Krum et al v. Nutmeg Insurance Agency, Inc. et al
Filing
35
Findings of Fact and Conclusions of Law. Signed on 7/9/2012 by Magistrate Judge Janice M. Stewart. (ST)
UNITED STATES DISTRICT COURT
DISTRICT OF OREGON
PORTLAND DIVISION
LARRY J. KRUM and JUDY KRUM,
Plaintiff,
Case No. 3:11-cv-01017 -ST
v.
FINDINGS OF FACT AND
CONCLUSIONS OF LAW
HARTFORD UNDERWRITERS
INSURANCE COMPANY,
Defendant.
STEWART, Magistrate Judge:
INTRODUCTION
Plaintiffs, Larry J. Krum and Judy Krum (“Krums”), initially filed this case in state court
against defendant, Hartford Underwriters Insurance Company (“Hartford”), alleging a claim for
declaratory judgment regarding the interpretation of an insurance contract. Pursuant to 28 USC
§ 1446, Hartford timely removed that case to this court based upon diversity jurisdiction under
28 USC § 1332. All parties have consented to allow a Magistrate Judge to enter final orders and
judgment in this case in accordance with FRCP 73 and 28 USC § 636(c) (docket # 11).
1 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
After the Krums filed a Stipulated Amended Complaint1 (docket # 13), a court trial was
held on June 5, 2012, at which testimony and exhibits were received.
FINDINGS OF FACT
The Krums first purchased personal auto insurance from Hartford in January 2009 while
residing in California. That policy covered two vehicles and included bodily injury liability
limits of $250,000/$500,000 and uninsured motorists (“UIM”) limits of $30,000/$60,000, the
mandatory minimum amount of UIM coverage required under California law. In April, 2009,
the Krums moved to Oregon.
On October 19, 2009, Mr. Krum called Hartford to clarify the cost of insurance to cover a
new vehicle which he intended to buy. At that time, Hartford’s customer service representative
(“CSR”) explained to Mr. Krum that the Krums were currently carrying the minimum UIM
coverage of $30,000/$60,000 required by California law, that the statutory minimum requirement
for UIM coverage in Oregon was $25,000/$50,000, and that they could “either go 25/50 or either
50/100.” Mr. Krum said he preferred the minimum UIM coverage of $25,000/$50,000. The
CSR did not explain that under Oregon law, the UIM coverage limit on the Krums’ policy would
default to the same limit as their bodily injury liability limits ($250,000/$500,000) if the Krums
did not within 60 days elect lower UIM limits in writing.
The Krums then received an Oregon Automobile Insurance Application (“Application”)
for one vehicle which reflected coverage selections consistent with Mr. Krum’s prior
conversation with Hartford. In relevant part, the Application provided as follows:
///
1
The original Complaint filed in state court named five additional Hartford affiliates as defendants. However, in
the Stipulated Amended Complaint, Hartford Underwriters Insurance Company was the sole defendant.
2 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
Coverage Information
Bodily Injury Liability
Property Damage Liability
Medical Payments
Uninsured Motorists
Uninsured Motorists Property Damage
Personal Injury Protection
Basic
Deductible
Included
Limits/Deductibles
$250,000/$500,000
$100,000
Premiums
$276.00
$103.00
$25,000/$50,000 (Min)
Rejected
$16.00
Included
No Deductible
$43.00
Plaintiff’s Ex. 1a (emphasis added).
Mr. Krum signed and dated the Application on October 22, 2009, without making any
changes. In addition to the Application, the Krums also received a form titled “Supplemental
Application Your Coverage Selections in Oregon” (“Supplemental Application”) which, in part,
explained the UIM coverage options available in Oregon. Plaintiff’s Ex. 2a-c. A box on the
second page summarized the $25,000/$50,000 UIM coverage selection made by Mr. Krum
during the October 19, 2009 telephone call as follows:
Your Coverage Selections
Your coverage selections are shown below:
Uninsured Motorists Coverage:
$25,000/$50,000 (Min)
Uninsured Motorists Property Damage Coverage:
Rejected
Personal Injury Protection:
Basic No Deductible
In order to confirm the coverage selection shown above, you must sign this form.
If you do not sign for Uninsured Motorists Coverage, it will be included in your
policy at limits equal to your Bodily Injury Liability limits.
Please refer to the following section [if] you would like to CHANGE your coverage
selection.
Plaintiff’s Ex. 2b (emphasis in original).
3 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
The third page of the Supplemental Application is titled “Change Section” and contains
the following instruction at the top: “Complete only if you wish to change your coverage
selections.” Plaintiff’s Ex. 2c (emphasis in original). On the bottom of the same page near the
signature lines, the form states: “You and your Spouse/Co-owner (if applicable) must sign
below to confirm your selections for Personal Injury Protection, Uninsured Motorists
Coverage and Uninsured Motorists Property Damage.” Id (emphasis in original). Mr. Krum
placed a small “x” next to the $25,000/$50,000 UIM limits which listed a premium of $16.00 per
vehicle and then signed and dated that page.
The next day, October 23, 2009, Mrs. Krum reviewed the Application and Supplemental
Application. Based on that review and perhaps some independent research, she concluded that,
unless otherwise specified, the UIM limits would be the same as the bodily injury liability limits
of $250,000/$500,000. She did not want to have lower UIM limits and so advised Mr. Krum
who agreed. Therefore, she placed a large “X” through the “Change Section,” Mr. Krum’s
signature, and the date on the third page of the Supplemental Application. She did not sign or
date that page or mark the box in the Change Section to change the UIM Coverage to
$250,000/$500,000 with the listed premium of $40.00. However, she signed and dated the
Application without making any changes to the coverages listed on the first page. Neither Mr.
nor Mrs. Krum provided any explanation to Hartford at any time for drawing a large “X” through
the Change Section of the Supplemental Application. Mr. Krum assumed that Hartford would
call him if clarification was needed.
Both Mr. and Mrs. Krum had adequate language skills and opportunity to understand
what was written and presented to them by Hartford.
4 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
On or before October 20, 2009, Hartford issued Oregon Automobile Policy No. 55
PHL218958, effective October 20, 2009, through October 20, 2010 (“Policy”), to the Krums
covering one of the two vehicles previously insured by the California policy. The declarations
page of the Policy shows all of the applicable coverages and limits of liability, including
$25,000/$50,000 UIM Limits. Defendant’s Ex. 108a.
Hartford’s Underwriting Department interpreted the “X” on the Supplemental
Application as crossing out only the Change Section and not Mr. Krum’s signature and, thus,
indicating his intent to not change the UIM limits of $25,000/$50,000. In addition, based on its
interpretation of Oregon law, Hartford decided sometime in 2008 that it did not need the
signature of both spouses to change insurance coverage limits and, therefore, no longer enforced
that requirement.
The calculation of the Policy premium paid by the Krums was based, in part, on the
$25,000/$50,000 UIM limits.
Within two weeks after the Policy was issued, the Krums called Hartford requesting that
two vehicles be added and another deleted from the Policy. At that time, they did not dispute the
stated minimum UIM Limits. Hartford issued three Endorsements to the Policy reflecting those
changes and restating the $25,000/$50,000 UIM Limits. Defendant’s Exs. 109a (adding UIM
Property Damage), 110a (adding additional vehicle), 111a (deleting a vehicle and adding a
different second vehicle).
In November 2009, the Krums called Hartford requesting that a loss payee be added to
the Policy. At that time, they did not dispute the stated minimum UIM Limits. Hartford issued
an Endorsement to the Policy reflecting that change and restating the $25,000/$50,000 UIM
Limits. Defendant’s Ex. 112b.
5 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
Later in November 2009, the Krums called to verify the cancellation of their California
policy and again did not dispute the stated minimum UIM Limits in the Policy.
On April 16, 2010, the Krums were involved in a motor vehicle collision with an
uninsured driver in which they both sustained physical injuries.
In July 2010, the Krums called Hartford to update the odometer readings for the two
vehicles insured under the Policy and again did not disputed the stated minimum UIM limits.
In September 2010, Hartford notified the Krums that the Policy was being renewed for
the following year with the same $25,000/$50,000 UIM coverage limits. Defendant’s Ex. 113a
(renewal for October 20, 2010, through October 20, 2011).
On or about September 24, 2010, the Krums notified Hartford for the first time of their
desire to increase their UIM coverage limits to match the bodily injury liability limits in the
Policy.
CONCLUSIONS OF LAW
This case involves the intersection of a statutory requirement under Oregon’s Insurance
Code, the terms in the Application and Supplemental Application, and the Krums’ conduct.
Oregon law requires the same UIM coverage as bodily injury liability coverage unless the
insured elects lower limits in writing. The Krums contend that because they did not elect lower
limits in writing, their UIM coverage is the same as the bodily injury liability coverage, namely
$250,000/$500,000.
Under Oregon law, the Policy must have “the same limits for [UIM] coverage as for
bodily injury liability coverage unless a named insured in writing elects lower limits.”
ORS 742.502(2)(a). To elect lower limits, “the named insured shall sign a statement electing
6 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
lower limits” which “shall contain a brief summary . . . and shall state the price for coverage.”
ORS 742.502(2)(b). However, that statement “need not be signed . . . when the policy is
amended, renewed, modified or replaced by the same company . . . unless the liability limits of
the policy are changed.” ORS 742.502(2)(c).
The Krums rest their case on a straightforward argument. Oregon law requires “the same
limits for [UIM] coverage as for bodily injury liability coverage unless a named insured in
writing elects the lower limits.” ORS 742.502(a). Furthermore, the Supplemental Application
expressly states that failure to sign for UIM coverage will result in UIM coverage being included
in the policy “at limits equal to your Bodily Injury Liability Limits,” and the Change Section
states that both “[y]ou and your Spouse/Co-owner . . . must sign . . . to confirm your selections
for . . . [UIM] Coverage and [UIM] Property Damage.” Because only Mr. Krum signed the
Change Section, which he later repudiated by means of Mrs. Krum’s “X,” the Krums contend
that they intended to elect exactly what the Supplemental Application states, namely UIM
coverage “at limits equal to [their] Bodily Injury Liability limits.”
Hartford raises four arguments in support of its contention that the Policy provides only
$25,000/$50,000 in UIM coverage. First, based on its interpretation of ORS 742.502(2)(c),
Hartford contends that a written statement electing lower limits was unnecessary. Second, even
if a written statement electing lower limits was necessary, Hartford contends that only one
spouse’s signature was required. Third, Hartford contends that even if two signatures were
required, it waived that requirement. Finally, Hartford contends that through their subsequent
conduct, the Krums effectively acquiesced to the lower UIM coverage limits. For the reasons
that follow, this court rejects each of these arguments and concludes that, by operation of law,
the Policy provided the Krums with $250,000/$500,000 UIM coverage.
7 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
I. No Signed Statement Necessary
Hartford first contends that no signed statement was required to lower the UIM coverage
because the Oregon Policy simply replaced the policy Hartford had previously issued to the
Krums in California. The Oregon Policy deletes one of the insured vehicles, but has the same
bodily injury liability limits. The only material difference between the two policies is a change
in the UIM coverage limits. Under ORS 742.502(2)(c), a statement electing lower limits “need
not be signed . . . when the policy is amended, renewed, modified or replaced by the same
company . . . unless the liability limits of the policy are changed.” ORS 742.502(2)(c). Hartford
contends that a change in “the liability limits of the policy” in ORS 742.502(2)(c) should be
construed to exclude a change in UIM coverage limits.
A court must first examine the text and context of a statutory provision to determine its
meaning. In performing that exercise, “terms of common usage within the text of a [statute]
generally should be given their plain, natural, and ordinary meaning unless specifically defined
or used in some other way.” State v. Hogevoll, 348 Or 104, 110, 228 P3d 569, 572 (2010)
(citation omitted). Unless otherwise indicated by the text and context, the same word has the
same meaning in related statutory provisions. Tharp v. PSRB, 338 Or 413, 422, 110 P3d 103,
107 (2005). The contested phrase, “liability limits,” is one term in ORS 742.502(2)(c) governing
UIM coverage, which itself is but one sentence in one section of Oregon’s Motor Vehicle
Liability Insurance statute, ORS Chapter 742. That statute does not define the term “liability” or
the phrase “liability limits.” Hartford argues that “liability limits” is a phrase which includes
only “bodily injury liability limits” and does not include UIM coverage limits.
It is noteworthy that the penultimate sentence in the preceding section,
ORS 742.502(2)(b), states: “The statement [electing lower limits for UIM coverage] shall
8 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
remain in force until rescinded in writing by a named insured or until the motor vehicle bodily
injury liability limits are changed” (emphasis added). The use of the phrase “bodily injury
liability limits” in that sentence suggests that a different meaning than “liability limits” used in
the following section. The logical conclusion is that the phrase “liability limits” without the
modifier “bodily injury” is broader than the phrase “bodily injury liability limits.” Thus, the
phrase “liability limits” in ORS 742.502(2)(c) logically includes both “bodily injury” and “UIM”
liability limits.
At first blush, the UIM provisions in ORS Chapter 742 are somewhat difficult to
decipher. The statute does not use the term “UIM liability limits,” but instead refers repeatedly
to UIM “coverage” and, in ORS 742.502(2)(a), requires “limits for [UIM] coverage” which
match those for bodily injury liability coverage. In Bergmann v. Hutton, 337 Or 596, 101 P3d
353 (2004) (en banc), the Oregon Supreme Court discussed various provisions of ORS Chapter
742 in order to determine whether an insurer is entitled to offset certain amounts against the
insured’s UIM coverage. While not addressing the written election requirement, Bergmann is
instructive in the context of interpreting the phrase “liability limits” by clarifying that the
function of UIM “coverage” is to set an insurer’s “liability limit.” Id at 607, 101 P3d at 359-60.
Another more recent case interpreting ORS 742.502(2)(a) similarly supports this conclusion:
“[W]ithin [ORS 742.502(2)(a)] ‘coverage’ does include limits on an insurer’s liability . . .
[because it] requires a ‘policy’ to have the same ‘limits’ for uninsured motorist ‘coverage’ that
the policy places on bodily injury liability ‘coverage.’” Mid-Century Ins. Co. v. Perkins, 344 Or
196, 213, 179 P3d 633, 642, modified on other grounds, 345 Or 373, 195 P2d 59 (2008) (en
banc).
9 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
Hartford’s interpretation would completely swallow the requirement in the first sentence
of ORS 742.502(2)(a) for a writing to elect lower UIM coverage. If, as Hartford contends, the
term “liability limits” in ORS 742.502(2)(c) includes only “bodily injury liability limits,” then
whenever an insured elected UIM limits lower than the bodily injury limits from the same
insurance company or group of companies, no signature would be required as long as the insured
did not change the existing bodily injury liability coverage. This interpretation is at odds with
the obvious overall intent of the statute to prevent an insured from making an unwitting or
uninformed decision to provide less protection for himself or herself (or for his or her
passengers) than provided to others.
For these reasons, this court rejects Hartford’s argument that ORS 742.502(2)(c) permits
the lowering of the UIM coverage limits in the Policy absent a written statement by the Krums
electing such lower limits. Therefore, Hartford was required to obtain a signed statement from
“the named insured . . . electing lower limits.”
II. Only One Signature Required
Hartford next contends that Mr. Krum’s signature alone was sufficient to bind the Krums.
Since the Policy is addressed to both Mr. and Mrs. Krum, both are named insureds. Only one
named insured, Mr. Krum, signed the Change Section selecting UIM coverage of
$25,000/$50,000. Interpreting “the named insured” in ORS 742.502(2)(b) to mean “a named
insured,” Hartford contends that Mrs. Krum’s signature is not required to elect those UIM limits.
The language used in ORS 742.502(2) is inconsistent by referring to a written election of
lower limits by “a named insured” in subsection (a) and by “the named insured” in subsection
(b). Whether all named insureds must sign the required statement has not yet been addressed in
Oregon, and other courts have reached differing results. The majority of jurisdictions have
10 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
concluded that where the policy lists more than one named insured, the signature of one named
insured rejecting UIM coverage is ineffective as to any other named insured. See Nationwide
Ins. Co. v. Nicholas, 868 So2d 457, 461-62 (Ala Civ App 2003); State Farm Fire & Casualty
Co. v. Garrett, 783 NE2d 329, 338 (Ind Ct App 2003); Preferred Risk Ins. Co. v. Cooper, 638
NW2d 717, 719 (Iowa 2002); Plaster v. State Farm Mut. Auto. Ins. Co., Inc., 791 P2d 813, 814
(Okla 1989). Other courts have held that one spouse has the right to waive UIM coverage on
behalf of the other spouse. Messerly v. State Farm Mut. Auto. Ins. Co., 662 NE2d 148, 149 (Ill
App Ct 1996); Hall v. Allstate Ins. Co., 770 P2d 1082, 1083 (Wash App Ct 1989), review denied,
777 P2d 1051 (Wash 1989). However, Messerly and Hall are distinguishable.
Messerly involved the sufficiency of an offer for additional UIM coverage required by
Illinois law. The court concluded that it would be “impractical” to require every potential
“insured” or “additional insured” to speak with an insurance agent in order to be offered
additional UIM coverage. Messerly, 662 NE2d at 151. Hall rested primarily on the court’s
conclusion that the UIM coverage provision should be treated no differently than any other
insurance provision under Washington’s community property statute. The court held that either
spouse has the right to waive UIM coverage for both spouses and declined to consider the
application of the statute requiring a written rejection of UIM coverage as to named insureds
who are not spouses. Hall, 770 P2d at 1083. No such community property overlay applies in
Oregon. Moreover, both Messerly and Hall involved what the respective courts deemed
legislative clarifications of prior legislative intent supporting the decision. See Messerly, 662
NE2d at 150-51 (discussing legislative clarification in Hall and post-application statutory change
in Illinois). Unlike Messerly, this case involves a statutory requirement for a written election of
lower UIM coverage within 60 days of the election. And unlike Hall, Hartford cites no
11 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
community property provision or legislative clarification suggesting that anything less than a
written statement by each insured will suffice to trump the legislative preference for “the same
limits for uninsured motorist coverage as for bodily injury liability coverage” expressed in ORS
742.502(2)(a).
One commentator has concluded the “growing trend is that a rejection of UM/UIM
coverage or a selection of lower limits of UM/UIM limits by one named insured is binding on all
named insureds and all additional insureds, rendering it unnecessary for insurers to obtain
additional rejections or waivers from all named insureds and all potential additional insureds.”
COUCH ON INSURANCE (3rd Ed.), § 122:50 (citations omitted). However, that trend appears to be
statutory and is inconsistent with a named insured’s reasonable expectations under Oregon law.
ORS 742.502 mandates that motor vehicle liability policies issued for delivery in Oregon have
the same UIM coverage as for bodily injury liability coverage unless a named insured in writing
elects lower limits. Thus, a named insured, who has not rejected UIM coverage in writing, may
reasonably expect that the UIM coverage will match that the bodily injury liability coverage as
mandated by law. See Preferred Risk Ins. Co., 638 NW2d at 719; Plaster, 791 P2d at 814-15.
III. Waiver of the Two Signature Requirement
Hartford next argues that it accepted a single signature on the Supplemental Application
by the “Named Insured” (Mr. Krum) because it waived the signature of the “Spouse/Co-Owner”
(Mrs. Krum) on the Supplemental Application. “The doctrine of waiver applies broadly to any
contract term. As a general rule, a party to a contract may waive the performance of any
provision of the contract that is for its benefit.” Wright v. State Farm Mut. Auto Ins. Co., 223 Or
App 357, 368-69, 196 P3d 1000, 1006 (2008) (internal brackets, quotation marks, and citations
12 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
omitted). However, “material conditions of the contract cannot be waived.” Burness v. Bruce,
97 Or App 298, 301, 776 P2d 32, 34 (1989).
Hartford’s argument is premised upon the contentions that the requirement of the
signature of the “Spouse/Co-Owner” on the Supplemental Application was for its benefit and
was non-material due to other indices of the Krums’ intent to select $25,000/$50,000 UIM
coverage. Hartford is wrong on both counts.
In the event of an accident with an uninsured motorist, a lower UIM limit obviously
benefits the insurer by reducing its exposure. However, that is not the issue here. Instead, the
signature requirement presupposes an election for lower UIM coverage, and the issue is whether
the requirement of both spouses’ signatures to elect UIM coverage less than bodily injury
liability coverage is for Hartford’s benefit. The statutory signature requirement is intended to
ensure that the insureds make their decision to lower their UIM coverage limits with full
knowledge of the benefits provided by uninsured and underinsured motorist coverages and the
relative cost of UIM coverage equal to the bodily injury liability coverage versus lower UIM
coverage. See ORS 742.502(2(b). The requirement of a written statement electing lower UIM
coverage is a consumer protection provision intended for the benefit of the purchaser of
insurance, not for the benefit of the insurer. Because the provision is intended to benefit the
Krums, it is not a condition which Hartford may waive.
Moreover, there is no doubt that the requirement of a signed statement electing lower
UIM coverage is a “material” term to any motor vehicle liability insurance policy purporting to
include lower UIM limits than bodily injury liability limits. Quite simply, a legislativelymandated requirement is quintessentially “material.”
13 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
One of the cases cited by Hartford is distinguishable because it clearly involved waiver of
a non-material term intended to benefit the party waiving the term. Alk v. Lanini, 61 Or App
158, 656 P2d 367, 369 (1982) (time-is-of-the-essence clause intended to benefit both parties
could be waived by either party with regard to the timing of the other party’s performance, but a
particular party’s waiver could not excuse his own timely performance). The other involved a
material term that, as here, could not be waived. Burness v. Bruce, 97 Or App 298, 301-02, 776
P2d 32, 34 (1989) (even if acceptance of partial payments over the term of the contract could
constitute a waiver, “plaintiff nevertheless could not waive his right to receive the full contract
price, because that right was a material condition to his own performance”).
Thus, this court rejects Hartford’s suggestion that it had the authority to waive the
requirement of a signature by the “Spouse/Co-Owner” on the Supplemental Application.
IV. Conduct Affirming Acceptance of Lower UIM Limits and Equitable Estoppel
Finally, as evidence that the Krums assented to the lower UIM limits, Hartford cites both
the markings made by the Krums on the Application and Supplemental Application, as well as
their silent receipt of repeated declarations pages listing a $25,000/$50,000 UIM coverage limit
over the following months.
The Krums returned to Hartford the executed Application with no changes made to the
listed UIM coverage limits and the Supplemental Application with check boxes in the
$25,000/$50,000 UIM coverage box and the “X” across the Change Section, Mr. Krum’s
signature and the date. According to Harford, the more plausible explanation of the Krums’
markings on the Supplemental Application is that they initially completed the “Change Section,”
but “X’d” it out to indicate that they intended to select $25,000/$50,000 UIM coverage limits
14 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
listed in the Application. This explanation is confirmed by the Krums’ silence upon later
receiving the Policy with a declarations page listing $25,000/$50,000 UIM coverage limits.
The thrust of this argument is that the Krums’ objective conduct amounted to a waiver of
their statutory right under ORS 742.502(2) to have UIM limits equal to the bodily injury liability
limits unless they signed a written statement within 60 days confirming the election of lower
limits. Under Oregon law, “adults with the capacity to do so are free to waive a panoply of
rights, statutory and constitutional, so long as the waiver is knowing and intentional.” In re
Marriage of McInnis, 199 Or App 223, 236, 110 P3d 639, 645-46 (2005) (citing cases).
However, waiver of statutory rights requires “a clear, unequivocal, and decisive act of the party
showing such a purpose or acts amounting to an estoppel on his part.” DK Inv. Co., LLC v.
Inter-Pacific Development Co., 195 Or App 256, 263, 97 P3d 675, 679 (2004) (internal quotation
marks and citations omitted).
Alternatively, Hartford contends that the Krums are equitably estopped to enforce their
statutory rights. “To constitute an equitable estoppel, or estoppel by conduct, there must (1) be a
false representation; (2) it must be made with knowledge of the facts; (3) the other party must
have been ignorant of the truth; (4) it must have been made with the intention that it should be
acted upon by the other party; and (5) the other party must have been induced to act upon it.”
Bennett v. City of Salem, 192 Or 531, 541, 235 P2d 772, 776 (1951) (en banc, citations omitted).
“For equitable estoppel to apply, the false representation ‘must be one of existing material fact,
and not of intention, nor may it be a conclusion from facts or a conclusion of law.’” Day v.
Advanced M&D Sales, Inc., 336 Or 511, 519, 86 P3d 678, 683 (2004), quoting Welch v.
Washington Cnty. 314 Or 707, 716, 842 P2d 793, 799 (1992).
15 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
The difficulty with this line of argument is threefold. First, Oregon law mandates that
motor vehicle bodily injury liability policies “shall” have the same UIM coverage as for bodily
injury liability coverage “unless . . . the named insured shall sign a statement electing lower
limits within 60 days of the time the named insured makes the election.” ORS 742.502(2)(a)-(b)
(emphasis added). The statute contains no other condition which will allow the insurer to
include lower UIM coverage. For an insurer to satisfy a statutory coverage obligation, the
critical issue is “to determine the legislature’s intention in enacting [the] statute rather than the
parties’ contractual intention in entering into the insurance contract.” Fox v. Country Mut. Ins.
Co., 327 Or 500, 506, 964 P2d 997, 1001 (1998). The UIM provisions are intended to protect
consumers, and the requirement for a signed election of lower UIM limits ensures that the public
does not unwittingly lower their UIM limits and provide better coverage for other drivers than
they provide for themselves against uninsured or underinsured drivers.
“Oregon courts generally hold that an insurer’s failure to provide UIM coverage when
required by statute results in the imputation of such coverage.” Hanson v. St. Paul Fire &
Marine Ins. Co., No. CV 10-1161-PK, 2011 WL 1086528, at *4 (D Or March 22, 2011) (citing
cases). Because the Krums did not complete a written statement electing lower UIM limits as
required by ORS 742.502(2)(c), UIM limits equal to the Policy’s bodily injury liability limits
were imposed by operation of law 60 days after Mr. Krum orally elected lower UIM limits.
Furthermore, estoppel “may be established only where there was a right of reliance upon the act
of the party sought to be estopped, and such reliance was reasonable.” Bash v. Fir Grove
Cemeteries, Co., 282 Or 677, 687, 581 P2d 75, 80 (1978). Here, the controlling statute requires
a signed writing from the Krums electing lower UIM limits. Hartford had no right to rely on any
16 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
other type of assent to lower UIM limits. Id (cemetery authority had no right to rely on oral
agreement consenting to disinterment when statute required written consent).
Second, the Supplemental Application states that “[i]f you do not sign for Uninsured
Motorists Coverage, it will be included in your policy at limits equal to your Bodily Injury
Liability Limits,” and the “Change Section” states that: “You and your Spouse/Co-Owner (if
applicable) must sign below in order to confirm your selections for Personal Injury
Protection, Uninsured Motorists Coverage and Uninsured Motorists Property Damage.”
Plaintiff’s Ex. 2b, 2c (emphasis in originals). That language clearly states that failing to sign the
form will result in UIM coverage limits equal to bodily injury liability limits, consistent with
ORS 742.502. Mrs. Krum testified that she intended to retain the higher UIM limits by crossing
out and not signing the Supplemental Application.
Hartford nevertheless contends that the “X” through the Change Section of the
Supplemental Application is not a clear, unequivocal indication of the Krums’ intent to elect
UIM coverage the same as the bodily injury liability coverage. During the application process,
Hartford made Mr. Krum aware of the higher UIM limits available as required under Oregon
law, which he orally rejected. As a result, Hartford contends it was not obligated to inquire
further of the Krums with respect to their UIM limits selection after the Policy was issued, citing
Wood v. State Farm Mut. Auto. Ins. Co., 100 Or App 576, 579-80, 787 P2d 504, 505-06, review
denied, 310 Or 133, 794 P2d 795 (1990) (insurer not required to give notice of option to obtain
increased coverage at each renewal date). However, Wood was decided under ORS 743.789
(renumbered ORS 742.502 in 1989) which simply required the insurer to notify the insureds of
the option of obtaining increased underinsured motorist and UIM coverage. Unlike that prior
version, ORS 742.502 now requires UIM limits to match bodily injury liability limits unless the
17 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
named insured in writing elects lower UIM limits. Without a writing executed within 60 days
from the insured’s election of lower UIM limits that clearly and unequivocally demonstrates an
intent by the insured to lower the UIM limits, those limits match the selected bodily injury
liability limits by operation of Oregon law.
Finally, Hartford points out that the Krums failed to notify Hartford that the declarations
pages evidencing later amendments and renewals of the Policy stated the wrong amount of UIM
coverage. In that vein, Hartford likens this case to Citibank S.D. N.A. v. Santoro, 210 Or App
344, 349, 150 P3d 429 (2006), in which the court found that Santoro’s conduct of receiving, not
cancelling, and using a credit card constituted mutual assent to the terms of the credit card
agreement. In determining whether a contract exists, “we examine the parties’ objective
manifestations of intent, measured by whether a reasonable person would construe a promise
from the words and acts of the other.” Wooton v. Viking Distrib. Co., Inc., 136 Or App 56, 59,
899 P2d 1219, 1222 (1995), citing Real Estate Loan Fund v. Hevner, 76 Or App 349, 354, 709
P2d 727, 730-31 (1985). In contrast here, the Krums do not deny the existence of the Policy, but
instead dispute the applicable UIM coverage limits under Oregon law. Santoro would be more
similar to this case if the credit card agreement contained an illegal term, such as a usurious
interest rate. Even if the credit card agreement could be enforced based on Santoro’s mutual
assent, the interest rate would nonetheless be unenforceable by operation of law. The Krums’
failure to follow-up on what they now contend were inaccurate UIM limits of $25,000/$50,000
was not conduct manifesting assent to that term.
Oregon law requires a written statement electing lower UIM limits, and the Supplemental
Application stated that the UIM limits would match the bodily injury liability limits if they did
not both sign it. Although Mr. Krum orally elected lower UIM limits, the Krums did not sign (or
18 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
repudiate) a written statement within 60 days electing those lower UIM limits as required by
ORS 742.502(2).
CONCLUSION
For the reasons stated above, the Krums are entitled to a Judgment declaring that,
pursuant to ORS 742.502(2), the UIM coverage limits in the Policy match the bodily injury
liability coverage limits of $250,000 per person and $500,000 per accident.
DATED July 9, 2012.
s/ Janice M. Stewart
Janice M. Stewart
United States Magistrate Judge
19 – FINDINGS OF FACT AND CONCLUSIONS OF LAW
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