Burger v. Nationwide Mutual Insurance

632 P.2d 1381, 53 Or. App. 898, 1981 Ore. App. LEXIS 3244
CourtCourt of Appeals of Oregon
DecidedSeptember 8, 1981
DocketA7904-01994, CA 17573
StatusPublished
Cited by3 cases

This text of 632 P.2d 1381 (Burger v. Nationwide Mutual Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Burger v. Nationwide Mutual Insurance, 632 P.2d 1381, 53 Or. App. 898, 1981 Ore. App. LEXIS 3244 (Or. Ct. App. 1981).

Opinion

*900 WARREN, J.

Plaintiff brought this action on a policy of automobile insurance issued by defendant to plaintiff for collision damage to his automobile. Defendant refused to pay plaintiff’s claim on the ground plaintiff had procured the policy by making material misrepresentations of fact. The trial court entered judgment for plaintiff, holding that because the accident for which the claim was made occurred prior to plaintiff’s receipt of notice of cancellation, the defendant’s responsibility to pay the claim had become absolute under the provisions of ORS 486.551, a part of Oregon’s financial responsibility law, which provides:

"The liability of an insurance carrier with respect to the insurance policy required by this chapter to prove future responsibility shall become absolute whenever injury or damage covered by the vehicle liability policy occurs. The policy may not be canceled or annulled as to such liability by any agreement between the insurance carrier and the insured after the occurrence of the injury or damage. No statement made by the insured or on his behalf and in violation of the policy shall defeat or void the policy. The provisions of this section are not applicable to policies of vehicle liability insurance other than those required in connection with proof of future responsibility.”

Because collision insurance for damage to an insured’s own vehicle is not required by ORS 486.011(7), in connection with proof of financial responsibility to respond in damages to others, see ORS 486.566, the trial court’s reasoning and judgment were erroneous. Plaintiff does not argue to the contrary on this appeal.

Both parties in their briefs contend, however, that a new trial is unnecessary in that on the merits of the case they were entitled to a judgment as a matter of law. These contentions require an examination of the facts which were agreed upon, admitted by the parties, or found by the trial court based upon substantial evidence.

In August, 1978, plaintiff made telephone inquiries of defendant concerning obtaining insurance coverage from defendant. In response to defendant’s inquiries as to whether plaintiff had any accidents or citations within the past 36 months, plaintiff responded that he had "none.” *901 In fact, he knew he had been found guilty of five violations within the 36-month period preceding his application and had been cited for an additional six in January, 1978, all occurring in the state of Arizona. Plaintiff offered no excuse for his failure to disclose the five convictions, but testified as to the six citations that he did not disclose them because he knew they were not yet "on his record” and because, had he disclosed them to defendant, he knew defendant would not issue him insurance.

A few days after the initial telephone conversation, plaintiff again called defendant and provided additional information. Three or four days later, defendant informed plaintiff that his application had been accepted to become effective on September 21, 1978, the date his existing policy would lapse.

Because plaintiff had recently moved from Arizona to Oregon and still had an Arizona driver’s license, on September 27, 1978, defendant requested an abstract of plaintiff’s Arizona driving record. While the evidence does not disclose when the defendant received the abstract, the abstract when received covered plaintiff’s driving record through October 3, 1978. On November 9, the abstract was reviewed by one of defendant’s underwriters who, upon discovery of plaintiff’s violations, made the decision to void plaintiff’s policy. However, on the next day, a premium notice was sent to plaintiff. The premium notice was followed on November 15 by the mailing to plaintiff of a notice of cancellation, specifically stating that the cancellation was based upon plaintiff’s material misrepresentations of fact. While notices of cancellation are normally mailed within 24 to 36 hours after a decision to void the policy has been made, here the notice was not mailed until seven days after that decision. Defendant offered no explanation for the delay.

On Saturday, November 18, 1978, plaintiff was involved in the accident giving rise to this claim. He contends he did not receive defendant’s notice of cancellation until November 21. He conceded that he had moved from the address given defendant at the time of his application without advising the defendant that he had done so. Plaintiff testified that he customarily went to the old address once or twice a week to pick up his mail.

*902 The trial court on this evidence found that plaintiff made knowing misrepresentations of fact concerning his prior driving record. Defendant provided testimony that, had the truth been known, it would not have issued its policy or, for that matter, accepted plaintiff’s application. Plaintiff himself acknowledged that the facts were misrepresented to the defendant because he knew that the policy would not be issued otherwise.

Plaintiff’s sole contention on appeal is that the defendant was negligent in discovering the fraud and in issuing its notice of cancellation which resulted in plaintiff being unable to procure substitute insurance prior to the accident. Although the plaintiff’s application was received on about August 28, 1978, defendant made no inquiry of the Arizona Department of Motor Vehicles until September 27, 1978, six days after the policy had become effective. It is not clear from the record why inquiries were not made earlier. The record does not disclose precisely when plaintiff’s Arizona driving abstract was received by defendant.

The Supreme Court has expressly declined to decide whether an automobile liability insurer must investigate an application for insurance prior to the issuance of a policy. State Farm Fire v. Sevier, 272 Or 278, 291-92, 537 P2d 88 (1975), and the dissenting opinions in that case indicate strongly that no such duty exists. 272 Or at 308-09.

Even if thé defendant was negligent in failing to investigate the plaintiff prior to issuance of its policy, that fact alone would not preclude the defendant’s right to rely upon the representations made by the applicant for insurance. In Kubeck v. Consolidated Underwriters, 267 Or 548, 554-55, 517 P2d 1039 (1974), the Supreme Court stated:

"An insurer is permitted to avoid compliance with its own insurance policy where the insured has procured the policy by means of fraud. ORS 743.042(1) states:
" '(1) * * * Misrepresentations, omissions, concealment of facts, and incorrect statements shall not prevent a recovery under the policy unless either:
" '(a) Fraudulent; or
" '(b) Material either to the acceptance of the risk, or to the hazard assumed by the insurer.’

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Bluebook (online)
632 P.2d 1381, 53 Or. App. 898, 1981 Ore. App. LEXIS 3244, Counsel Stack Legal Research, https://law.counselstack.com/opinion/burger-v-nationwide-mutual-insurance-orctapp-1981.