Perez v. State Farm Mutual Automobile Insurance

613 P.2d 32, 289 Or. 295, 1980 Ore. LEXIS 933
CourtOregon Supreme Court
DecidedJune 24, 1980
Docket78 11 349, CA 13300, SC 26506
StatusPublished
Cited by78 cases

This text of 613 P.2d 32 (Perez v. State Farm Mutual Automobile Insurance) 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
Perez v. State Farm Mutual Automobile Insurance, 613 P.2d 32, 289 Or. 295, 1980 Ore. LEXIS 933 (Or. 1980).

Opinion

*297 PETERSON, J.

The sole issue in this case is whether the no-fault personal injury protection coverage in a motor vehicle insurance policy written to meet the requirements of ORS 743.800 includes loss of income benefits to the personal representative of a covered person who was killed in an accident. The trial court held that no such benefits were payable and entered summary judgment for the defendant. The Court of Appeals affirmed, 43 Or App 19, 602 P2d 284 (1979), and we granted the claimant’s petition for review.

Plaintiff’s decedent was a pedestrian who was killed instantly when hit by a car driven by defendant’s insured. The motor vehicle policy issued by defendant included an agreement to pay various benefits to pedestrians injured by being struck by the insured vehicle, including funeral expenses and:

«* * * 70% of the actual loss of income from work sustained during the period of disability if the disability continues at least 14 days ending on the date the injured person is able to return to his usual occupation; subject to a limit per injured person of not to exceed $750 per month for a period of 52 weeks; * * (Emphasis deleted.)

Defendant paid plaintiff’s claim for funeral expense benefits, but denied her additional claim for loss of income benefits under the quoted portion of the policy.

The coverage at issue was required to be a part of defendant’s policy by ORS 743.800, which provides in part:

"Every motor vehicle liability policy issued for delivery in this state that covers any private passenger motor vehicle * * * shall provide to * * * pedestrians struck by the insured motor vehicle, the following hospital, medical, disability and funeral benefits for each accident:
* * * *
"(2) All reasonable and necessary funeral expenses incurred within one year after the date of the accident, in the amount of $1,000 per person; and
*298 "(3) If the injured person is usually engaged in a remunerative occupation, 70 percent of the loss of income from work during the period of disability if the. disability continues for at least 14 days and ending on the date the injured person is able to return to the person’s usual occupation; * * *.
* * * sfc ”

ORS 743.805(l)(b) provides that benefits payable under ORS 743.800(3)

"* * * need not exceed $750 per month or be paid for a period exceeding 52 weeks.” 1

*299 The phrase "injured person” and the term "disability” are not defined in either the statute or the defendant’s policy.

Although plaintiff relies on the terms of the policy, she does not point to anything in its language suggesting that the coverage provided was different from the minimum required by statute. Although the arrangement of the policy provisions varies slightly from that of the statute, the dispositive language is virtually identical. We find no indication of an intention to provide broader coverage than the statute requires. As did the Court of Appeals, we therefore approach the issue as a problem of statutory construction. 2

The lost income benefits which plaintiff seeks are characterized in the first paragraph of ORS 743.800 as "disability benefits.” In construing a statute, words of common usage are to be given their natural, plain and obvious meaning. Blalock v. City of Portland, 206 Or 74, 80, 291 P2d 218 (1955). The term "disability,” as ordinarily and usually defined, involves the inability of a person to perform activities regularly performed by such person by reason of weakness or incapacity, or the want of competent power, strength or physical ability. 3 The word "disability” is not ordinarily used to describe death, although death is undeniably the ultimate disability.

Subsection (3) of ORS 743.800 requires that benefits be paid for loss of income from work "during *300 the period of disability” and provides that the disability period ends "on the date the injured person is able to return to the person’s usual occupation.” From these provisions it appears that the legislature used "disability” to mean inability, while living, to perform one’s usual work. Nothing in subsection (3) suggests a legislative intent that loss of income benefits must be provided to the estate of an accident victim whose inability to work at his or her usual occupation arises from the death of the insured person.

The obvious purpose of ORS 743.800 - 743.835 is to provide, promptly and without regard to fault, reimbursement for some out-of-pocket losses resulting from motor vehicle accidents. It would, of course, be possible and quite consistent with this purpose for the legislature to provide for some payment on account of lost wages to the survivors of the victim of a fatal accident. One would expect, however, that if the legislature intended to require such coverage it would have said so in clear language instead of attaching a highly unusual meaning to the undefined phrase "period of disability.” 4 We decline to adopt a rule of construction to make a plain agreement ambiguous and then to construe it in favor of the insured. Jarrara v. Continental Casualty, 250 Or 119, 127, 440 P2d 858 (1968).

*301 The legislative history of ORS 743.800 lends no support to plaintiff’s position. As originally enacted in 1971, that section contained no provision for funeral benefits. It did provide for "disability benefits.” Former subsection (2), detailing those benefits, provided for their payment

"* * * during the period commencing 14 days after the date of the accident and ending on the date the injured person is able to return to his usual occupation * * * ” Or Laws 1971, ch 523, § 2(2).

Provision for funeral benefits was added in 1973 because, according to the Insurance Commissioner, that provision had been inadvertently omitted from the 1971 bill. See

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Koenig v. State Farm Mutual Automobile Ins. Co.
500 P.3d 68 (Court of Appeals of Oregon, 2021)
Millington v. Progressive Ins.
452 P.3d 495 (Court of Appeals of Oregon, 2019)
Spearman v. Progressive Classic Insurance Co.
396 P.3d 885 (Oregon Supreme Court, 2017)
Dowell v. Oregon Mutual Insurance Co.
388 P.3d 1050 (Oregon Supreme Court, 2017)
McBride v. State Farm Mutual Automobile Insurance Co.
386 P.3d 679 (Court of Appeals of Oregon, 2016)
Dowell v. Oregon Mutual Insurance
343 P.3d 283 (Court of Appeals of Oregon, 2015)
Providence Health Plan v. Winchester
288 P.3d 13 (Court of Appeals of Oregon, 2012)
Baden v. Department of Revenue
Oregon Tax Court, 2012
Strizver v. Department of Revenue
Oregon Tax Court, 2012
Strawn v. Farmers Insurance
209 P.3d 357 (Court of Appeals of Oregon, 2009)
Powell's Books, Inc. v. Myers
599 F. Supp. 2d 1226 (D. Oregon, 2008)
Ivanov v. Farmers Insurance
185 P.3d 417 (Oregon Supreme Court, 2008)
Leaf v. Department of Revenue
15 Or. Tax 53 (Oregon Tax Court, 1999)
State v. Divito
955 P.2d 327 (Court of Appeals of Oregon, 1998)
Zidell Marine Corp. v. West Painting, Inc.
894 P.2d 481 (Court of Appeals of Oregon, 1995)
State Accident Insurance Fund v. Anderson
894 P.2d 1152 (Oregon Supreme Court, 1995)
Eslamizar v. American States Insurance
894 P.2d 1195 (Court of Appeals of Oregon, 1995)
In the Matter of Marriage of Petersen and Petersen
888 P.2d 23 (Court of Appeals of Oregon, 1994)
Legacy Health System v. Department of Revenue
13 Or. Tax 140 (Oregon Tax Court, 1994)

Cite This Page — Counsel Stack

Bluebook (online)
613 P.2d 32, 289 Or. 295, 1980 Ore. LEXIS 933, Counsel Stack Legal Research, https://law.counselstack.com/opinion/perez-v-state-farm-mutual-automobile-insurance-or-1980.