Lea v. Farmers Insurance

96 P.3d 359, 194 Or. App. 557, 2004 Ore. App. LEXIS 990
CourtCourt of Appeals of Oregon
DecidedAugust 11, 2004
Docket01CV0040; A119351
StatusPublished
Cited by9 cases

This text of 96 P.3d 359 (Lea v. Farmers 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
Lea v. Farmers Insurance, 96 P.3d 359, 194 Or. App. 557, 2004 Ore. App. LEXIS 990 (Or. Ct. App. 2004).

Opinion

*559 SCHUMAN, J.

Plaintiff sustained injuries in an automobile accident caused by an underinsured motorist. In this action, he sought to recover damages from his own insurer, defendant Farmers Insurance Company of Oregon, according to the underinsured motorist terms of his policy. At the close of plaintiffs case, defendant moved to strike the claim for damages for medical expenses because plaintiff failed to produce any evidence that the expenses were for necessary treatment or that the amount charged was reasonable. The trial court denied the motion and defendant then presented its case. The jury found in favor of plaintiff. Defendant appeals, assigning error to the court’s denial of the motion to strike. It also appeals from the supplemental judgment awarding plaintiff attorney fees. We modify the judgment.

Initially, the parties disagree over our standard of review. Defendant argues that whether plaintiff can recover his medical expenses without offering any evidence that they were reasonable and necessary is a legal question that we review for errors of law. Plaintiff, citing Tadsen v. Praegitzer Industries, Inc., 324 Or 465, 468, 928 P2d 980 (1996), maintains that, because the trial court denied a motion to strike, we must view the evidence and reasonable inferences from it in the light most favorable to plaintiff, the nonmoving party, and affirm the denial if there is any evidence to support it. In fact, both parties are correct. To the extent that resolving this case requires us to decide whether a court has no option but to grant the motion if plaintiff presents no evidence that his expenses were reasonable and necessary, the question is one of law. To the extent that resolving the case requires us to decide whether plaintiff has, in fact, met that evidentiary burden, we employ the “any evidence” standard proposed by plaintiff. Id.; Or Const, Art VII (Amended), § 3.

We begin with the legal question. In Tuohy v. Columbia Steel Co., 61 Or 527, 532, 122 P 36 (1912), the Supreme Court held unequivocally that “a plaintiff in a case involving personal injuries can recover, as a part of his damages, his reasonable expenses for medicines and medical treatment, but there must be some evidence that the charges are reasonable.” Subsequent cases reaffirm that unequivocal *560 holding. In Pinder v. Wickstrom, 80 Or 118, 156 P 583 (1916), the defendant, a motorist, argued that the plaintiff could not recover damages for medical expenses caused by the defendant because the plaintiff did not plead that the amount of the expenses was reasonable. Id. at 120. The court found in favor of the plaintiff, noting that, although reasonableness of medical expenses need not be pleaded, nonetheless “[i]t is elementary that there must be evidence tending to prove that such items of special damages are reasonable.” Id. In Coblentz v. Jaloff, 115 Or 656, 239 P 825 (1925), the plaintiff in a personal injury case testified as to the amount he paid to cover medical services but not as to its reasonableness. The court held,

“It is true that there is ample evidence as to the extent and nature of the services rendered, and many cases hold under such circumstances the jury is permitted to draw a reasonable inference as to the reasonable value of the same; but this court in Tuohy * * * held that ‘a plaintiff in a case involving personal injuries can recover, as a part of his damages, his reasonable expenses for medicines and medical treatment, but there must be some evidence that the charges are reasonable.’ The rule thus announced was approved in the later case of Pinder * * *, and is supported by many other authorities * * *. In the light of these decisions it was error to have submitted this item to the jury as an element of damages.”

Id. at 665-66. And in Mathews v. City of La Grande, 136 Or 426, 299 P 999 (1931), a personal injury case stemming from an allegedly defective sidewalk, the defendant argued that the court erred in allowing the plaintiff to testify regarding the reasonableness of the amounts he had paid in medical expenses. In rejecting that assignment of error, the court cited the language in Tuohy quoted above. Id. at 430.

Plaintiff does not cite any case that explicitly or implicitly overrules Tuohy. Rather, he suggests that more recent cases indicate a modern tendency to disregard overly strict rules in general and that a minority of other states have a different rule. We find neither of these arguments to be relevant or persuasive. Further, plaintiff argues that we should adopt the rule that evidence of the amount of the expenses is itself evidence of their reasonableness because modern *561 jurors, unlike those in the Tuohy era, can be presumed to know what is or is not reasonable because of their own experience. That argument is also unpersuasive; indeed, given the proliferation in treatment modalities and the fact that a significant number of medical expenses today are paid by insurance companies and not individuals, we would conclude that a contemporary juror may be less capable of knowing what charges are reasonable than was a juror in 1912. We therefore conclude that the trial court erred in denying defendant’s motion to strike the claim for damages for medical expenses.

That conclusion, however, does not end the inquiry. Plaintiff maintains that, even if the court erred in allowing the issue of damages to go to the jury, that error was cured or waived by judicial admissions that defendant made in its closing argument. Those statements were as follows:

“What are [plaintiffs] economic damages and what are [plaintiffs] non-economic damages? And be assured we have a significant disagreement with them about that.
“We don’t begrudge [plaintiff] one bit for going to the emergency room. Not one bit. He should have done that. We’re glad he did. Really glad he did. Because it helps us understand a little bit about what’s going on in this accident. Helps give some perspective about what actually happened in this accident.
"* ** **
“Typically what you see is the lawyer asking the doctor, ‘Doctor, in your opinion, was the treatment that you provided to [plaintiff] reasonable in amount, the amount itself, and was it necessarily incurred as a result of this accident’ Answer Nes’ or ‘No.’ Not one doctor on their side was ever asked that question. Not one time.
“They offered you a list of medical bills. * * * They offered you no assistance at all on the issue of whether or not the medical bills are reasonable and necessary.
“Notwithstanding that, I tell you we do not begrudge this gentleman the riglit to go to the emergency room. He had an expense for that. And if you get to that question you ought to award that emergency room visit to him.
"*****
*562

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Cite This Page — Counsel Stack

Bluebook (online)
96 P.3d 359, 194 Or. App. 557, 2004 Ore. App. LEXIS 990, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lea-v-farmers-insurance-orctapp-2004.