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330 P.3d 631
Or. Ct. App.
2014
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Background

  • Plaintiff seeks PIP and UIM benefits under insurer’s policy with $15,000 PIP and $50,000 UIM limits; medical expenses exceed $90,000, with about $80,000 for spinal surgery.
  • Defendant paid nonsurgical expenses but contested the surgery’s necessity and denied coverage for the surgery portion.
  • Approximately one month before trial, defendant served an ORCP 54 E offer to allow judgment on PIP for $8,039.89; offer limited to PIP and did not apply to UIM.
  • Plaintiff accepted the offer; no limited judgment was entered; trial date approached with surgery issue remaining for UIM claim.
  • Trial court ruled that acceptance of the offer created issue preclusion precluding defendant from contesting surgery’s necessity in the UIM claim; judgment and fees followed.
  • Appellate court reversed, holding the accepted offer did not admit surgery necessity, issue preclusion does not apply within a single action, and remanded for a limited PIP judgment and reevaluation of fees.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Did the accepted offer preclude contesting surgery necessity in UIM claim? Magar allows offers to admit allegations; surgery necessary implied by offer. Offer limited to PIP; no admission on UIM; no issue preclusion. No preclusion; limited PIP judgment only.
Does issue preclusion apply within a single action to bar remaining claims? Acceptance of offer binds related issues. Preclusion requires separate action or final merits decision; not applicable here. Issue preclusion does not bar relitigation within single action.
What is the proper scope and amount of the limited judgment on PIP under ORCP 54 E? Offer creates a binding limited judgment for PIP amount stated. Terms restrict judgment to PIP; UIM remains for trial. Enter limited judgment on PIP for $8,039.89; UIM remains for trial.
Whether attorney fees on the UIM claim were properly awarded under ORS 742.061 and ORCP 46 C given the reversal on UIM? Fees awarded for prevailing on both PIP and UIM; ORCP 46 C applies due to admission issues. Fees related to UIM should be reversed with judgment; ORCP 46 C improperly relied on. Reversal of the UIM-related fee award; remand to reallocate properly; overall fee allocation reconsidered.

Key Cases Cited

  • Magar v. Thompson, 288 Or 635 (1980) (offers of compromise bind to terms; limited judgments respected)
  • For Counsel, Inc. v. Northwest Web Co., 329 Or 246 (1999) (offers of judgment may define the scope of the judgment)
  • For Counsel, Inc., 154 Or App 492 (1998) (reiterates that offer terms control entry of judgment)
  • Russell v. Sheahan, 324 Or 445 (1996) (offers of judgment are stipulated judgments, not confessions)
  • Westfall v. Wilson, 255 Or 428 (1970) (consent decree analogies; binding nature of accepted offers)
  • Nelson v. Emerald People’s Utility Dist., 318 Or 99 (1993) (issue preclusion standards and limitations)
Read the full case

Case Details

Case Name: Miller v. American Family Mutual Insurance
Court Name: Court of Appeals of Oregon
Date Published: May 14, 2014
Citations: 330 P.3d 631; 262 Or. App. 730; 2014 Ore. App. LEXIS 642; 101014862; A150186
Docket Number: 101014862; A150186
Court Abbreviation: Or. Ct. App.
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    Miller v. American Family Mutual Insurance, 330 P.3d 631