Uninsured/Underinsured Motorist Complaint - Wisconsin
UNINSURED / UNDERINSURED MOTORIST COMPLAINT
Table of Contents
- Caption
- Parties
- Jurisdiction and Venue
- General Allegations
- Policy Identification and Coverage
- UM vs. UIM Status
- First Cause of Action — Breach of Contract (UM/UIM Benefits)
- Second Cause of Action — Bad Faith Denial of Insurance Benefits
- Damages
- Stacking and Reducing Clauses
- Arbitration vs. Litigation
- Prayer for Relief
- Verification
Caption
STATE OF WISCONSIN — CIRCUIT COURT — [COUNTY NAME] COUNTY
| [PLAINTIFF FULL NAME], | Case No.: [________________________________] |
| Plaintiff, | Case Code: [____] |
| vs. | |
| [INSURANCE COMPANY NAME], | SUMMONS AND COMPLAINT |
| Defendant. | (Uninsured/Underinsured Motorist) |
Parties
-
Plaintiff [PLAINTIFF FULL NAME] ("Plaintiff") is an individual residing at [ADDRESS], in the [☐ City / ☐ Village / ☐ Town] of [MUNICIPALITY], [COUNTY] County, Wisconsin, and is an insured under the automobile insurance policy described herein.
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Defendant [INSURANCE COMPANY NAME] ("Defendant Insurer") is an insurance company authorized to transact business in the State of Wisconsin, with its principal place of business at [INSURER ADDRESS].
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[JOHN/JANE DOE] ("Uninsured/Underinsured Motorist") is an individual who, at all relevant times, operated a motor vehicle [☐ without liability insurance / ☐ with liability insurance inadequate to compensate Plaintiff's damages].
Jurisdiction and Venue
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This Court has jurisdiction over this action pursuant to Wis. Stat. § 801.04.
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Venue is proper in [COUNTY] County pursuant to Wis. Stat. § 801.50 because [☐ the accident occurred in this county / ☐ Plaintiff resides in this county / ☐ Defendant transacts business in this county].
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This action is timely commenced. Pursuant to Wis. Stat. § 893.43(2), a cause of action for UM/UIM benefits accrues on the date there is final resolution of the underlying cause of action by Plaintiff against the tortfeasor, and must be commenced within 3 years of that accrual date. Plaintiff's independent bad-faith tort claim (Second Cause of Action) is governed by the separate 3-year limitations period for intentional torts under Wis. Stat. § 893.57, which may accrue and expire on a different timeline than the UM/UIM contract claim.
General Allegations
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On or about [DATE OF ACCIDENT], at approximately [TIME], Plaintiff was [☐ operating / ☐ a passenger in] a motor vehicle on [STREET/HIGHWAY], in [CITY/VILLAGE/TOWN], [COUNTY] County, Wisconsin.
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At said time and place, the Uninsured/Underinsured Motorist negligently operated a motor vehicle, causing a collision with Plaintiff's vehicle.
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The Uninsured/Underinsured Motorist's negligent acts include but are not limited to:
☐ Failure to maintain a safe speed
☐ Failure to yield the right of way
☐ Failure to maintain a proper lookout
☐ Following too closely
☐ Driving under the influence of alcohol or drugs
☐ Running a red light or stop sign
☐ Improper lane change
☐ Failure to maintain control of the vehicle
☐ Other: [________________________________]
- As a direct and proximate result of the collision, Plaintiff sustained serious bodily injuries, incurred medical expenses, lost wages, and experienced pain and suffering.
Policy Identification and Coverage
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At the time of the accident, Plaintiff was insured under an automobile insurance policy issued by Defendant Insurer, Policy No. [POLICY NUMBER], effective from [POLICY START DATE] to [POLICY END DATE] (the "Policy").
-
The Policy provides uninsured motorist ("UM") bodily injury coverage with limits of $[UM LIMIT PER PERSON] per person / $[UM LIMIT PER ACCIDENT] per accident.
-
☐ The Policy provides underinsured motorist ("UIM") bodily injury coverage with limits of $[UIM LIMIT PER PERSON] per person / $[UIM LIMIT PER ACCIDENT] per accident.
☐ The Policy does NOT provide UIM coverage.
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Plaintiff has paid all premiums due under the Policy and has complied with all conditions precedent.
-
Plaintiff timely notified Defendant Insurer of the claim and provided all requested documentation.
UM vs. UIM Status
Select one:
☐ Uninsured Motorist (UM) Claim:
- The at-fault motorist was uninsured at the time of the accident within the meaning of Wis. Stat. § 632.32(4), in that [☐ the at-fault motorist had no bodily injury liability insurance in effect / ☐ the at-fault motorist is unknown (hit-and-run — note: Wisconsin does not require physical contact between vehicles to trigger UM coverage; see Theis v. Midwest Sec. Ins. Co., 2000 WI 15, and the "phantom motor vehicle" provisions of Wis. Stat. § 632.32(2)(bh) and (2)(g)2., which instead impose strict reporting requirements — police report within 72 hours, independent witness corroboration, and a sworn statement to the insurer within 30 days — for no-contact "miss-and-run" claims) / ☐ the at-fault motorist's insurer has denied coverage / ☐ the at-fault motorist's insurer is insolvent].
☐ Underinsured Motorist (UIM) Claim:
-
The at-fault motorist maintained bodily injury liability coverage with limits of $[TORTFEASOR POLICY LIMIT], which is insufficient to compensate Plaintiff for the damages sustained.
-
Plaintiff has exhausted or is prepared to exhaust the at-fault motorist's liability policy limits and has obtained [☐ a settlement / ☐ a judgment] in the amount of $[AMOUNT RECOVERED FROM TORTFEASOR].
-
Defendant Insurer was given written notice of the settlement with the at-fault motorist's insurer and the opportunity to consent to or participate in the settlement.
First Cause of Action
Breach of Contract (UM/UIM Benefits)
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Plaintiff incorporates by reference all preceding paragraphs.
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The Policy constitutes a valid and enforceable contract between Plaintiff and Defendant Insurer.
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Plaintiff has performed all conditions, covenants, and obligations required under the Policy, or has been excused from performance.
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Defendant Insurer has breached the Policy by failing and refusing to pay UM/UIM benefits owed to Plaintiff, despite Plaintiff's timely demand.
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As a direct and proximate result of Defendant Insurer's breach, Plaintiff has been damaged in an amount to be proven at trial, but not less than $[ESTIMATED DAMAGES].
Second Cause of Action
Bad Faith Denial of Insurance Benefits
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Plaintiff incorporates by reference all preceding paragraphs.
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Under Wisconsin law, every insurance contract carries an implied duty of good faith and fair dealing requiring the insurer to act fairly and in good faith in handling claims, the breach of which gives rise to a separate and independent tort cause of action distinct from breach of contract. Anderson v. Continental Ins. Co., 85 Wis. 2d 675, 271 N.W.2d 368 (1978).
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There was no reasonable basis for Defendant Insurer to deny, delay, or underpay Plaintiff's UM/UIM claim; a reasonable insurer under the facts and circumstances known to Defendant Insurer would not have denied, delayed, or underpaid the claim. Anderson, 85 Wis. 2d at 691-92.
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Defendant Insurer knew of, or recklessly disregarded, the absence of a reasonable basis for its denial, delay, or underpayment of Plaintiff's claim. Anderson, 85 Wis. 2d at 691-92.
-
In addition to the foregoing, Defendant Insurer has acted in bad faith by:
☐ Unreasonably delaying investigation of the claim
☐ Failing to conduct a thorough and fair investigation
☐ Unreasonably denying benefits without basis
☐ Failing to attempt in good faith to effectuate a prompt and fair settlement
☐ Compelling Plaintiff to initiate litigation/arbitration to recover amounts due
☐ Refusing to submit to arbitration under the policy's arbitration clause (if applicable)
☐ Other: [________________________________]
-
Defendant Insurer's conduct was a substantial factor in causing Plaintiff harm, including compensatory and consequential damages.
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Defendant Insurer's conduct was intentional or reckless, entitling Plaintiff to punitive damages pursuant to Wis. Stat. § 895.043.
Damages
- As a result of the accident and Defendant Insurer's breaches, Plaintiff has suffered and continues to suffer the following damages:
☐ Past medical expenses: $[AMOUNT]
☐ Future medical expenses: $[AMOUNT]
☐ Past lost wages/earnings: $[AMOUNT]
☐ Future lost wages/earning capacity: $[AMOUNT]
☐ Pain and suffering (past and future): $[AMOUNT]
☐ Emotional distress: $[AMOUNT]
☐ Loss of consortium (if applicable): $[AMOUNT]
☐ Punitive damages (bad faith claim only): According to proof
☐ Attorney's fees and costs
☐ Prejudgment interest (Wis. Stat. § 807.01(4))
Stacking and Reducing Clauses
- ☐ Plaintiff asserts that stacking of UM/UIM coverage is available under the Policy.
☐ The Policy contains an anti-stacking provision pursuant to Wis. Stat. § 632.32(5)(f), which Plaintiff [☐ acknowledges / ☐ challenges as unenforceable for the following reason: [________________________________]].
- ☐ The Policy contains a reducing clause that reduces UM/UIM benefits by amounts paid from other sources.
☐ The Policy does NOT contain a reducing clause.
Arbitration vs. Litigation
- ☐ The Policy contains an arbitration clause. Wis. Stat. § 788.01 is Wisconsin's general arbitration-enforcement statute; it does not independently require UM/UIM disputes to be arbitrated, but if the Policy contains an arbitration clause it is enforceable and an insurer's refusal to submit to arbitration under that clause may constitute a breach of contract and a waiver of the right to later demand arbitration. Collicott v. Economy Fire & Cas. Co., 68 Wis. 2d 115 (1975). Plaintiff [☐ demands arbitration / ☐ opposes arbitration and reserves all rights / ☐ asserts that Defendant Insurer waived the right to arbitrate by refusing to submit to arbitration when demanded].
☐ The Policy does not contain an arbitration clause. This matter shall proceed through normal litigation.
Prayer for Relief
WHEREFORE, Plaintiff demands judgment against Defendant Insurer as follows:
- For compensatory damages in an amount according to proof at trial;
- For UM/UIM policy benefits in the full amount owed under the Policy;
- For punitive damages for Defendant Insurer's bad faith conduct pursuant to Wis. Stat. § 895.043;
- For prejudgment interest pursuant to Wis. Stat. § 807.01(4);
- For attorney's fees and costs;
- For costs of suit incurred herein; and
- For such other and further relief as this Court deems just and proper.
Verification
STATE OF WISCONSIN
COUNTY OF [COUNTY NAME]
I, [PLAINTIFF FULL NAME], being first duly sworn on oath, state that the facts set forth in the foregoing Complaint are true and correct to the best of my knowledge, information, and belief.
Dated: [__/__/____]
Signature: [________________________________]
Printed Name: [PLAINTIFF FULL NAME]
Subscribed and sworn to before me this [____] day of [____________], [________].
Notary Public, State of Wisconsin: [________________________________]
My Commission Expires: [__/__/____]
RESPECTFULLY SUBMITTED,
[ATTORNEY NAME], State Bar No. [BAR NUMBER]
[FIRM NAME]
[FIRM ADDRESS]
[CITY], Wisconsin [ZIP CODE]
Telephone: [________________________________]
Email: [________________________________]
Attorney for Plaintiff
State-Specific Notes — Wisconsin
| Topic | Detail |
|---|---|
| UM Mandatory? | Yes; cannot be waived or rejected (Wis. Stat. § 632.32(4)) |
| UM Minimum Limits | $25,000/$50,000 |
| UIM Mandatory? | No (since 2011 Wis. Act 14); insurer must offer and provide written notice |
| UIM Minimum Limits | $50,000/$100,000 (if purchased) |
| Anti-Stacking | Permitted under Wis. Stat. § 632.32(5)(f) (2011 Wis. Act 14 amendments) |
| Reducing Clauses | Permitted under Wis. Stat. § 632.32(5)(i) (2011 amendments) |
| Arbitration | Not mandated by statute; Wis. Stat. § 788.01 is the general arbitration-enforcement statute and only applies if the Policy itself contains an arbitration clause. If it does, refusal to arbitrate may constitute a breach and waiver of the right to arbitrate (Collicott v. Economy Fire & Cas. Co., 68 Wis. 2d 115 (1975)); absent a policy arbitration clause, UM/UIM disputes proceed through ordinary civil litigation |
| Bad Faith | First-party bad faith recognized as an independent tort (Anderson v. Continental Ins. Co., 85 Wis. 2d 675 (1978)); requires pleading (1) absence of a reasonable basis for denying benefits and (2) the insurer's knowledge or reckless disregard of that absence; punitive damages available (Wis. Stat. § 895.043) |
| Direct Action | Insurer may be sued directly (Wis. Stat. § 632.24) |
| Comparative Negligence | Plaintiff compared separately with each causally negligent person; recovery against a person is barred when plaintiff negligence is greater and otherwise reduced proportionally (Wis. Stat. § 895.045(1)) |
| Notice to UIM Insurer | Lack of notice creates rebuttable presumption of prejudice; insured bears burden |
| Hit-and-Run / No-Contact Claims | Physical contact is NOT required for UM coverage (Theis v. Midwest Sec. Ins. Co., 2000 WI 15); no-contact "phantom vehicle" claims instead require: police report within 72 hours, independent witness corroboration, and a sworn statement to the insurer within 30 days (Wis. Stat. § 632.32(2)(bh), (2)(g)2.) |
| SOL — UM/UIM Contract Claim | 3 years from final resolution of the claim against the tortfeasor (Wis. Stat. § 893.43(2), as amended by 2015 Wis. Act 133, eff. Feb. 6, 2016) |
| SOL — Bad Faith Tort Claim | 3 years as an intentional tort (Wis. Stat. § 893.57; Warmka v. Hartland Cicero Mut. Ins. Co., 136 Wis. 2d 31 (1987)) — accrual date may differ from the UM/UIM contract claim; verify both independently |
Sources and References
- Wis. Stat. § 632.32 — Wisconsin Legislature
- Wis. Stat. § 632.32 — Justia (2025)
- Wis. Stat. § 788.01 — Wisconsin Legislature (Arbitration)
- Wis. Stat. § 893.43 — Wisconsin Legislature (Action on Contract / UM-UIM SOL)
- Wis. Stat. § 893.57 — Justia (Intentional Torts / Bad Faith SOL)
- Anderson v. Continental Ins. Co., 85 Wis. 2d 675 (1978) — Justia
- Wisconsin UM/UIM Stacking — Sigman Legal
- Wisconsin Supreme Court Pre-2011 Stacking Decision — MWL Law
- Wisconsin OCI Auto Insurance FAQ
About this template
- Last updated
- September 5, 2026
- Jurisdiction
- Wisconsin
- Category
- Personal Injury
Legal authority
- Wis. Stat. § 632.32
- Wis. Stat. § 632.32(4) (UM coverage)
- Wis. Stat. § 632.32(2)(d), (5) (UIM coverage)
- Wis. Stat. § 632.32(5)(f) (anti-stacking)
- Wis. Stat. § 788.01 (general arbitration-enforcement statute; applies only if the Policy itself contains an arbitration clause)
- Wis. Stat. § 893.43(2) (3-year SOL for UM/UIM contract claims, accruing on final resolution of the claim against the tortfeasor)
- Wis. Stat. § 893.57 (3-year SOL for the independent bad-faith tort claim; Warmka v. Hartland Cicero Mut. Ins. Co., 136 Wis. 2d 31 (1987))
- Wis. Stat. § 895.045(1) (separate-person comparative negligence and liability allocation)
Personal injury cases are brought by people who were hurt because of someone else's carelessness: car crashes, slip and falls, defective products, and more. Demand letters, settlement agreements, and court filings in these cases have to document the injuries, the medical treatment, the lost income, and the exact legal basis for holding the other side responsible. Well-prepared paperwork is what drives higher settlements and forces insurers to take the claim seriously.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
The statutes this template relies on are listed under Legal authority.
Wis. Stat. § 895.045(1) (checked September 5, 2026): "Contributory negligence does not bar recovery in an action by any person or the person's legal representative to recover damages for negligence resulting in death or in injury to person or property, if that negligence was not greater than the negligence of the person against whom recovery is sought, but any damages allowed shall be diminished in the proportion to the amount of negligence attributed to the person recovering. The negligence of the plaintiff shall be measured separately against the negligence of each person found to be causally negligent."
Wis. Stat. § 895.045(1) — liability allocation (checked September 5, 2026): "The liability of each person found to be causally negligent whose percentage of causal negligence is less than 51 percent is limited to the percentage of the total causal negligence attributed to that person. A person found to be causally negligent whose percentage of causal negligence is 51 percent or more shall be jointly and severally liable for the damages allowed."
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