
Vol. 76, No. 5, May 
2003
Court of Appeals Digest
This column summarizes selected published 
opinions of the Wisconsin Court of Appeals. Prof. Daniel D. Blinka and 
Prof. Thomas J. Hammer invite comments and questions about the digests. 
They can be reached at the Marquette University Law School, 1103 W. 
Wisconsin Ave., Milwaukee, WI 53233, (414) 288-7090.
by Prof. Daniel D. Blinka &
Prof. Thomas J. Hammer
Civil 
Procedure
Injunctions - Banishment
Predick v. 
O'Connor, 2003 WI App 46 (filed 22 Jan. 2003) (ordered 
published 26 March 2003)
The court of appeals upheld an order that banished the defendant, 
O'Connor, from Walworth County. Conceding that the "knee-jerk reaction" 
might be to dismiss such a remedy as something worthy of a "Grade-B 
cowboy movie," the court explained that the remedy made "a lot of sense" 
in the context of the bitter, dangerous feud that erupted between the 
plaintiffs and O'Connor. O'Connor twice used her automobile as a weapon, 
once running off the road a car containing the business partner of one 
of the plaintiffs, as the business partner drove various children, 
including the plaintiffs' daughter, to soccer practice and once 
attempting to "side swipe" one of the plaintiffs as she ran along a 
road. (¶1)
Earlier disputes had resulted in a 1999 stipulation and order that, 
in essence, required both sides to have no contact with one another. 
Later contempt proceedings to enforce the 1999 agreement proved 
unavailing. In late 2001 the circuit court found that O'Connor had 
violated the agreement by trying to run the business partner's car off 
the road and by violating the "purge conditions" of the earlier contempt 
finding (¶7). The judge ordered that O'Connor could not be present 
in Walworth County unless her presence related to a court appearance 
(¶8).
The extant authority provides that "banishment is not a per se 
constitutional violation" (¶18). Rather, geographic restrictions 
must be tailored to the facts of the case. O'Connor did not live or work 
in Walworth County, yet she often rented cars and drove in the county. 
More troubling, O'Connor has "an absolute fixation" on the plaintiffs 
and the business partner. The court found that if "O'Connor were even in 
Walworth county, she would be tempted to prey upon her victims" 
(¶19).
Judge Anderson concurred and wrote separately to emphasize that the 
banishment order was meant to control O'Connor's behavior and was amply 
supported by the record.
Criminal Procedure
Arrest of Foreign Nationals - Vienna Convention - Consular 
Notification
State v. Navarro, 
2003 WI App 50 (filed 19 Feb. 2003) (ordered published 26 March 
2003)
The defendant was arrested after a police investigation into 
drug-related activities. At the police station he was booked and 
interrogated after he acknowledged and waived his Miranda 
rights. At the booking, the police learned that the defendant was born 
in Mexico and confiscated his wallet, which contained his resident alien 
card. During the interrogation the defendant made a potentially 
incriminating statement. At no time did the police advise the defendant 
that he had the right to contact the Mexican consulate for 
assistance.
The defendant was charged with various felony drug offenses. He moved 
to suppress the statement he had made to the police on the ground that 
the police had violated his right to consular assistance under Article 
36 of the Vienna Convention. The Vienna Convention is a multilateral 
treaty signed by more than 100 nations, including the United States and 
Mexico. The treaty governs the rights and functions of consular officers 
and the privileges and immunities associated with their positions. The 
defendant's argument relied on language appearing throughout Article 36 
of the Convention, which protects the ability of consular officials from 
the nation of an arrested individual to communicate with a national 
detained in the arresting nation.
The trial court determined that suppression was not the appropriate 
remedy for a violation of the Vienna Convention's right of consular 
notification and denied the motion to suppress. The defendant 
subsequently pleaded guilty.
The court of appeals, in a decision authored by Judge Brown, 
affirmed. It concluded that "the Vienna Convention does not create a 
private right that a foreign national can enforce in a state criminal 
proceeding and therefore [the defendant] has no standing to assert any 
remedy pursuant to the Vienna Convention" (¶ 1).
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Prison Sentences - Inmates Serving Wisconsin Sentences in Private 
Out-of-State Prisons - No Special Credits Under Laws of Foreign 
Jurisdiction
State ex rel. Griffin v. 
Litscher, 2003 WI App 60 (filed 27 Feb. 2003) (ordered 
published 26 March 2003)
The defendant was convicted in Milwaukee County in 1992 and received 
a lengthy prison sentence. In 1999 he was transferred to a private 
prison in Oklahoma pursuant to a contract Wisconsin has with the prison 
operator. The defendant argued that he is entitled to certain statutory 
credits against his sentence that Oklahoma prison system inmates earn 
under Oklahoma law. He contended that he should receive the same credits 
for his confinement in Oklahoma, even though he is a Wisconsin 
prisoner.
In a decision authored by Judge Dykman, the court of appeals 
concluded that Wisconsin law - not Oklahoma law - determines the length 
of the defendant's sentence. That the defendant is currently housed in a 
facility in Oklahoma does not change the fact that he was sentenced by a 
Wisconsin court and remains in the custody of the Wisconsin Department 
of Corrections. "[The defendant's] transfer to Oklahoma does not trigger 
a change in his Wisconsin sentence" (¶ 17).
In sum, the court held that there is no support in the laws of either 
Wisconsin or Oklahoma for the conclusion that the defendant is entitled 
to statutory credits available to Oklahoma inmates under Oklahoma law 
for that portion of his sentence he serves while in the custody of the 
Wisconsin Department of Corrections but while physically housed in a 
private prison in Oklahoma.
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Auto Stops - Officer's Suspicion that Driver is Unlicensed
State v. Kassube, 
2003 WI App 64 (filed 19 Feb. 2003) (ordered published 26 March 
2003)
An officer stopped the defendant because he believed the latter did 
not have a driver's license. Evidence of drug possession was recovered 
during the stop. The defendant filed a motion to suppress the evidence, 
claiming it was recovered as a result of an unlawful stop.
At the suppression hearing, the officer testified that he had known 
the defendant for at least nine years and had never known him to have a 
driver's license. The officer said that he had last spoken with the 
defendant approximately 11 months earlier and the defendant did not then 
have a license. The circuit court denied the motion challenging the 
stop, and the defendant was convicted of drug possession.
The court of appeals, in a decision authored by Judge Peterson, 
affirmed. The court concluded that the totality of the circumstances 
described above provided a reasonable basis for the officer's suspicion 
that the defendant was driving without a license. "It was reasonable for 
[the officer] to believe that if [the defendant] had not obtained a 
license in nine to twelve years, he did not do so in the last eleven 
months and was likely to be driving without a license" (¶ 8). In 
reaching this conclusion, the court distinguished cases relied upon by 
the defendant, all of which dealt with temporary suspensions of 
licenses. In the latter situation, a driver may have regained his or her 
license at any time without the officer's knowledge.
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Guardians
Property - Medicaid Payback Trust
Marjorie A.G. v. Dodge 
County Dep't of Human Servs., 2003 WI App 52 (filed 27 Feb. 
2003) (ordered published 26 March 2003)
Marjorie is the guardian for her son Scott, who is a mentally 
disabled adult. In 1992 the federal government awarded Scott about 
$360,000, in addition to a $6,000 monthly annuity, under the Vaccine 
Compensation Act. Marjorie deposited the lump sum and monthly payments 
into Scott's trust, which had been established for this purpose in 1991. 
In 2001 Marjorie petitioned the court "to retroactively authorize these 
transfers of Scott's property to the trust" and explained that she had 
not "accounted for these payments as guardianship assets because she 
viewed them as 'deposits to the Trust' for which she was a mere 
'conduit', and because the court had notified her that she could 
discontinue annual financial reports as guardian because 'all Scott's 
income was being used for his care'" (¶3).
Scott's guardian ad litem supported the petition but the county 
objected, and the court concluded that it lacked the power to authorize 
a nunc pro tunc transfer dating back to 1992. Marjorie then filed a 
motion to reconsider, asking that all guardianship assets, past and 
future, be transferred to a trust "that meets all current Medical 
Assistance requirements." The court ruled that it lacked the power to 
authorize the transfer of future as well as past payments.
Marjorie appealed the last order. The only issue before the court of 
appeals was "whether a guardian may, with court approval, transfer a 
ward's assets to a 'Medicaid Payback Trust' as proposed by Marjorie" 
(¶10). Reversing the trial court, the court of appeals, in an 
opinion written by Judge Deininger, held that Wis. Stat. section 
880.19(5)(b) "permits the proposed transfer because it is an 'exchange 
[of] property of the guardianship estate . . . for the purpose of . . . 
providing for the ward's care.'" (¶1). The "apparent purpose" of 
this provision "was to permit a court to effectuate an existing estate 
plan created by a ward prior to his or her incapacity, by allowing the 
court to transfer a ward's property to 'an existing revocable living 
trust created by the person.'" Such trusts may benefit not only the ward 
but also the ward's dependents "and a request for the transfer may come 
from 'a parent, the spouse, any issue or next of kin' of the ward, who 
presumably might benefit from the trust." (¶17) Nothing said in 
Michael S.B. v. Berns, 196 Wis. 2d 920, 540 N.W.2d 11 (Ct. App. 
1995) conflicted with this conclusion, which also comported with 
persuasive authority from other jurisdictions.
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Insurance
Contribution - Different Interests - Owner and Lessee
Society Ins. v. Capitol 
Indem. Corp., 2003 WI App 61 (filed 4 Feb. 2003) (ordered 
published 26 March 2003)
After a fire at a restaurant, the restaurant's operator/lessee made a 
claim under a business owner's property and liability policy issued by 
Society Insurance. Society paid more than $41,000 as compensation and 
then sought contribution from Capitol Indemnity, which had issued a 
policy covering the building's owner for "Lessor's Risk." On motions for 
summary judgment, the trial court agreed that Society was entitled to 
contribution from Capitol, because the two policies covered the same 
interest, the same insured, and the same loss.
The court of appeals, in a decision authored by Judge Wedemeyer, 
reversed. The case raised an issue of first impression: "whether an 
insurer
for an owner/lessor of property is liable to pay contribution to the 
lessee's insurer for damages occurring to the property" (¶7).
Capitol asserted three reasons why it was not subject to 
contribution. First, Capitol contended that the policy was not in effect 
on the date of the loss because the owner/lessor had cancelled the 
policy after the fire, retroactive to the day before the fire. The court 
rejected this argument out-of-hand, because prior case law clearly 
establishes that "parties may not retroactively cancel a policy which 
potentially covers that loss" (¶11).
Capitol's second and third arguments were more persuasive, however. 
Contribution applies only when there is "double coverage," that is, when 
both policies "cover the same property, and the same interest in the 
property, against the same risk for the same insured" (¶13). Based 
on its review of the policies, the court held that there was no identity 
of insureds. Capitol's policy covered only the owner/lessor. Society's 
policy provided property damage coverage to the operator/lessee and 
liability coverage to both the owner/lessor and the operator/lessee 
(¶18).
Moreover, the policies insured different interests. The court found 
persuasive federal case law that distinguished between a landlord's 
interest in fee and a tenant's leasehold interest. The record here 
reflected that the trial judge had confused the concepts of "interest" 
and "risk." "The concept of risk involves the type of damage insured 
against - such as fire, calamity, catastrophe or liability .... 
Interest, on the other hand, addresses how the insured is connected to 
the property - such as fee simple versus leasehold, or seller versus 
buyer versus builder" (¶21). In sum, "the insurable interests 
between landlord and tenant are distinct" (¶23).
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Motor Vehicle Law
OWI - Stop Based on Reasonable Suspicion by Officer Acting Outside 
His Jurisdiction
State v. Keith, 
2003 WI App 47 (filed 6 Feb. 2003) (ordered published 26 March 2003)
A police officer operating a marked squad car outside his 
jurisdiction observed driving behavior by the defendant sufficient to 
justify a temporary investigative stop for suspicion of drunken driving. 
The officer signaled to the defendant to pull over, and the defendant 
complied. All of these events occurred outside the officer's 
jurisdiction. [There was nothing in the record to suggest statutory 
authority for the officer to act outside his jurisdiction. For example, 
he had not been requested to assist officers of the jurisdiction where 
the stop occurred.]
After stopping the defendant, the officer was joined by a deputy 
sheriff, whose jurisdiction covered the location of the stop. Both 
officers made observations amounting to probable cause to arrest the 
defendant for OWI, and the deputy sheriff made the arrest. The defendant 
was transported to a hospital where a blood sample was obtained, which 
revealed an alcohol concentration of .173%. The defendant was 
subsequently convicted of OWI.
On appeal the defendant argued that the evidence obtained pursuant to 
the investigatory stop by the officer should have been suppressed, 
because the stop occurred outside the officer's jurisdiction and the 
officer had no authority to make the stop. In a decision authored by 
Judge Lundsten, the court of appeals disagreed. Suppression of evidence 
is only required when evidence has been obtained in violation of a 
defendant's constitutional rights or if a statute specifically provides 
for the suppression remedy. In this case, the court of appeals affirmed 
the trial judge's ruling denying the defendant's motion to suppress 
because, regardless of the defendant's arguments, he failed to allege 
the violation of a constitutional right or the violation of a statute 
requiring suppression as a remedy.
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Blood Draws Without Formal Arrest - Probable Cause to Search Blood 
for Evidence of Intoxication
State v. Erickson, 
2003 WI App 43 (filed 16 Jan. 2003) (ordered published 26 March 
2003)
The defendant crashed her truck into a vehicle, killing one occupant 
of that vehicle and seriously injuring another. She was questioned at 
the scene and then transported to a hospital for treatment of minor 
injuries. An officer directed hospital personnel to draw a blood sample 
from the defendant. At the time of the blood draw, the defendant had not 
been placed under arrest, the officer had not acquired a warrant, and 
the defendant had not given valid consent. The defendant's blood alcohol 
concentration was .103%. The defendant was arrested and charged with 
several crimes, including homicide by intoxicated use of a vehicle and 
causing injury by intoxicated operation of a vehicle.
The defendant moved to suppress the evidence obtained from the blood 
draw. She argued that suppression was warranted because police obtained 
the blood sample in violation of the requirements set forth in State 
v. Bohling, 173 Wis. 2d 529, 494 N.W.2d 399 (1993). The circuit 
court denied the motion, and the defendant was subsequently convicted of 
the two crimes identified above.
In Bohling, the supreme court held that evidence resulting 
from a warrantless nonconsensual blood draw, taken at the direction of a 
law enforcement officer, is admissible under the following 
circumstances: 1) the blood draw is taken to obtain evidence of 
intoxication from a person lawfully arrested for a drunk-driving related 
violation or crime; 2) there is a clear indication that the blood draw 
will produce evidence of intoxication; 3) the method used to take the 
blood sample is a reasonable one and is performed in a reasonable 
manner; and 4) the arrestee presents no reasonable objection to the 
blood draw.
Here the question was whether probable cause to search for evidence 
of blood alcohol can be a substitute for a formal arrest under the first 
Bohling prong. In a decision authored by Judge Lundsten, the 
court of appeals held that, in the absence of an arrest, probable cause 
to believe blood currently contains evidence of a drunk-driving-related 
violation or crime satisfies the first prong of Bohling. 
Further, the same probable cause necessarily satisfies the second 
Bohling prong, because the probable cause standard is more 
demanding than the "clear indication" standard utilized in 
Bohling.
The appellate court then analyzed the specific evidence available in 
this case and concluded that there was probable cause to believe that 
the defendant's blood contained evidence of a drunk-driving-related 
offense and that the circuit court properly denied the defendant's 
motion to suppress evidence obtained from the blood draw.
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Real Property
Fences - Viewing - Remedy
Tomaszewski v. 
Giera, 2003 WI App 65 (filed 4 Feb. 2003) (ordered published 26 
March 2003)
The plaintiff and the defendant own adjoining land in Taylor County. 
When a dispute arose over repairing a fence between the properties, the 
plaintiff hired two "fence viewers," who found that the defendant had 
not "built his share" (¶4). The plaintiff hired workers to 
construct the defendant's part of the fence and then submitted a bill 
for $2,400. The defendant, who was the town chair, told the fence 
viewers, who were town supervisors, that the bill was "too high" and 
that the plaintiff had not properly built his part of the fence. On a 
second viewing, the fence viewers found that the fence was not built to 
the proper midpoint, that each owner should have been responsible for 
1,100 feet, and that the defendant owed the plaintiff only about $950 
for the fence, not $2,400.
The defendant offered to pay the $950, but the plaintiff filed a 
small claims action to recover his actual cost of building the fence. On 
summary judgment, the trial court rejected the defendant's contention 
that Wis. Stat. section 90.11 eliminated any right to appeal the fence 
viewers' determination and offered the exclusive remedy, namely, payment 
by the town to the complaining party. After a bench trial, the judge 
found the defendant responsible for 1,100 feet of the fence and ordered 
him to pay the plaintiff about $2,000.
The court of appeals, in an opinion written by Judge Cane, reversed. 
The court noted first that "the legislature did not intend to allow an 
aggrieved party to seek enforcement of the fence viewers' determination 
in circuit court because the statute once allowed this remedy, but no 
longer does" (¶16). The present collection process has been in 
place since the statute's amendment in 1915.
The court disagreed, however, with the trial court's holding that 
there is no right to appeal the fence viewers' findings. Since "[a] 
municipality's fence viewers are the members of its governing council," 
it thus followed that "a determination by the fence viewers would be an 
action of a board subject to common law certiorari review" (¶17). 
Under this form of review, and unlike administrative reviews generally, 
"the circuit court does not take evidence of the merits of the case, and 
the scope of review is limited to the record presented to the tribunal 
whose decision is under review" (¶18).
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Taxation
Property Taxes - Challenging Denial of Tax Exemption for Educational 
or Benevolent Associations
TOPS Club Inc. v. City of 
Milwaukee, 2003 WI App 62 (filed 4 Feb. 2003) (ordered 
published 26 March 2003)
TOPS Club Inc. submitted a property tax exemption request to the city 
of Milwaukee pursuant to Wis. Stat. section 70.11(4), which, among other 
things, exempts from general property taxes property that is owned and 
used exclusively by educational or benevolent associations. The city 
assessor denied the request, and TOPS paid the taxes "under protest." 
TOPS then filed against the city a declaratory judgment action, which 
the circuit court dismissed because declaratory judgment actions are not 
permitted for purposes of challenging a denial
of this type of exemption. See Wis. Stat. § 74.35(2m).
In a decision authored by Judge Fine, the court of appeals affirmed. 
Section 74.35(2)(a) establishes a procedure whereby a person aggrieved 
by the levy and collection of an unlawful tax assessed against his or 
her property may file a claim against the taxation district to recover 
the unlawful tax. TOPS did not follow this procedure. Rather, it pursued 
relief through a declaratory judgment action, which, as noted above, is 
not authorized for challenging the denial of the exemption. The court 
rejected TOPS' argument that it did not have to comply with the 
procedure mandated by the statutes because the tax levy was void ab 
initio and thus a declaratory judgment was appropriate.
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Torts
Recreation Immunity - City-Owned Park - "Sponsorship" Exception
Miller v. Wausau 
Underwriters Ins. Co., 2003 WI App 58 (filed 5 Feb. 2003) 
(ordered published 26 March 2003)
Mark Miller, a minor, was seriously hurt when a soccer goal fell and 
struck his head during a practice at a city-owned park. Mark and his 
parents sued the city for failing to properly maintain and anchor the 
goal. The trial court granted summary judgment in the city's favor based 
on the recreational use immunity statute, Wis. Stat. section 895.52.
The court of appeals, in an opinion written by Judge Nettesheim, 
affirmed. The primary issue concerned whether the city "lost its 
immunity" under the "sponsorship" exception provided in section 
895.52(1)(g). Case law establishes that the term "sponsor" "necessarily 
contemplates a relationship between the person or organization paying 
for or planning the project or activity and the intended beneficiary of 
such sponsorship" (¶17). The court held that the statute's language 
and legislative intent and relevant case law precluded the plaintiffs 
from "piggybacking" their claim on any sponsorship relationship that 
might exist between the city and a different "association" of soccer 
teams that paid fees to use the park's facilities for practices and 
games. (Mark's soccer team belonged to an association that did not have 
an agreement with the city and that used the park on an "informal" 
basis.) Put differently, the court rejected the argument that the city's 
sponsorship of one particular "association" constituted sponsorship of 
all "organized soccer team activities" at the field.
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Safe Place Statute - Unsafe Condition - Notice
Rizzuto v. Cincinnati Ins. 
Co., 2003 WI App 59 (filed 25 Feb. 2003) (ordered published 26 
March 2003)
Rizzuto was injured while riding an elevator when a granite tile on 
the elevator's wall came loose and struck her head. She sued the 
building's owner, which had purchased the building just seven months 
before the accident. Rizzuto, who worked in the building, testified that 
the elevators "shook as you rode them" but admitted that she had never 
complained about this to her employer or the maintenance department. The 
trial court granted summary judgment in favor of the owner, on the 
ground that the owner had no notice of the problem.
The court of appeals, in an opinion written by Judge Fine, affirmed. 
First, the court held that the loose elevator tiles were an "unsafe 
condition" and not a structural defect under the safe place statute. 
Rizzuto failed to offer any evidence that the tiles were defective when 
they were originally installed 10 years earlier; rather, the adhesive 
had "failed" over time and thus the loose tiles were an unsafe condition 
(¶20). Second, Rizzuto failed to show that the owner had actual or 
constructive notice of the unsafe condition. The court rejected the 
contention that a remodeling project served as the basis for 
constructive notice.
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Worker's Compensation
Exclusivity - Chapter 51 Claims - Sheltered Employment
St. Paul Fire & Marine 
Ins. Co. v. Keltgen, 2003 WI App 53 (filed 4 Feb. 2003) 
(ordered published 26 March 2003)
Keltgen, a disabled adult with autism and mild mental retardation, 
worked in a "sheltered workshop" run by a nonprofit corporation, the 
L.E. Phillips Career Development Center (CDC), pursuant to contract with 
a county under Wis. Stat. section 51.437. While so employed, Keltgen was 
repeatedly sexually assaulted by another shelter employee who had a 
history of assaultive behavior. An insurer initiated this lawsuit 
seeking a judgment that the CDC's liability for the assaults was limited 
to worker's compensation. Keltgen counterclaimed for negligence and a 
variety of claims under Wis. Stat. chapter 51. The trial court dismissed 
all of Keltgen's chapter 51 claims and later granted summary judgment to 
the CDC on the negligence claim as well, ruling that the CDC did not 
have a dual persona and thus that Keltgen's recovery was limited to 
remedies under the Worker's Compensation Act (WCA).
The court of appeals, in an opinion written by Judge Cane, affirmed. 
First, the court found that Keltgen was a "patient" within the meaning 
of section 51.61: "'Patient' includes people receiving services for 
developmental disabilities, and sheltered employment is one of these 
services" (¶16). Although some of the rights listed in that statute 
"seem to have little application to sheltered employment," the statute's 
unambiguous language covers Keltgen's status (¶18). Because the 
patients' rights provisions of chapter 51 and the WCA protect against 
distinct harms, the court next held that "the exclusivity provision of 
the WCA does not bar a claim under Wis. Stat. § 51.61 when the 
injuries result from the same set of facts" (¶25).
Nonetheless, the trial court correctly dismissed Keltgen's claims 
under Wis. Stat. section 51.61. The sexual assaults, which occurred in a 
bathroom, implicated the CDC's failure to protect Keltgen's safety, not 
his "privacy" under chapter 51. Since Keltgen's "sheltered employment 
constituted habitation rather than rehabilitation," the CDC was not a 
"treatment facility" that was statutorily obligated to protect Keltgen's 
"dignity and individuality" (¶¶31-33).
Nor did the trial court err when it found that recovery for the 
remaining chapter 51 claims would duplicate the damages Keltgen received 
under his worker's compensation settlement (¶36). Keltgen's pain 
and suffering was compensated under the WCA. Moreover, the definition of 
"injury" under Wis. Stat. section 102.01(2)(c) covers "mental or 
physical harm," including posttraumatic stress (¶40). Finally, the 
court rejected Keltgen's claim that the CDC had a dual persona as both 
employer and health care provider. The two roles were so intertwined 
that they "amount[ed] to one role" (¶45).
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Termination of Benefits - Proper Investigation - Bad Faith
Brown v. LIRC, 2003 
WI App 56 (filed 12 Feb. 2003) (ordered published 26 March 2003)
The court of appeals reversed a circuit court order affirming an 
order by the Labor and Industry Review Commission (LIRC). LIRC found 
that Reliance Insurance Company had not acted in bad faith pursuant to 
Wis. Stat. section 102.18(1)(bp) (1999-2000) and Wis. Admin. Code 
section DWD 80.70(2) when Reliance terminated payment of temporary total 
disability benefits to the plaintiff before the end of his "healing 
period."
The reversal was based on two grounds. First, the court of appeals 
held that Reliance failed to properly investigate the claim and 
therefore had no reasonable basis for terminating Brown's benefits. A 
call to the fraud hotline asserted that Brown was planning to sell 
insurance on a full-
time basis and not return to his job when his disability ended. 
Reliance's "preliminary investigation" revealed only "that Brown was 
licensed and possibly planned to work as an insurance agent full time. 
However, merely knowing that Brown might be working is not a sufficient 
justification for terminating his benefits"; Reliance was entitled to an 
offset on its payments only if Brown earned "a profit" by selling 
insurance (¶15). Had Reliance contacted Brown or otherwise obtained 
income information, the outcome may have been "quite different" 
(¶17).
Second, LIRC also misapplied the law of bad faith to the facts of 
Brown's case in concluding that Reliance's actions were "fairly 
debatable" (¶17). At the "bad faith" hearing Reliance acknowledged 
that it thought an offset was just an affirmative defense. "To allow 
Reliance to first terminate Brown's benefits and then require Brown to 
prove that he is not earning a profit improperly shifts to Brown the 
burden of disproving Reliance's entitlement to an offset" 
(¶18).
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