Mission Insurance Co. v. Enger Insurance Co., Inc.

513 P.2d 763, 266 Or. 439, 1973 Ore. LEXIS 374
CourtOregon Supreme Court
DecidedSeptember 10, 1973
StatusPublished
Cited by2 cases

This text of 513 P.2d 763 (Mission Insurance Co. v. Enger Insurance Co., Inc.) is published on Counsel Stack Legal Research, covering Oregon Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mission Insurance Co. v. Enger Insurance Co., Inc., 513 P.2d 763, 266 Or. 439, 1973 Ore. LEXIS 374 (Or. 1973).

Opinion

BRYSON, J.

Plaintiff brought this action against its agents for damages it sustained as a result of the agents’ conduct, which was allegedly in violation of the insurance company’s orders and instructions to defendants. The alleged violation bound the insurance company to a contract of insurance on which it had to pay a claim of $8,781.55. The defendant Enger is a licensed insurance agent in Oregon and an officer and employee of defendant Enger Insurance Company, Inc.

The case was tried before the court without a jury. The trial court found generally in favor of plaintiff and entered judgment accordingly. Defendants appeal.

The facts of the case are somewhat complicated and there is inconsistency in the testimony. The trial judge found for plaintiff, and we must view the evidence in a light most favorable to plaintiff. McPherson v. Cochran, 243 Or 399, 401, 414 P2d 321 (1966). Kenneth Burke, a 72-year-old driver, procured an automobile liability insurance policy from plaintiff, Mission Insurance Company, through its agents, the defendants. Burke’s policy expired on June *441 6, 1970. In order to renew the insurance policy, plaintiff required Burke to undergo a physical examination.

The evidence shows that the standard practice of plaintiff was to require a physical examination of each insured, who is 65 years of age or older, at regular intervals for the purpose of determining insurability. Plaintiff’s regulations and internal office practice were to withhold from issuing or renewing a policy prior to its receipt of a completed physician’s statement when one was required. However, Mr. Abbott, plaintiff’s general manager in Oregon, testified that he had authorized the renewal of policies prior to the receipt of the required physician’s statement, but that such practice was limited to instances where an agent would specifically request renewal of a policy and the insured had made a definite appointment for the required physical examination on a specific date in the near future. Mr. Abbott further testified that this exception was normally made only for policyholders on whom Mission had previous medical reports. He also testified that plaintiff instructed its agents on the procedure for renewal of policies through its manual and through news bulletins.

Prior to June 6, 1970, plaintiff sent the renewal application and physician’s statement to defendants and directed defendants to obtain the physician’s statement from Burke as a condition to the renewal of Burke’s policy. Enger stated that he received the renewal application and the physician’s statement from Mission and sent both documents to Burke. However, Enger also stated that it was possible that the physician’s statement was never sent to Burke. Even more surprising is Enger’s testimony that he did not notice that a physician’s statement was *442 required when he returned the signed renewal application to plaintiff, despite the clear notation that the renewal was “subject to acceptable physician’s statement” and despite Enger’s testimony that he saw that phrase when he first received the application from plaintiff and when Burke signed the application.

Burke, the insured, testified that he had not received the renewal application nor the physician’s statement from defendants and that he simply went to defendants’ office to renew his policy on or about June 5, 1970. Burke stated that when he personally appeared at defendants’ office to renew his policy, no one informed him of the need for a medical examination or that a medical examination was required as a condition to the renewal of his policy. Burke signed the renewal application form at defendants’ office and paid a premium of $62, which was accepted by defendants.

On June 6, 1970, Burke’s policy expired. Sixteen days later, on June 22, 1970, Burke was involved in a minor accident. Both defendants and plaintiff were notified of this accident. After receiving notice of the accident, plaintiff notified defendants by memorandum dated July 1,1970, that plaintiff did not have an application for renewal nor proof of renewal (a renewal certificate) of Burke’s policy in its files. In response to this memorandum, defendant Enger sent a photostatic copy of the renewal application in his files and a copy of his ledger card to plaintiff, showing that defendants had received $62 from Burke as premium. The original renewal application signed by Burke was never located.

On July 7, 1970, Mr. Abbott, plaintiff’s general manager, notified defendants by memorandum that *443 plaintiff would not renew Burke’s policy until it received a completed physician’s statement.

Enger testified that on July 14, 1970, he sent a physician’s statement and a letter to Burke, the insured, advising Burke that plaintiff would not renew the policy until plaintiff received the enclosed physician’s statement. Burke testified that he did not receive the statement or the letter.

On July 16, 1970, Burke was involved in a second accident, causing injuries to third persons. The third parties claimed damages for their injuries. On July 21, 1970, Burke reported this second accident to defendants who then advised Burke to obtain a physical examination. Defendants submitted Burke’s completed physician’s statement and report of the second accident to plaintiff on or about July 21, 1970.

Plaintiff made a demand upon defendants to pay the claim of the third persons who had sustained injuries in the second accident. Defendants refused to pay the claim. During this dispute, the Insurance Commissioner for the State of Oregon inquired why plaintiff had no coverage on Burke and why it had denied the claim. Plaintiff explained the series of events that had transpired and reaffirmed its position that it had no effective coverage on Burke. The Commissioner responded that plaintiff was responsible for the conduct of its agents and that plaintiff should pay the claim. On January 28,1971, after seeking legal advice, plaintiff paid the claim in the amount of $8,781.55. In the meantime, on December 1,1970, defendants had insured Burke with another insurance company.

On December 2, 1970, plaintiff renewed Burke’s policy retroactive to June 6, 1970. Abbott, plaintiff’s general manager, testified that the renewal was neces *444 sary for administrative reasons since its standard practice for payment of claims required that there first be a policy against which a payment for a claim could be charged.

In January of 1971, plaintiff sent a statement to defendants which included an item for $62, the premium for Burke’s renewal. Defendants paid a portion of this item along with the other items which were included in their January statement.

Three of defendants’ assignments of error contend that the court erred in its findings on the facts. In a law action, tried by the court without a jury, the court’s findings have the force and effect of a jury’s verdict and must be affirmed on appeal if supported by any substantial evidence. Kuzmanich v. United Fire and Casualty, 242 Or 529, 531, 410 P2d 812 (1966); Fabre v. Halvorson, 250 Or 238, 239, 441 P2d 640 (1968).

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Cite This Page — Counsel Stack

Bluebook (online)
513 P.2d 763, 266 Or. 439, 1973 Ore. LEXIS 374, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mission-insurance-co-v-enger-insurance-co-inc-or-1973.