably be interpreted to mean after a loss com-
    pletes. See Wood v. Allstate Ins. Co., 
    21 F.3d 741
    , 744 (7th Cir.
    1994) (“after the date of loss” could plausibly mean either the
    date on which a fire began or the date on which the fire was
    extinguished). Because Wisconsin subscribes to the contract
    tenet that ambiguities are to be construed in favor of coverage
    for the insured, Johnson Controls, 
    784 N.W.2d at 586
    , we
    conclude that the Strausses could have brought their claim at
    any point up until a year after the water infiltration damage
    halted.
    In Wisconsin, under the continuous trigger theory, a
    progressive loss “occurs continuously from exposure until
    manifestation.” Soc’y, 
    607 N.W.2d at 346
    . Here, because the loss
    was ongoing and occurred with each rainfall and because the
    Policy itself states that “[c]ontinuous or repeated exposure to
    substantially the same general conditions unless excluded is
    considered to be one occurrence,” the loss, for purposes of the
    statute of limitations, occurred all the way up until the damage
    manifested in October 2010. The parties do not dispute that the
    Strausses filed suit within one year of manifestation of the
    water infiltration. Therefore, their suit is timely.
    III. Conclusion
    The Policy’s language mandates the use of the continuous
    trigger theory for determining coverage. Similarly, the Policy’s
    definition of “occurrence” and alteration of the statute of
    limitations made the Strausses’ claim timely. For the foregoing
    reasons, we AFFIRM the ruling of the district court.
    

Document Info

Docket Number: 13-2580

Citation Numbers: 771 F.3d 1026

Judges: Wood

Filed Date: 11/18/2014

Precedential Status: Precedential

Modified Date: 1/12/2023

Authorities (22)

Colleen Wood v. Allstate Insurance Company , 21 F.3d 741 ( 1994 )

Earl Loucks v. Star City Glass Company , 551 F.2d 745 ( 1977 )

Mangerchine v. Reaves , 63 So. 3d 1049 ( 2011 )

Jackson v. State Farm Fire & Casualty Co. , 108 Nev. 504 ( 1992 )

Prudential-LMI Commercial Insurance v. Superior Court , 51 Cal. 3d 674 ( 1990 )

liberty-mutual-fire-insurance-company-a-massachusetts-mutual-insurance , 352 F.3d 1098 ( 2003 )

Bostick v. ITT Hartford Group, Inc. , 56 F. Supp. 2d 580 ( 1999 )

American Family Mutual Insurance v. American Girl, Inc. , 268 Wis. 2d 16 ( 2004 )

Plastics Engineering Co. v. Liberty Mutual Insurance , 315 Wis. 2d 556 ( 2009 )

Marotz v. Hallman , 302 Wis. 2d 428 ( 2007 )

Jones v. Secura Insurance , 249 Wis. 2d 623 ( 2002 )

Johnson Controls, Inc. v. London Market , 325 Wis. 2d 176 ( 2010 )

Baltimore & Ohio Southwestern Railway Co. v. Voigt , 20 S. Ct. 385 ( 1900 )

Winding Hills v. Na Specialty Ins. , 332 N.J. Super. 85 ( 2000 )

Society Insurance v. Town of Franklin , 233 Wis. 2d 207 ( 2000 )

Borgen v. Economy Preferred Insurance , 176 Wis. 2d 498 ( 1993 )

Keiting v. Skauge , 198 Wis. 2d 887 ( 1995 )

Kremers-Urban Co. v. American Employers Insurance Co. , 119 Wis. 2d 722 ( 1984 )

Riteway Builders, Inc. v. First National Insurance Co. of ... , 22 Wis. 2d 418 ( 1964 )

Kuhl Motor Co. v. Ford Motor Co. , 270 Wis. 488 ( 1955 )

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