Dasteur v. American Economy Insurance

874 P.2d 85, 127 Or. App. 686, 1994 Ore. App. LEXIS 681
CourtCourt of Appeals of Oregon
DecidedMay 4, 1994
Docket91-6-131; CA A77745
StatusPublished
Cited by1 cases

This text of 874 P.2d 85 (Dasteur v. American Economy 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
Dasteur v. American Economy Insurance, 874 P.2d 85, 127 Or. App. 686, 1994 Ore. App. LEXIS 681 (Or. Ct. App. 1994).

Opinion

*688 EDMONDS, P. J.

Defendant appeals from a declaratory judgment granted in plaintiffs favor, which declared that “defendant’s insurance policy issued to plaintiff provides underinsured motorist coverage for the damages, including non-economic damages, caused by the wrongful death of plaintiffs son.” ORS chapter 28. The judgment also requires that the amount of damages to be recovered be determined by binding arbitration. We reverse.

Plaintiff, a named insured, and his son were covered persons under an automobile liability policy, which is intended to conform to the coverage required by the underinsured motorist law, issued by defendant, ORS 742.502 etseq. 1 Plaintiffs son was killed in a car accident in Canada. The tortfeasor had liability insurance through the Insurance Corporation of British Columbia (ICBC). The limits of the ICBC coverage were $1,000,000 (Canadian). Plaintiff filed a claim against the tortfeasor in British Columbia, Canada. 2 Canadian law limits plaintiffs recovery to actual economic loss. Plaintiff settled the claim with ICBC for $50,000 (Canadian), which included $30,000 for the loss of the expectation of pecuniary benefit suffered by plaintiff and his wife. The remainder was paid for funeral expenses, other expenses and interest.

Plaintiff then brought this action seeking: (1) to reform the automobile liability policy issued by defendant to provide for $300,000 in uninsured/underinsured motorist coverage; (2) to determine whether plaintiff was entitled to recover underinsured motorist benefits of up to $300,000 under defendant’s policy; and (3) damages and attorney fees *689 for defendant’s alleged breach of contract when it refused to pay underinsured benefits. Defendant agreed that the policy ought to be reformed, but maintained that it was not liable under the terms of the policy, because the tortfeasor who caused the death of plaintiffs son was not underinsured or, alternatively, that plaintiff had received all the damages he was “legally entitled to recover.” The parties decided to proceed solely on the legal issue of plaintiffs entitlement to recover underinsured motorist benefits and, depending on the result of that litigation, agreed to arbitrate the issue of damages. The trial court ruled:

“Although the tortfeasor’s ICBC limits were $1,000,000 (Canadian), Canadian damage restrictions preclude recovery for some types of damages that are recoverable under Oregon law. Therefore, the tortfeasor’s ICBC policy provided no coverage for non-economic bodily injury damages. Instead, the tortfeasor’s policy provides coverage equal to the amount of plaintiffs economic loss, approximately $40,000 U.S. The tortfeasor’s policy does not provide coverage for the full extent of plaintiffs damages. The tortfeasor’s vehicle is uninsured/underinsured for purposes of triggering the uninsured/underinsured provisions of plaintiffs policy and plaintiff has an underinsured motorist claim within the terms of the plaintiffs policy.”

This appeal followed.

Neither party questions whether there is a justiciable controversy. Because a justiciable controversy is a jurisdictional prerequisite to invoking the provisions of ORS 28.010 et seq, we will examine it on our own motion. Barcik v. Kubiaczyk, 127 Or App 273, 873 P2d 456 (1994). Ajusticiable controversy requires that there be

“parties having existing and genuine rights or interests; controversy on which judgment may effectively operate; controversy of a nature as to lend itself to final judgment in law or equity on rights, status or other legal relationships of one or more of real parties in interest; and the proceedings must be genuinely adversary in character as to engender thorough research and analysis of major issues.” State Farm Fire and Cas. Co. v. Reuter, 294 Or 446, 449, 657 P2d 1231 (1983).

The justiciable controversy issue arises because plaintiff is not the insured who suffered bodily injury or *690 death. The evidence shows that under Canadian law plaintiff was able to recover in his own name for his own pecuniary loss, as well as for bodily injury to his son, if no personal representative of his son’s estate had been appointed. See Family Compensation Act, RSBC, ch 120, § 3(3) (1979) (Can.). In contrast, plaintiff has no independent right under Oregon law to recover for the wrongful death of his son. The action must be brought by the personal representative of the son’s estate. See ORS 30.020. However, whether there is a justiciable controversy is not necessarily determined by the laws of the State of Oregon, inasmuch as plaintiffs claim is based on the insurance agreement between plaintiff and defendant.

The policy says:

“We will pay damages which a covered person is legally entitled to recover from the owner or operator of an uninsured/underinsured motor vehicle because of bodily injury sustained by a covered person and caused by an accident.” (Emphasis in original.)

Plaintiff argues that “covered person” in the policy means an insured who suffers damages because of injury to another “covered person” (his son) under the policy. In Brown v. Oregon State Bar, 293 Or 446, 449, 648 P2d 1289 (1982), the court said:

“In order for a court to entertain an action for declaratory relief, the complaint must present a justiciable controversy. Justiciability is avague standard but entails several definite considerations. A controversy is justiciable, as opposed to abstract, where there is an actual and substantial controversy between parties having adverse legal interests. The controversy must involve present facts * * *. A justiciable controversy results in specific relief through abinding decree as opposed to an advisory opinion which is binding on no one.” (Citation omitted.)

Because plaintiffs argument about the meaning of his policy with defendant is one possible interpretation of the policy, we conclude that there is a justiciable controversy.

The next issue is whether the trial court was correct when it held that plaintiff was entitled to underinsured motor vehicle coverage. Defendant argues that, under the terms of the policy, it is required to pay only those damages that *691 plaintiff is “legally entitled to recover,” and that plaintiff has received, under Canadian law, all the damages that he is legally entitled to recover from the tortfeasor. Plaintiff argues that the tortfeasor’s policy covered oxdy economic loss and that he has not recovered for “bodily injury,” including

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Cite This Page — Counsel Stack

Bluebook (online)
874 P.2d 85, 127 Or. App. 686, 1994 Ore. App. LEXIS 681, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dasteur-v-american-economy-insurance-orctapp-1994.