Understanding Medical Payments Coverage

Understanding Medical Payments Coverage

Medical payments coverage through your automobile insurance is often an overlooked and sometimes misunderstood coverage. Reasonably, consumers are more interested how much coverage they have for liability (if they are at fault), underinsured/uninsured (if someone else is at fault but not sufficiently insured), or collision/comprehensive (how much it will cost to get their vehicle repaired). In terms of premium dollars allocated, medical payments coverage ranks low.

It is important to understand your medical payments coverage because if you are in an accident, regardless of fault, it is often the first “pot of money” that pays for medical treatment. Medical payments coverage is what is known as “no fault” coverage, it pays for medical expenses incurred because of an accident regardless of whether you or someone else is at fault.

  1. What dollar amount you are covered for; the most common medical payments limit is $10,000 per person. However, coverages can range from as low as $1,000 (not recommended) all the way up to $100,000.
  2. You should check your policy to see whether your medical payments coverage is primary or secondary/excess. Most medical payments coverage is primary; that is, medical payments would pay and be used up before normal health insurance starts paying. However, there are some insurers that have their medical payments coverage as excess or secondary. In this scenario, the accident-related treatment would have to be first submitted to normal health insurance, and medical payments coverage would pay what remains, such as any deductible, co-pay, coinsurance, and/or if the treatment was denied by health insurance.
  3. You will want to know by when the coverage must be used. Some policies are written that the coverage must be used within one year of the accident; some policies say use within three years of the accident; and, even some are written that if treatment is started within one year of the accident, then they will cover it for three years from the accident date.
  4. if you receive a settlement or judgment from the at-fault party or their insurer, your insurer, that paid medical expenses on your behalf, may have the right to subrogation/reimbursement for the payments made. Fortunately, all medical payments coverage insurance in Wisconsin is subject to the Made Whole and Common Fund doctrines, which can be used to reduce the amount that has to be paid back to your insurance company out of any settlement/judgment.

As you can see, medical payments coverage is not a simple issue of have it vs. don’t have it. Depending on how much coverage you purchased and how the policy is written will determine how the coverage is utilized after an accident. Of course, contacting and retaining a skilled attorney can help you strategize how to effectively use medical payments coverage to minimize your out-of-pocket expenses after an accident. If you are in a vehicle accident, don’t be a vitcim twice, make an appointment for a free consultation with one of our skilled personal injury attorneys.

Congratulations 2024 Super Lawyers

Congratulations 2024 Super Lawyers

Attorneys Bradley Yanke, and Brent Jacobson are listed as 2024 Rising Stars. To be eligible for inclusion in Rising Stars, a candidate must be 40 years old or younger or be in practice for 10 years or less. Only 2.5% of the state’s attorneys are selected as Rising Stars. Congratulations Attorney Yanke and Jacobson!

Bradley Yanke (Rising Stars: 2022 – 2024)
Bradley is a top-rated litigation attorney who focuses his practice on representing accident victims and those injured in the workplace. In addition to fighting for the fair compensation that his clients deserve, Bradley enjoys being able to demystify the personal injury process and provide his clients with pragmatic advice and solutions so that his clients can focus on getting better.

Brent Jacobson (Rising Stars: 2014 – 2024)
Brent Jacobson is a top-rated litigation attorney who focuses on a unique mix of insurance defense, personal injury, and business litigation. Outside of litigation, Brent has also handled arbitrations and mediation on behalf of business clients under the rules of the American Arbitration Association and the International Institute for Conflict Prevention and Resolution.

To learn more about the Super Lawyers designation please click here.

Attorney Jacobson Argues Issues of First Impression to Wisconsin Supreme Court

Attorney Jacobson Argues Issues of First Impression to Wisconsin Supreme Court

In a rare occasion, Attorney Brent Jacobson recently appeared before the Wisconsin Supreme Court to argue several issues of new law in the State of Wisconsin, known as issues of first impression. Issues of first impression involve areas of the law that have yet to be decided in Wisconsin.

Attorney Jacobson regularly appears in court on behalf of the Wisconsin state high school athletic association (WIAA). In the case of Hayden Halter v. Wisconsin Interscholastic Athletic Association, the Wisconsin Supreme Court was asked to consider whether the WIAA is a government entity, subject to judicial review of disciplinary decisions as applied to student-athletes. The Court was also asked to clarify the breadth of judicial review in cases involving voluntary associations when claims are asserted by non-member student athletes. Specifically, the Court was asked to decide whether judicial review should be limited to claims that include the alleged deprivation of a personal or property right or whether review should extend to other cases where the claim is that the association has acted arbitrarily or unreasonable. In other words, the Court was asked to decide if judicial review should only apply to cases where someone’s personal or property rights are at risk, or if it should also apply to cases where the claim is that an organization acted unfairly or unreasonably.

The Wisconsin Supreme Court accepts a very limited number of requests to review cases from lower courts. The case was argued in October and stems from a five year ongoing lawsuit. A written opinion will follow.

Corporate Transparency Filing Deadlines

Corporate Transparency Filing Deadlines

Congress passed the Corporate Transparency Act in 2021.  The Corporate Transparency Act and its requirements took effect on January 1, 2024. Under this Act, certain business entities are required to file a Beneficial Ownership Information Report (a “BOIR”) with the U.S. Department of the Treasury. Specifically, such business entities must file BOIRs, including the information for each beneficial owner, with the Financial Crimes Enforcement Network (FinCEN).

When do I need to file?

The deadline is quickly approaching for any business entity that is required to file a BOIR (a “reporting company”). Required reporting companies formed before January 1, 2024 have a filing deadline of December 31, 2024. For any required reporting company formed on or after January 1, 2024 through December 31, 2024, the filing deadline is ninety (90) days after the effective creation or registration date.  The deadline for any required reporting company formed on or after January 1, 2025 is thirty (30) days after the effective creation or registration date.

After the initial filing, a reporting company must file an updated BOIR within thirty (30) days of any change to the beneficial owners. Examples include, if the company is sold, if one owner sells ownership interest to a new owner, if a beneficial owner has a change of address, or if the management of the entity changes.

Who is a beneficial owner?

A beneficial owner includes:

1. An individual who owns or controls at least twenty-five percent (25%) of the company (such as members, shareholders, or owners of parent companies), or

2. An individual who has substantial control over the company (such as senior officers, managers, or important decision makers). In some cases, an individual may be included under both requirements.

Please note that the company applicant must also be included in the BOIR if the entity was formed after January 1, 2024. If the reporting company was formed prior to January 1, 2024, the BOIR does not require the company applicant information. The company applicant is the person who formed the reporting company, such as by filing the Articles of Organization or Articles of Incorporation.

For more information on beneficial owners, the Small Entity Compliance Guide is located at: https://www.fincen.gov/boi/small-entity-compliance-guide

What happens if I do not file?

If your business entity is required to file a BOIR and you fail to complete the BOIR by the deadline or file false or fraudulent information in the BOIR and do not correct such information, you may be subject to civil or criminal penalties including fines and imprisonment.

How do I file?

Instructions for BOIR filings, instructions for obtaining optional FinCEN numbers, and the BOI E-Filing System are located at: https://boiefiling.fincen.gov/

If you have questions regarding whether your business entity is required to file a BOIR, who is considered a beneficial owner of your business entity, or if you need assistance with filing your BOIR(s), please contact the business attorneys at Anderson O’Brien, LLP.

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How Adverse Possession May Impact Your Property Rights

How Adverse Possession May Impact Your Property Rights

Adverse possession is a legal doctrine that allows a person who occupies another person’s property for a specified period of time may gain title to that property. The law of adverse possession is based on a combination of statutes and Wisconsin Court decisions.

For example, if someone owns a farm or recreational property and a fence was initially placed in the wrong location decades ago, the adjacent property owner may end up owning a strip of land up to the fence line that really is not theirs based on the legal description in the deed. Another example would be if someone places a shed or a structure over the property line, and the adjacent property owner does not complain about it. The person who put the shed on the property may gain title to that portion of land containing the shed.

These issues typically come to light when one of the parties wants to sell their land and has a survey conducted. It is discovered that the boundaries set forth in the legal description of the deed do not match with how the parties have been utilizing the property over an extended period of time.

The most common way that adverse possession is obtained is through actual use of someone else’s property for a continuous 20 year period. To claim adverse possession, the following criteria must be met:

  1. Actual possession: The court will look at how the property is actually utilized. If the property is protected by a substantial enclosure such as a fence, for example, where the property has been usually cultivated or improved, that will constitute actual physical possession of the land that is in dispute.
  2. Hostile Use: The use of the disputed land must be inconsistent with the rights of the true owner of the land.
  3. Open and Notorious Use: The use of the land must be open and visible.
  4. Continuous Use: The use must be continuous for a 20 year period. It should be noted that this 20 year period can be calculated by using the activities of prior owners of the property as well as the current owners.
  5. Exclusive Use: There must be exclusive use of the disputed property by the party claiming that they own the disputed property based on adverse possession.

There are statutory provisions which permit you to interrupt somebody’s adverse possession of your property by filing an affidavit of interruption. There are two other statutory ways that someone could obtain adverse possession based upon a conveyance of title. Those have a ten year statute of limitations, and a seven year statute of limitations respectively. There can be a lot of complexities involved in an adverse possession case.

Adverse possession cases can be complex, very fact intensive, and require witnesses from many years ago to establish how the properties have been utilized. They can be very expensive to pursue in court. It is important to be diligent and to inspect your property to make sure that neighbors are not encroaching on your boundary. Otherwise, you may end up losing a portion of your land through adverse possession.

If you have any questions on these issues please meet with one of our experienced litigation attorneys. They will help you protect your property and your rights.

If a Trespasser is Injured on My Property, Am I Responsible?

If a Trespasser is Injured on My Property, Am I Responsible?

attractive nuisance, no trespassing

As a landowner, you might wonder whether you need to be concerned about injuries that occur when someone trespasses on your property. Generally, trespassers enter your land at their own risk. Both common sense and the law acknowledge that you have “no duty to anticipate a trespasser’s entry or to provide for a trespasser’s safety.” Your only duty is to “refrain from acts which willfully, wantonly, or recklessly cause injury or death to trespassers.” To be clear, posting a sign warning that “trespassers will be shot” does not make it legal to harm someone.

However, there is an important exception known as the “attractive nuisance” doctrine. Despite the flashy name, attractive nuisance is better understood as “liability for artificial conditions that are highly dangerous to the safety of trespassing children.” Under this doctrine, a landowner may be liable to an injured trespassing child if:

  1. The possessor of real property maintained, or allowed to exist, an artificial condition on the property that was inherently dangerous to children.
  2. The possessor of real property knew or should have known that children trespassed on the property.
  3. The possessor of real property knew or should have known that the artificial condition he or she maintained or allowed to exist was inherently dangerous to children and involved an unreasonable risk of serious bodily harm or death to children.
  4. The injured or killed child, because of their youth or tender age, did not discover the condition or realize the risk involved in entering onto the property or in playing in close proximity to the inherently dangerous artificial condition.
  5. The possessor of real property could have reasonably provided safeguards that would have removed the inherent danger without interfering with the purpose for which the artificial condition was maintained or allowed to exist.

Examples of attractive nuisance include an “insufficiently guarded swimming pool,” poorly guarded or defective trampolines, and a dangerous accumulation of junked cars. While not exhaustive, this list provides examples of artificial conditions that, if not properly safeguarded, could lead to liability.

As a property owner, it is crucial to implement protective measures such as installing locks or fences to prevent children from accessing dangerous conditions. If you have questions or concerns about your property or need advice on how to manage potential liabilities, please contact one of our experienced attorneys. They will be happy to assist you in ensuring your property is safe and legally compliant.