Froeber v. Liberty Mutual Insurance

193 P.3d 999, 222 Or. App. 266, 2008 Ore. App. LEXIS 1202
CourtCourt of Appeals of Oregon
DecidedSeptember 10, 2008
Docket00C15234; A132263
StatusPublished
Cited by6 cases

This text of 193 P.3d 999 (Froeber v. Liberty 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
Froeber v. Liberty Mutual Insurance, 193 P.3d 999, 222 Or. App. 266, 2008 Ore. App. LEXIS 1202 (Or. Ct. App. 2008).

Opinion

*269 ARMSTRONG, J.

In this case, objectors to a class-action settlement appeal the trial court’s approval of a settlement agreement. ORCP 32 D. 1 Specifically, objectors argue that the trial court erred by approving a settlement that (1) purported to release unpleaded claims that did not arise from the same factual predicate as the claims pleaded in the underlying class action and (2) provided inadequate and misleading notice as to claims that the settlement agreement released. For the following reasons, we affirm the trial court’s approval of the settlement agreement.

This case originated with a complaint in which defendants are insurers that provided personal automobile casualty policies with Medical Payments (MedPay) and Personal Injury Protection (PIP) coverage to plaintiffs, who represent a putative class of insureds. Plaintiffs alleged that defendants improperly used a cost-containment software program to limit the amounts that they paid to medical providers and reimbursed to injured parties for medical treatment covered by the MedPay or PIP provisions of their automobile policies. Accordingly, plaintiffs asserted, defendants paid plaintiffs and putative class members less than the full amount due them for their reasonable and necessary medical treatment. Plaintiffs sought relief under several theories, including breach of contract, fraud, and unjust enrichment. Although the trial court denied plaintiffs’ motion for class certification, the parties later agreed to settle the action between defendants and a proposed settlement class. 2

*270 The relevant details of the settlement follow. The court conditionally certified, for settlement purposes only, a class made up of the following three subclasses: policyholders, claimants, and providers. Objectors are members of the claimant subclass, which the settlement agreement defined as all persons who, during the designated class period of January 1,1996 through June 9, 2005,

“(i) suffered a ‘Covered Injury,’ which means an injury covered by the PIP and/or MedPay coverage provided by a [‘ISubject Policy!’ which means a personal automobile policy;]
“(ii) received ‘Covered Treatment’ for a Covered Injury, which means any medical treatment, medical service, medication, or prosthesis covered by the PIP and/or MedPay coverage provided by a Subject Policyt;]
“(iii) submitted (or allowed another to submit on his or her behalf) a ‘Subject Claim,’ which means a claim for payment or reimbursement of the costs of Covered Treatment under the PIP and/or MedPay coverage provided by a Subject Policyt;]
“(iv) received from [defendants] as the total payment or reimbursement for all Covered Treatments covered by a single Subject Policy (through payments to himself, to herself, or to others on his or her behalf) a total amount that was less than the PIP and/or MedPay policy limit(s) stated in that Subject Policy; and
“(v) received from [defendants] as payment or reimbursement for at least one Covered Treatment (through payments to himself, to herself, or to others on his or her behalf) an amount that was less than the charge billed for that treatment because [defendant] or one of its agents determined through the use of a computerized bill-review system that (a) the charge billed for that treatment exceeded the customary allowance for that treatment or (b) the treatment was provided by a preferred provider who had agreed to reduce the charge for that treatment.” 3

*271 The settlement agreement between defendants and the settlement class provided, in part, that defendants would pay up to $6 million in payments to claimant and provider subclass members. In exchange, plaintiffs, on behalf of themselves and all members of the claimant and provider subclasses, 4 agreed to release defendants from all claims arising from “Subject Claims,” which, as explained above, were claims “for payment or reimbursement of the costs of Covered Treatment under the PIP and/or MedPay coverage provided by a Subject PolicyL]” Specifically, those released claims included:

“any and all claims * * * arising from or in any way related to any acts which have been alleged or which could have been alleged in the Action by the Plaintiffs, the Settlement Class, and/or any Class Member concerning any Subject Claim, whether at law, in equity, or under any statute or regulation, and including without limitation:
“A. any and all claims * * * for breach of contract, fraud, misrepresentation, consumer fraud, unfair trade practices, unfair insurance practices, unjust enrichment, and/or bad faith arising from or in any way relating to any Subject Claim,
“B. any and all claims * * * for direct damages, indirect damages, actual damages, consequential damages, punitive damages, and/or exemplary damages, prejudgment interest, post-judgment interest, costs, expenses, and/ or attorneys’ fees, whether statutory or non-statutory, arising from or in any way relating to any Subject Claim, and
“C. any and all Unknown Claims arising from or in any way relating to any Subject Claim * * *.
*272 “10. ‘Unknown Claim’ means any claim arising out of newly discovered facts and/or facts found hereafter to be other than or different from the facts now believed to be true.”

(Emphasis added.)

The settlement further set out the details of the notice to be disseminated to all potential class members by first-class mail and through publication. 5 The individual notice explained, among other things, class members’ rights and options pursuant to the settlement, including the criteria for being a claimant or provider subclass member, how to submit a claim, and how to opt out of the settlement class.

The trial court preliminarily approved the settlement agreement. See ORCP 32 D (“[A]ny action ordered maintained as a class action shall not be voluntarily dismissed or compromised without the approval of the court[.]”). Following the preliminary approval, objectors filed objections to the proposed settlement.

Objectors, along with being members of the settlement claimant subclass, were members of a putative class composed of Delaware insureds (Delaware class) 6 who had PIP coverage provided by defendants and who sought recovery of unpaid interest penalties pursuant to a Delaware “late payment” statute, Delaware Code Annotated, title 21, section 2118B. 7 Among other things, that statute requires that, *273

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Cite This Page — Counsel Stack

Bluebook (online)
193 P.3d 999, 222 Or. App. 266, 2008 Ore. App. LEXIS 1202, Counsel Stack Legal Research, https://law.counselstack.com/opinion/froeber-v-liberty-mutual-insurance-orctapp-2008.